Biomechanical Effects of Posterior Condylar Offset and Posterior Tibial Slope on Quadriceps Force and Joint Contact Forces in Posterior-Stabilized Total Knee Arthroplasty

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Biomechanical Effects of Posterior Condylar Offset and Posterior Tibial Slope on Quadriceps Force and Joint Contact Forces in Posterior-Stabilized Total Knee Arthroplasty

This study aimed to determine the biomechanical effect of the posterior condylar offset (PCO) and posterior tibial slope (PTS) in posterior-stabilized (PS) fixed-bearing total knee arthroplasty (TKA). We developed ±1, ±2, and ±3 mm PCO models in the posterior direction and -3°, 0°, 3°, and 6° PTS models using a previously validated FE model. The influence of changes in the PCO and PTS on the bi...

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Changes in Femoral Posterior Condylar Offset, Tibial Posterior Slope Angle, and Joint Line Height after Cruciate-Retaining Total Knee Arthroplasty.

PURPOSE Changes in the femoral posterior condylar offset (PCO), tibial posterior slope angle (PSA), and joint line height (JLH) after cruciate-retaining total knee arthroplasty (CR-TKA) were evaluated to determine their influence on the flexion angle. MATERIALS AND METHODS A total of 125 CR-TKAs performed on 110 patients were retrospectively reviewed. Pre- and postoperative PCO, PSA, and JLH ...

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Total knee arthroplasty and posterior tibial slope

Total Knee Arthroplasty (TKA) has been considered as a standard procedure for intractable pain in the end-stage degenerative arthritis of the knee and maintaining range of motion (ROM) to facilitate the ability to perform daily living activities. 1 Factors that have been associated with the change in ROM after TKA include preoperative ROM, implant design, patient characteristics, posterior femo...

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Effect of Posterior Femoral Condylar Offset and Posterior Tibial Slope on Maximal Flexion Angle of the Knee in Posterior Cruciate Ligament Sacrificing Total Knee Arthroplasty

PURPOSE To evaluate the effect of femoral condylar offset and posterior tibial slope on maximal flexion angle of the knee in posterior cruciate ligament (PCL)-sacrificing total knee arthroplasty (TKA, Medial-Pivot Knee System). MATERIALS AND METHODS Forty-five knees in 35 patients who could be followed up more than 1 year after PCL-sacrificing TKA were evaluated retrospectively. We measured a...

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Posterior Stabilized Total Knee Arthroplasty

The posterior cruciate ligament (PCL) in total knee arthroplasty (TKA) functions to prevent posterior translation of the tibia and aids in femoral roll-back1. Roll-back allows for increased quadriceps lever arm and more efficient use of extensor musculature, permitting more normal stair climbing. Because of this, PCL retaining knees have the advantage of maintenance of ligamentous proprioceptio...

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ژورنال

عنوان ژورنال: BioMed Research International

سال: 2017

ISSN: 2314-6133,2314-6141

DOI: 10.1155/2017/4908639