Mobile-bearing total knee arthroplasty improves patellar tracking and patellofemoral contact stress: in vivo measurements in the same patients.

Abstract

Controversies exist in clinical study concerning the effect of rotating platform on patellar tracking. The aim of this in vivo study was to compare tibial rotation, patellar tracking, and patellofemoral contact stress in mobile and fixed-bearing platform intraoperatively in the same knee. Sixty-six knees of posterior-stabilized total knee prostheses were evaluated using a computed tomography-guided navigation system. Medial shift and lateral tilt of patella were significantly smaller in mobile knee. Averaged maximum contact stress was significantly smaller in mobile knee than fixed knee. However, tibial rotation during flexion has no significant difference. This study showed that mobile platform total knee arthroplasty significantly improved patellar tracking and decreased patellofemoral contact stress.