Influence of the patellar button thickness on the knee flexion after total knee arthroplasty

• Autorzy: Rosso I. , Surface C. , Antonaci P. , Surface F. M. , Negretto R. J.

Identyfikatory

DOI

10.5277/ABB-01163-2018-04

• Języki publikacji: EN

Abstrakty

EN

One of the main problems of knee replacement is the limit of knee flexion. This study focuses on the knee implant and the patellar component currently in use in total knee arthroplasty, analyzing the influence of patellar thickness on the degree of knee flexion following surgery. Methods: A kinematics study was performed to evaluate whether an optimal patellar thickness can be identified, which enables the maximum flexion angle to be achieved. Using TC images, a healthy model was built. On this basis, a model of a knee joint which had undergone total knee arthroplasty using a Legion PS prosthesis was constructed. Initially, the standard thickness of patellar implant (9 mm) was used to build the model; then several different patellar implant thicknesses (in the range of 5–15 mm) were analyzed. Results: The results show a non-linear trend: a button thickness of less than 9 mm does not change the flexion angle, whereas a button thickness of over 9 mm results in a loss of flexion. The flexion loss is significant in the first two additions of thicknesses but negligible in the last ones. Conclusions: In the case studied, flexion reduction is not linearly proportional to the patellar thickness. The outcome of total knee arthroplasty is considered to be satisfactory with the standard patellar button. The results of this study could be used to compare the kinematics with other total prosthesis and patellar implants, and should enable the optimization of the patellar residue bone thickness to obtain deep flexion.

Słowa kluczowe

EN

osteoarthritis; total knee arthroplasty; patellar button; flexion angle; modeling

PL

osteoartroza; endoprotezoplastyka całkowita stawu kolanowego; modelowanie; rzepka; kąt zgięcia

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2018
• Tom: Vol. 20, no. 4
• Strony: 121--134
• Opis fizyczny: Bibliogr. 28 poz., rys., tab., wykr.

Twórcy

autor

Rosso I.

• Laboratory of Bio-inspired Nanomechanics “Giuseppe Maria Pugno”, Department of Structural, Geotechnical and Building Engineering, Politecnico di Torino, Turin, Italy

autor

Surface C.

• Laboratory of Bio-inspired Nanomechanics “Giuseppe Maria Pugno”, Department of Structural, Geotechnical and Building Engineering, Politecnico di Torino, Turin, Italy

autor

Antonaci P.

• Laboratory of Bio-inspired Nanomechanics “Giuseppe Maria Pugno”, Department of Structural, Geotechnical and Building Engineering, Politecnico di Torino, Turin, Italy

autor

Surface F. M.

• Department of Othopaedics and Traumatology, Humanitas Gradenigo Hospital, Turin, Italy

autor

Negretto R. J.

• Department of Othopaedics and Traumatology, Humanitas Gradenigo Hospital, Turin, Italy

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