Patellofemoral compilcations are among the most frequently observed adverse events after total knee arthroplasty. The posterior location with Femoral component of conventional TKA in AP alignment cause paradoxical movement, but, guide motion TKA (Journey.2.BCS) with anterior post-cam remain a correct AP alignment. The purpose of this study was to investigate patellofemoral (PF) contact stress between Bi-Cruciate Substituting TKA (Journey.2.BCS) and CR TKA (Journey.CR). We evaluated 22 knees with medial compartment osteoarthritis who underwent. Simultaneous bilateral TKA. The prospective randomized study was to measure intraoperative PF contact stress by a patellofemoral sensor (Kyowa Co., Ltd., Tokyo, Japan) comparing the identical Bi-Cruciate Substituting or CR Journey.2 total knee prostheses implanted bilaterally in the same patient.INTRODUCTION
METHODS
Normal kinematics have not been achieved in TKA design. Recently, knee simulation studies have suggested that a medial pivot TKA can achieve the anatomic pathway that reduce mid-flextion rollback and increase lateral rotation. However, the influence of postoperative flextion angle associated with medial tightness for guide motion TKA remains poorly understood. The purpose of this study was to investigate the effect of postoperative flextion angle and clinical outcomes associated with tightness for medial component gap (MCP). We evaluated 79 patients who underwent 84 medial pivot The Journey.2. Bi-Cruciate Substituting (BCS) TKA using the measured resection tequnique, from June 2014 to March 2016. We measured the gaps after implantation from extension to full flextion with reduced patella by constant distraction force (120N). A new tensor has the same articular shapes as that the tibial liner, including anterior and posterior structure.INTRODUCTION
METHODS
A 51 years old female who experienced difficulty in gait ambulation due to secondary osteoarthritis of knee showed knee instability caused by paralysis associated with poliomyelitis and scoliosis. At the first medical examination, right knee range of motion was 0° to 90°, and spino malleolar distance (SMD) showed 72cm for the right leg, 78cm for the left leg, and the bilateral comparison of SMD indicated the leg length discrepancy of 6cm. The patient has a history of surgeries with an anterior – posterior instrument for the treatment of scoliosis, and with Langenskiöld method for the paralyzed right knee at the age of seventeen. The patient also experienced varus degeneration at the age of twenty seven, which was surgically treated with high tibial osteotomy. In this case, a reoperation of her right knee was performed due to the reoccurrence of the knee pain. Preoperative planning was performed using Patient-matched instrument (Signature; Biomet) which was created based on computed tomography data. Each part of osteotomy followed the resection guide by Signature, and a total knee arthroplasty was carried out using the Rotating Hinge Knee System (Zimmer, warsaw. Inc). Two week after the operation, the patient showed the ability to walk without any assistance, and has been in a good condition.
