Anteroposterior and rotational stability in fixed and mobile bearing unicondylar knee arthroplasty: a cadaveric study using the robotic force sensor system

作者：Becker Roland^*; Mauer Christian; Staerke Christian; Brosz Mathias; Zantop Thore; Lohmann Christoph H; Schulze Martin

来源：Knee Surgery, Sports Traumatology, Arthroscopy, 2013, 21(11): 2427-2432.

DOI：10.1007/s00167-012-2157-5

• Unicondylar knee arthroplasty
• Knee kinematics
• Translation
• Rotation
• Robot testing

Different bearing designs in unicondylar knee arthroplasty (UKA) have been developed in order to influence the rate of polyethylene wear. Increased anteroposterior translation and rotation after UKA has been hypothesized due to changes in joint surface geometry. The mobile bearing design was expected to show increased anteroposterior translation compared to the fixed bearing and biconcave bearing design. %26lt;br%26gt;Six human cadaver knees were used for the tests. Anteroposterior and rotational knee stability was analysed in 0A degrees, 30A degrees, 60A degrees, 90A degrees and 120A degrees of knee flexion using a robotic testing system (KR 125, KUKA Robots Augsburg, Germany). Three forces and moments were measured in a Cartesian coordinate system with a resolution of 1.0 N and 0.1 Nm. %26lt;br%26gt;There was no difference between the native knees and the knees after UKA in AP translation and rotation in all knee flexion angles. The factor knee flexion angle had a significant impact on the anterior translation when the type of bearing was neglected (p a parts per thousand currency sign 0.015). %26lt;br%26gt;This study shows that the natural knee stability in AP translation and rotation can be preserved in UKA. The preserved knee stability in different planes after UKA underlines the advantage of UKA when surgery is required in osteoarthritic changes of the medial compartment.

• 出版日期2013-11