The Journal of Arthroplasty
Volume 24, Issue 3 , Pages 475-483 , April 2009

Design Features of Total Knees for Achieving Normal Knee Motion Characteristics

  • Peter S. Walker, PhD

      Affiliations

    • NYU-Hospital for Joint Diseases, New York, NY
    • Corresponding Author InformationReprint requests: Peter S. Walker, PhD, Laboratory for Minimally-Invasive Surgery, VA Medical Center, 423 East 23rd Street, Annex Building #2, Room 206A, New York, NY 10010.
  • ,
  • Jonathan M. Sussman-Fort, BSc

      Affiliations

    • Department of Biomedical Engineering, Columbia University, New York, NY
  • ,
  • Gokce Yildirim, MSc

      Affiliations

    • NYU-Hospital for Joint Diseases, New York, NY
  • ,
  • Jason Boyer, MD

      Affiliations

    • NYU-Hospital for Joint Diseases, New York, NY

Received 8 February 2007 ,Accepted 2 November 2007.

References 

  1. Komistek RD, Dennis DA, Mahfouz M. In vivo fluoroscopic analysis of the normal human knee. Clin Orthop. 2003;410:69
  2. Iwaki H, Pinskerova S, Freeman MAR. Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg (Br). 2000;82B:1189
  3. Nakagawa S, Kadoya Y, Todo S, et al. Tibiofemoral movement 3: full flexion in the living knee studied by MRI. J Bone Joint Surg (Br). 2000;82B:1199
  4. Rovick JS, Reuben JD, Schrager RJ, et al. Relation between knee motion and ligament length patterns. Clin Biomech. 1991;6:213
  5. Hollister AM, Jatana S, Singh AK, et al. The axes of rotation of the knee. Clin Orthop. 1993;290:259
  6. Churchill DL, Incavo SJ, Johnson CC, et al. The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop. 1998;356:111
  7. Hill PF, Vedi V, Williams A, et al. Tibiofemoral movement 2: the loaded and unloaded living knee studied by MRI. J Bone Joint Surg (Br). 2000;82B:1196
  8. Li G, Zayontz S, DeFrate L, et al. Kinematics of the knee at high flexion angles. Trans Orthop Res Soc. 2003;28:Paper #0126
  9. Conditt MA, Thompson MT, Wenk TJ, et al. Knee kinematic and medial lift-off during high flexion activities. Trans Orthop Res Soc. 2006;31:Paper #0251
  10. Dawson J, Conditt MA, Ismaily SK, et al. What happens to the menisci in high flexion. Trans Orthop Res Soc. 2005;30:Paper #0479
  11. Yao J, Lancianese SL, Lee J, et al. High resolution MR image analysis of meniscal behavior deep knee flexion. Trans Orthop Res Soc. 2006;31:Paper #0542
  12. Most E, Li G, Sultan PG, et al. Kinematic analysis of conventional and high-flexion cruciate-retaining total knee arthroplasties. J Arthroplasty. 2005;20:529
  13. Dennis DA, Komistek RD, Mahfouz MR, et al. Multicenter determination of in vivo kinematics after total knee arthroplasty. Clin Orthop. 2003;418:37
  14. Dennis DA, Komistek RD, Mahfouz MR, et al. A multicenter analysis of axial femorotibial rotation after total knee arthroplasty. Clin Orthop. 2004;428:180
  15. Pandit H, Ward T, Hollinghurst D, et al. Influence of surface geometry and the cam-post mechanism on the kinematics of total knee replacement. J Bone Joint Surg (Br). 2005;87-B:940
  16. Blaha JD. The rationale for a total knee implant that confers anteroposterior stability throughout range of motion. J Arthroplasty. 2004;19(Supl. 1):22
  17. Pritchett JW. Patient preferences in knee prostheses. J Bone Joint Surg (Br). 2004;86-B:979
  18. Haider H, Walker PS. Measurements of constraint of total knee replacement. J Biomech. 2005;38:314
  19. Walker PS, Wang C-J, Masse Y. Joint laxity as a criterion for the design of condylar knee prostheses. Clin Orthop, The Classic. 2003;410:5
  20. Robinson RP. The early innovators of today's resurfacing condylar knees. J Arthroplasty. 2005;20(Suppl 1):2
  21. Walker PS, Yildirim G, Sussman-Fort J, et al. Relative positions of the contacts on the cartilage surfaces of the knee joint. Knee. 2006;13:382
  22. Luger E, Sathasivam S, Walker PS. Inherent differences in the laxity and stability between the intact knee and total knee replacements. Knee. 1997;4:7
  23. Walker PS. A new concept in guided motion total knee arthroplasty. J Arthroplasty. 2001;16:157
  24. Nakayama K, Matsuda S, Miura H, et al. Contact stress at the post-cam mechanism in posterior-stabilized total knee arthroplasty. J Bone Joint Surg (Br). 2005;87-B:483
  25. Akagi M, Oh M, Nonaka T, et al. An anteroposterior axis of the tibia for total knee arthroplasty. Clin Orthop. 2004;420:213
  26. Ikeuchi M, Yamanaka N, Okanoue Y, et al. Determining the rotational alignment of the tibial component at total knee replacement. J Bone Joint Surg (Br). 2006;89B:45
  27. Huddleston JI, Scott RD, Wimberley DW. Determination of neutral tibial rotational alignment in rotating platform TKA. Clin Orthop. 2005;440:101
  28. Justin DF, Mann JW, Winters TF. Evaluation of a tibial component with external rotation of the intercondylar eminences. Trans Orthop Res Soc. 1992;17:20
  29. Walker PS, Sathasivam S. The design of guided surfaces for fixed-bearing and mobile-bearing knee replacements. J Biomech. 1999;32:27
  30. Saari T, Uvehammer J, Carlsson LV, et al. Kinematics of three variations of the Freeman-Samuelson total knee prosthesis. Clin Orthop. 2003;410:235
  31. Ries M, Victor J, Bellemans J, et al. Effect of guided knee motion and high flexion TKA on kinematics, implant stresses, and wear. In: Presented as a Scientific Exhibit at the AAOS Meeting, Chicago, Il. 2006;

 No benefits or funds were received in support of the study.

PII: S0883-5403(07)00641-9

doi: 10.1016/j.arth.2007.11.002

The Journal of Arthroplasty
Volume 24, Issue 3 , Pages 475-483 , April 2009