Kinematic factors affecting postoperative knee flexion after cruciate-retaining total knee arthroplasty.

Abstract:

PURPOSE:The purpose of this study was to investigate kinematic factors affecting postoperative knee flexion after cruciate-retaining (CR) total knee arthroplasty (TKA) by analysing pre- and postoperative knee kinematics. METHODS:We retrospectively analysed 58 patients with osteoarthritis who received the same implant series. Pre- and postoperative kinematics were measured intraoperatively using a navigation system. As a clinical outcome, we measured the knee flexion angle before and one year after surgery. Correlations among pre- and postoperative kinematics and postoperative flexion were analysed using simple linear regression analyses. RESULTS:Preoperative knee kinematics, including tibial internal rotation and anterior translation (R = 0.87, P < 0.001; R = 0.53, P < 0.001, respectively), were significantly correlated with postoperative kinematics. Preoperative varus-valgus movements improved significantly postoperatively; however, tibial internal rotation remained unchanged. Furthermore, postoperative knee flexion angle was significantly correlated with postoperative tibial internal rotation (R = 0.45, P < 0.001). CONCLUSIONS:Preoperative knee kinematics were unchanged even after CR-TKA. Postoperative tibial internal rotation is one of the most important factors affecting postoperative knee flexion.

journal_name

Int Orthop

authors

Matsuzaki T,Matsumoto T,Muratsu H,Kubo S,Matsushita T,Kawakami Y,Ishida K,Oka S,Kuroda R,Kurosaka M

doi

10.1007/s00264-013-1803-y

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

803-8

issue

5

eissn

0341-2695

issn

1432-5195

journal_volume

37

pub_type

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