In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty.
Identifieur interne : 000670 ( PubMed/Curation ); précédent : 000669; suivant : 000671In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty.
Auteurs : Toshifumi Watanabe [Japon] ; Ali Z. Abbasi ; Michael A. Conditt ; Jennifer Christopher ; Stefan Kreuzer ; Jason K. Otto ; Scott A. BanksSource :
- Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association [ 1436-2023 ] ; 2014.
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Abstract
There is great interest in providing reliable and durable treatments for one- and two-compartment arthritic degeneration of the cruciate-ligament intact knee. One approach is to resurface only the diseased compartments with discrete unicompartmental components, retaining the undamaged compartment(s). However, placing multiple small implants into the knee presents a greater surgical challenge than total knee arthroplasty, so it is not certain that the natural knee mechanics can be maintained or restored. The goal of this study was to determine whether near-normal knee kinematics can be obtained with a robot-assisted multi-compartmental knee arthroplasty.
DOI: 10.1007/s00776-014-0578-3
PubMed: 24789361
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<author><name sortKey="Watanabe, Toshifumi" sort="Watanabe, Toshifumi" uniqKey="Watanabe T" first="Toshifumi" last="Watanabe">Toshifumi Watanabe</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL, USA, watanabe.orj@tmd.ac.jp.</nlm:affiliation>
<country wicri:rule="url">Japon</country>
<wicri:regionArea>Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL, USA</wicri:regionArea>
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<author><name sortKey="Abbasi, Ali Z" sort="Abbasi, Ali Z" uniqKey="Abbasi A" first="Ali Z" last="Abbasi">Ali Z. Abbasi</name>
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<author><name sortKey="Conditt, Michael A" sort="Conditt, Michael A" uniqKey="Conditt M" first="Michael A" last="Conditt">Michael A. Conditt</name>
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<author><name sortKey="Christopher, Jennifer" sort="Christopher, Jennifer" uniqKey="Christopher J" first="Jennifer" last="Christopher">Jennifer Christopher</name>
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<author><name sortKey="Kreuzer, Stefan" sort="Kreuzer, Stefan" uniqKey="Kreuzer S" first="Stefan" last="Kreuzer">Stefan Kreuzer</name>
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<author><name sortKey="Otto, Jason K" sort="Otto, Jason K" uniqKey="Otto J" first="Jason K" last="Otto">Jason K. Otto</name>
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<author><name sortKey="Banks, Scott A" sort="Banks, Scott A" uniqKey="Banks S" first="Scott A" last="Banks">Scott A. Banks</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty.</title>
<author><name sortKey="Watanabe, Toshifumi" sort="Watanabe, Toshifumi" uniqKey="Watanabe T" first="Toshifumi" last="Watanabe">Toshifumi Watanabe</name>
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<wicri:regionArea>Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL, USA</wicri:regionArea>
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<author><name sortKey="Abbasi, Ali Z" sort="Abbasi, Ali Z" uniqKey="Abbasi A" first="Ali Z" last="Abbasi">Ali Z. Abbasi</name>
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<author><name sortKey="Conditt, Michael A" sort="Conditt, Michael A" uniqKey="Conditt M" first="Michael A" last="Conditt">Michael A. Conditt</name>
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<author><name sortKey="Christopher, Jennifer" sort="Christopher, Jennifer" uniqKey="Christopher J" first="Jennifer" last="Christopher">Jennifer Christopher</name>
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<author><name sortKey="Kreuzer, Stefan" sort="Kreuzer, Stefan" uniqKey="Kreuzer S" first="Stefan" last="Kreuzer">Stefan Kreuzer</name>
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<author><name sortKey="Otto, Jason K" sort="Otto, Jason K" uniqKey="Otto J" first="Jason K" last="Otto">Jason K. Otto</name>
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<author><name sortKey="Banks, Scott A" sort="Banks, Scott A" uniqKey="Banks S" first="Scott A" last="Banks">Scott A. Banks</name>
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<series><title level="j">Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title>
<idno type="eISSN">1436-2023</idno>
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<term>Biomechanical Phenomena</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Osteoarthritis, Knee (surgery)</term>
<term>Range of Motion, Articular</term>
<term>Robotic Surgical Procedures</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Arthroplasty, Replacement, Knee</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Osteoarthritis, Knee</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Biomechanical Phenomena</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Range of Motion, Articular</term>
<term>Robotic Surgical Procedures</term>
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<front><div type="abstract" xml:lang="en">There is great interest in providing reliable and durable treatments for one- and two-compartment arthritic degeneration of the cruciate-ligament intact knee. One approach is to resurface only the diseased compartments with discrete unicompartmental components, retaining the undamaged compartment(s). However, placing multiple small implants into the knee presents a greater surgical challenge than total knee arthroplasty, so it is not certain that the natural knee mechanics can be maintained or restored. The goal of this study was to determine whether near-normal knee kinematics can be obtained with a robot-assisted multi-compartmental knee arthroplasty.</div>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24789361</PMID>
<DateCreated><Year>2014</Year>
<Month>07</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>11</Month>
<Day>02</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1436-2023</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>19</Volume>
<Issue>4</Issue>
<PubDate><Year>2014</Year>
<Month>Jul</Month>
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<Title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</Title>
<ISOAbbreviation>J Orthop Sci</ISOAbbreviation>
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<ArticleTitle>In vivo kinematics of a robot-assisted uni- and multi-compartmental knee arthroplasty.</ArticleTitle>
<Pagination><MedlinePgn>552-7</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There is great interest in providing reliable and durable treatments for one- and two-compartment arthritic degeneration of the cruciate-ligament intact knee. One approach is to resurface only the diseased compartments with discrete unicompartmental components, retaining the undamaged compartment(s). However, placing multiple small implants into the knee presents a greater surgical challenge than total knee arthroplasty, so it is not certain that the natural knee mechanics can be maintained or restored. The goal of this study was to determine whether near-normal knee kinematics can be obtained with a robot-assisted multi-compartmental knee arthroplasty.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirteen patients with 15 multi-compartmental knee arthroplasties using haptic robotic-assisted bone preparation were involved in this study. Nine subjects received a medial unicompartmental knee arthroplasty (UKA), three subjects received a medial UKA and patellofemoral (PF) arthroplasty, and three subjects received medial and lateral bi-unicondylar arthroplasty. Knee motions were recorded using video-fluoroscopy an average of 13 months (6-29 months) after surgery during stair and kneeling activities. The three-dimensional position and orientation of the implant components were determined using model-image registration techniques.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Knee kinematics during maximum flexion kneeling showed femoral external rotation and posterior lateral condylar translation. All knees showed femoral external rotation and posterior condylar translation with flexion during the step activity. Knees with medial UKA and PF arthroplasty showed the most femoral external rotation and posterior translation, and knees with bicondylar UKA showed the least.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Knees with accurately placed uni- or bi-compartmental arthroplasty exhibited stable knee kinematics consistent with intact and functioning cruciate ligaments. The patterns of tibiofemoral motion were more similar to natural knees than commonly has been observed in knees with total knee arthroplasty. Larger series are required to confirm these as general observations, but the present results demonstrate the potential to restore or maintain closer-to-normal knee kinematics by retaining intact structures and compartments.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Watanabe</LastName>
<ForeName>Toshifumi</ForeName>
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<AffiliationInfo><Affiliation>Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL, USA, watanabe.orj@tmd.ac.jp.</Affiliation>
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<Author ValidYN="Y"><LastName>Abbasi</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>Japan</Country>
<MedlineTA>J Orthop Sci</MedlineTA>
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