In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty

Abstract We analyzed the effects of bicruciate-retaining total knee arthroplasty (BCR-TKA) on knee kinematics and cruciate ligament forces. Patients (N = 15) with osteoarthritis (OA) and an intact anterior cruciate ligament (ACL) underwent magnetic resonance imaging and single-plane fluoroscopy to m...

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Autores principales: Kenichi Kono, Hiroshi Inui, Tetsuya Tomita, Takaharu Yamazaki, Shoji Konda, Shuji Taketomi, Sakae Tanaka, Darryl D. D’Lima
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/ef9e6c2aa91a4760bad95c1e9b5036ff
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spelling oai:doaj.org-article:ef9e6c2aa91a4760bad95c1e9b5036ff2021-12-02T13:20:13ZIn vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty10.1038/s41598-021-84942-y2045-2322https://doaj.org/article/ef9e6c2aa91a4760bad95c1e9b5036ff2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84942-yhttps://doaj.org/toc/2045-2322Abstract We analyzed the effects of bicruciate-retaining total knee arthroplasty (BCR-TKA) on knee kinematics and cruciate ligament forces. Patients (N = 15) with osteoarthritis (OA) and an intact anterior cruciate ligament (ACL) underwent magnetic resonance imaging and single-plane fluoroscopy to measure tibiofemoral kinematics during two deep knee bend activities before and after BCR-TKA: (1) weight-bearing squat; (2) non-weight-bearing cross-legged sitting. Forces in ligament bundles were calculated using VivoSim. The dynamic range of varus-valgus angulation decreased from 3.9 ± 4.4° preoperatively to 2.2 ± 2.7° postoperatively. Preoperatively, the medial femoral condyle translated anteriorly from 10° to 50° of flexion, and posteriorly beyond 50° of flexion. Postoperatively, the medial and lateral femoral condyles translated posteriorly throughout flexion in a medial pivot pattern. ACL forces were high in extension and decreased with flexion pre- and postoperatively. PCL forces increased with flexion preoperatively and did not change significantly postoperatively. Preoperatively, ACL forces correlated with anteroposterior translation of the femoral condyles. Postoperatively, PCL forces correlated with anteroposterior translation of the lateral femoral condyle. BCR-TKA altered knee kinematics during high flexion activity which correlated significantly with changes in cruciate ligament forces.Kenichi KonoHiroshi InuiTetsuya TomitaTakaharu YamazakiShoji KondaShuji TaketomiSakae TanakaDarryl D. D’LimaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kenichi Kono
Hiroshi Inui
Tetsuya Tomita
Takaharu Yamazaki
Shoji Konda
Shuji Taketomi
Sakae Tanaka
Darryl D. D’Lima
In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
description Abstract We analyzed the effects of bicruciate-retaining total knee arthroplasty (BCR-TKA) on knee kinematics and cruciate ligament forces. Patients (N = 15) with osteoarthritis (OA) and an intact anterior cruciate ligament (ACL) underwent magnetic resonance imaging and single-plane fluoroscopy to measure tibiofemoral kinematics during two deep knee bend activities before and after BCR-TKA: (1) weight-bearing squat; (2) non-weight-bearing cross-legged sitting. Forces in ligament bundles were calculated using VivoSim. The dynamic range of varus-valgus angulation decreased from 3.9 ± 4.4° preoperatively to 2.2 ± 2.7° postoperatively. Preoperatively, the medial femoral condyle translated anteriorly from 10° to 50° of flexion, and posteriorly beyond 50° of flexion. Postoperatively, the medial and lateral femoral condyles translated posteriorly throughout flexion in a medial pivot pattern. ACL forces were high in extension and decreased with flexion pre- and postoperatively. PCL forces increased with flexion preoperatively and did not change significantly postoperatively. Preoperatively, ACL forces correlated with anteroposterior translation of the femoral condyles. Postoperatively, PCL forces correlated with anteroposterior translation of the lateral femoral condyle. BCR-TKA altered knee kinematics during high flexion activity which correlated significantly with changes in cruciate ligament forces.
format article
author Kenichi Kono
Hiroshi Inui
Tetsuya Tomita
Takaharu Yamazaki
Shoji Konda
Shuji Taketomi
Sakae Tanaka
Darryl D. D’Lima
author_facet Kenichi Kono
Hiroshi Inui
Tetsuya Tomita
Takaharu Yamazaki
Shoji Konda
Shuji Taketomi
Sakae Tanaka
Darryl D. D’Lima
author_sort Kenichi Kono
title In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
title_short In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
title_full In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
title_fullStr In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
title_full_unstemmed In vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
title_sort in vivo kinematics and cruciate ligament forces in bicruciate-retaining total knee arthroplasty
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/ef9e6c2aa91a4760bad95c1e9b5036ff
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