High Flexion Knee Arthroplasty: the Relationship Between Rotational Angles and Flexion Angle After Total Knee Arthroplasty

Overview

Journal Curr Rev Musculoskelet Med

Date 2014 Mar 25

PMID 24658882

Authors

Masataka Deie

Tomoyuki Nakasa

Goki Kamei

Atsuo Nakamae

Mitsuo Ochi

Affiliations

Soon will be listed here.

Abstract

The current patients required high flexion total knee arthroplasty (TKA). We hypothesized the patients who would get the high rotational angle just after TKA could gain high flexion knee 1 year after TKA. Sixty-three patients (average age: 70.6 years) were examined. In order to examine between the intraoperative rotational angles and the gained flexion angles after TKA, the patients were divided into two groups: the H group (more than 120°) and the L groups (less than 120°) by the gained flexion angles. The relationship between the flexion angles at 1 year after surgery and the intraoperative rotational angle had no significant correlation. But the rotational angles in the L group tended to be higher than the ones in the H group, and at only 30°, the L group gained significantly more rotational angle than the H group. These results might show that a tighter rotational stability induces a gain of higher flexion knee after TKA.

References

Nishio Y, Onodera T, Kasahara Y, Takahashi D, Iwasaki N, Majima T . Intraoperative medial pivot affects deep knee flexion angle and patient-reported outcomes after total knee arthroplasty. J Arthroplasty. 2013; 29(4):702-6. DOI: 10.1016/j.arth.2013.06.035. View

Lorbach O, Wilmes P, Maas S, Zerbe T, Busch L, Kohn D . A non-invasive device to objectively measure tibial rotation: verification of the device. Knee Surg Sports Traumatol Arthrosc. 2009; 17(7):756-62. DOI: 10.1007/s00167-009-0756-6. View

Insall J, Tria A, Scott W . The total condylar knee prosthesis: the first 5 years. Clin Orthop Relat Res. 1979; (145):68-77. View

Nakagawa S, Kadoya Y, Todo S, Kobayashi A, Sakamoto H, Freeman M . Tibiofemoral movement 3: full flexion in the living knee studied by MRI. J Bone Joint Surg Br. 2000; 82(8):1199-200. DOI: 10.1302/0301-620x.82b8.10718. View

Boonen B, Schotanus M, Kort N . Preliminary experience with the patient-specific templating total knee arthroplasty. Acta Orthop. 2012; 83(4):387-93. PMC: 3427630. DOI: 10.3109/17453674.2012.711700. View

Choi W, Lee S, Seong S, Jung J, Lee M . Comparison between standard and high-flexion posterior-stabilized rotating-platform mobile-bearing total knee arthroplasties: a randomized controlled study. J Bone Joint Surg Am. 2010; 92(16):2634-42. DOI: 10.2106/JBJS.I.01122. View

Kanaya A, Ochi M, Deie M, Adachi N, Nishimori M, Nakamae A . Intraoperative evaluation of anteroposterior and rotational stabilities in anterior cruciate ligament reconstruction: lower femoral tunnel placed single-bundle versus double-bundle reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009; 17(8):907-13. DOI: 10.1007/s00167-009-0757-5. View

Ohkawa S, Adachi N, Deie M, Nakamae A, Nakasa T, Ochi M . The relationship of anterior and rotatory laxity between surgical navigation and clinical outcome after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2012; 20(4):778-84. DOI: 10.1007/s00167-012-1900-2. View

Kanekasu K, Banks S, Honjo S, Nakata O, Kato H . Fluoroscopic analysis of knee arthroplasty kinematics during deep flexion kneeling. J Arthroplasty. 2004; 19(8):998-1003. DOI: 10.1016/j.arth.2004.03.012. View

10.

Mouton C, Theisen D, Pape D, Nuhrenborger C, Seil R . Static rotational knee laxity in anterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc. 2012; 20(4):652-62. DOI: 10.1007/s00167-011-1878-1. View

11.

Bathis H, Perlick L, Tingart M, Luring C, Zurakowski D, Grifka J . Alignment in total knee arthroplasty. A comparison of computer-assisted surgery with the conventional technique. J Bone Joint Surg Br. 2004; 86(5):682-7. DOI: 10.1302/0301-620x.86b5.14927. View

12.

Cheng T, Zhao S, Peng X, Zhang X . Does computer-assisted surgery improve postoperative leg alignment and implant positioning following total knee arthroplasty? A meta-analysis of randomized controlled trials?. Knee Surg Sports Traumatol Arthrosc. 2011; 20(7):1307-22. DOI: 10.1007/s00167-011-1588-8. View

13.

Dorr L, Boiardo R . Technical considerations in total knee arthroplasty. Clin Orthop Relat Res. 1986; (205):5-11. View

14.

Barrack R, Ruh E, Williams B, Ford A, Foreman K, Nunley R . Patient specific cutting blocks are currently of no proven value. J Bone Joint Surg Br. 2012; 94(11 Suppl A):95-9. DOI: 10.1302/0301-620X.94B11.30834. View

15.

Matsuzaki T, Matsumoto T, Muratsu H, Kubo S, Matsushita T, Kawakami Y . Kinematic factors affecting postoperative knee flexion after cruciate-retaining total knee arthroplasty. Int Orthop. 2013; 37(5):803-8. PMC: 3631492. DOI: 10.1007/s00264-013-1803-y. View

16.

Lee H, Lee J, Jung H, Song K, Yang J, Park C . Comparison of joint line position changes after primary bilateral total knee arthroplasty performed using the navigation-assisted measured gap resection or gap balancing techniques. Knee Surg Sports Traumatol Arthrosc. 2011; 19(12):2027-32. DOI: 10.1007/s00167-011-1468-2. View