Changes in knee motion over the first 3 years with a mobile-bearing prosthesis

Alessandro Russo, Luisa Montagna, Laura Bragonzoni, Andrea Visani, Maurilio Marcacci

Research output: Contribution to journalArticle

Abstract

The present work aims to evaluate the mobility of the polyethylene bearing in 25 patients implanted with a mobile-bearing PCL-retaining TKR (Interax ISA, Striker Howmedica) under in vivo, weight-bearing conditions over 3 years' follow-up. We compared the bearing motion in response to specific tests in two consecutive follow-ups with Roentgen Stereophotogrammetric Analysis (RSA). Results showed that polyethylene continued to displace on the tibial baseplate over time: longitudinal rotations and medio-lateral translations tended to increase at the second follow-up (mean increases 0.7 ± 2.5° and 0.34 ± 1.08 mm, respectively), while sagittal translations did not show any relevant change. Longitudinal rotations and AP translations were preserved when present at both follow-ups. Nevertheless, no statistical evidence of repeatable pattern of motion was found, since bearings frequently reversed their pattern of motion between the two follow-ups. The unconstrained polyethylene mobility resulted in an unrepeatable, erratic pattern of bearing motion intra-patient and over time. The changes in knee motion were found not to affect the clinical results over the first 3 years of follow-up. As in a fixed-bearing design, mobile-bearing design was not able to reproduce normal knee kinematics.

Original languageEnglish
Pages (from-to)301-306
Number of pages6
JournalKnee
Volume13
Issue number4
DOIs
Publication statusPublished - Aug 2006

Keywords

  • Kinematics
  • Mobile-bearing
  • Roentgen Stereophotogrammetric Analysis (RSA)
  • Total knee replacement (TKR)

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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