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Knee Surgery, Sports Traumatology, Arthroscopy

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16.11.2014 | Knee

Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study

verfasst von: Armin Keshmiri, Günther Maderbacher, Clemens Baier, Florian Zeman, Joachim Grifka, Hans Robert Springorum

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 8/2016

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Abstract

Purpose

Component malrotation has a major impact on patellar kinematics in total knee arthroplasty. The influence of natural rotational limb alignment on patellar kinematics is unclear so far. Based on recent clinical investigations, we hypothesized that rotational limb alignment significantly influences patellar kinematics.

Methods

Patellar kinematics of ten cadaveric knees was measured using computer navigation during passive motion. Data were correlated with different rotational limb alignment parameters of preoperative CT scans.

Results

Femoral antetorsion showed a significant influence on patellar rotation, while tibial tubercle–posterior cruciate ligament distance additionally displayed a significant influence on patellar mediolateral shift (p < 0.05). Femoral posterior condylar angle was sensitive to patellar epicondylar distance, rotation and tilt (p < 0.05). Patellar rotation was influenced by five out of eight rotational limb alignment parameters (p < 0.05).

Conclusions

Rotational limb alignment should be paid more attention in terms of clinical evaluation of patellar tracking and future biomechanical and clinical investigations.

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Titel: Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study
verfasst von: Armin Keshmiri
Günther Maderbacher
Clemens Baier
Florian Zeman
Joachim Grifka
Hans Robert Springorum
Publikationsdatum: 16.11.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 8/2016
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3434-2

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Significant influence of rotational limb alignment parameters on patellar kinematics: an in vitro study

Abstract

Purpose

Methods

Results

Conclusions

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Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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