This study aimed to evaluate if total knee arthroplasty (TKA) femoral components aligned in either mechanical alignment (MA) or kinematic alignment (KA) are more biomimetic concerning trochlear sulcus orientation and restoration of trochlear height. Bone surfaces from 1,012 CT scans of non-arthritic femora were segmented using a modelling and analytics system. TKA femoral components (Triathlon; Stryker) were virtually implanted in both MA and KA. Trochlear sulcus orientation was assessed by measuring the distal trochlear sulcus angle (DTSA) in native femora and in KA and MA prosthetic femoral components. Trochlear anatomy restoration was evaluated by measuring the differences in medial, lateral, and sulcus trochlear height between native femora and KA and MA prosthetic femoral components.Aims
Methods
In patients where the proximal femur shows gross deformity due
to degenerative changes or fracture, the contralateral femur is
often used to perform preoperative templating for hip arthroplasty.
However, femurs may not be symmetrical: the aim of this study was
to determine the degree of variation between hips in healthy individuals and
to determine whether it is affected by demographic parameters. CT-scan based modelling was used to examine the pelvis and bilateral
femurs of 345 patients (211 males, 134 women; mean age 62 years
(standard deviation (Aims
Materials and Methods
During activities of daily living (ADL), varus moments are experienced in the knee, which can result in frontal plane rotation, or liftoff, of the lateral femoral condyle with respect to the tibial plateau. An understanding of this rotation is valuable as it could potentially lead to contact between the femoral component and polyethylene post of a total knee replacement (TKR). Therefore, the purpose of this study was 1) to assess how much frontal plane rotation was achieved due to varus moments imposed on a total stabilized (TS) TKR from the stair ascent activity, and 2) to determine whether a TS TKR could withstand the contact stresses imposed by the varus loading for 1 million cycles without the post fracturing or plastically deforming. A PS femoral component paired with a TS polyethylene insert and baseplate (Triathlon, Stryker, Mahwah, NJ) were aligned on a multi-axis testing system (MTS Systems Corp, Eden Prairie, MN) (Figure 1). Size 1 components were used as they represented the worst-case size for testing. The femoral component was fixed at 60 degrees of flexion, representing an angle of peak varus moment during stair ascent [1]. The peak varus moment used in this study was determined by scaling the data from In order to evaluate the frontal plane rotation achieved due to the varus moment with minimal influence from other loads, an FEA model of the physical test setup was used to determine the lowest joint compressive load that would allow testing to be stable. Given this, testing was completed with a constant joint compressive load of 1500 N (33% of that reported by Lastly, a validation test was run on a component with the polyethylene post notched at the medial distal aspect. The post fractured during testing indicating that the test could induce the clinical failure mode of interest.INTRODUCTION
METHODS
