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Knee Arthroplasty Essay

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Background: Previous studies demonstrated that an abrupt change in conformity occurs during flexion of knee joint after total knee arthroplasty using the multi-radius femoral design implant. An abrupt change in conformity was shown to lead to paradoxical anterior sliding and anteroposterior movement. For this reason, a gradually reducing radius femoral design was introduced. Recent studies showed that the gradually reducing radius design helped to attenuate paradoxical anterior sliding and provide better contact area without point loading or edge loading.

Objectives: The purpose of this study was to evaluate the impact of MR versus GR knee design on the kinematics and kinetics of the knee during level ground walking one year after total knee arthroplasty. …show more content…

Exclusion criteria were more than fifteen degree of varus deformity, more than twenty degree of flexion contracture and muscle weakness from neuromuscular disease including Parkinsonism or cerebral lesion. The groups consisted of twelve patients (twenty knees) who had total knee arthroplasty (TKA) with a representative MR designed implant (B Braun-Aesculap Vega® Knee System) and thirteen patients (seventeen knees) who had TKA with a representative GR designed implant (Depuy Attune® Knee System)
Gait analysis data were collected before the operation and one year after TKA using a three-dimensional motion analysis system (Oxford Met¬rics Inc., Oxford, UK), which consisted of eight VICON MX-T20 infra-red cameras and two force plates (AMTI, Water-town, MA, USA).
The kinematic and kinetic parameters of knee varus angle, first peak knee adduction moment, sagittal plane knee excursion during mid-stance and extensor moment at first peak knee flexion were evaluated during ground level walking, as well as the spatiotemporal gait outcomes of walking speed, stride length, cadence, step length, the percentage of stance

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