Knee kinematics in bi-cruciate stabilized total knee arthroplasty during squatting and stair-climbing activities.

Murakami, Koji; Hamai, Satoshi; Okazaki, Ken; Gondo, Hirotaka; Wang, Yifeng; Ikebe, Satoru; Higaki, Hidehiko; Shimoto, Takeshi et al. · J Orthop · 2018

case_series · Level IV

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Abstract

This study aimed to evaluate clinical outcomes and in vivo kinematics of bi-cruciate stabilized (BCS) total knee arthroplasty (TKA), using image-matching techniques. We analyzed tibiofemoral anteroposterior translation, axial rotation, and anterior/posterior cam-post contact for 22 BCS TKAs during squatting and stair-climbing. The functional activities on the 2011 Knee Society Score were significantly improved from 36 to 71. The tibiofemoral translation and axial rotation during squatting/stair-climbing were 16.1 mm/7.1 mm and 2.5° external/1.1° internal, respectively. Anterior/posterior cam-post contacts were observed during squatting (14%/96%) and stair-climbing (27%/96%). In conclusion, BCS TKA produced physiological sagittal plane kinematics during activities with favorable clinical outcomes.

Anatomy