Liu Fei, Ohdera Toshihiro, Miyamoto Hirohide, Wasielewski Ray C, Komistek Richard D, Mahfouz Mohamed R
Midlands Orthopaedics, 1910 Blanding St, Columbia, SC 29201, USA.
Knee. 2009 Mar;16(2):116-20. doi: 10.1016/j.knee.2008.10.011. Epub 2008 Dec 19.
This study analyzed three dimensional (3D) in vivo kinematic data from the squatting to standing position for 18 Japanese subjects (18 knees) implanted with either Legacy((R)) Posterior Stabilized (LPS) Flex Fixed Bearing TKA or LPS Flex Mobile Bearing TKA. Under weight-bearing conditions, for all patients, the average roll-forward motions for the medial and lateral condyles were 4.0+/-3.6 mm and 6.3+/-3.4 mm, and the average external axial rotation was 3.1 degrees +/-4.1 degrees . For both groups, the weight-bearing range-of-motion (ROM) (110.7 degrees +/-12.7 degrees ) was less than pre (127.2+/-15.5 degrees ) and post (135.6+/-5.4 degrees ) operative non-weight bearing ROM. As hypothesized, the incidence, average and maximum lift off for the squatting to standing activity were much less than those of deep knee bend (DKB), and condylar motions and kinematics were opposite that of the DKB. There was little statistical difference of their kinematic patterns during this activity between the LPS fixed and mobile TKA implants.
本研究分析了18名植入Legacy®后稳定型(LPS)Flex固定平台全膝关节置换术(TKA)或LPS Flex活动平台TKA的日本受试者(18个膝关节)从蹲位到站立位的三维(3D)体内运动学数据。在负重条件下,所有患者的内侧和外侧髁的平均前滚运动分别为4.0±3.6毫米和6.3±3.4毫米,平均外旋角度为3.1°±4.1°。两组患者的负重活动范围(ROM)(110.7°±12.7°)均小于术前(127.2±15.5°)和术后(135.6±5.4°)非负重时的ROM。正如所假设的,从蹲位到站立活动的离地发生率、平均离地高度和最大离地高度远低于深屈膝(DKB),并且髁运动和运动学与DKB相反。LPS固定平台和活动平台TKA植入物在此活动期间的运动学模式几乎没有统计学差异。