Numerical analysis of variations in posterior cruciate ligament properties and balancing techniques on total knee arthroplasty loading

Medical Engineering and Physics

Volumn 32, Issue 7, 2010, Pages 700-707

  Zelle, J ^a   Heesterbeek, P J C ^b   De Waal Malefijt, M ^a   Verdonschot, N ^a,c  

^a RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^b SINT MAARTENSKLINIEK   (Netherlands)

^c UNIVERSITY OF TWENTE   (Netherlands)

Author keywords

Cruciate retaining; Finite element analysis; High flexion; PCL Balancing; Posterior Cruciate Ligament; Total knee arthroplasty

Indexed keywords

ALIPHATIC COMPOUNDS; BALANCING; BENDING STRENGTH; FINITE ELEMENT METHOD; KNEE PROSTHESES; LIGAMENTS; ORTHOPEDICS; PHYSIOLOGICAL MODELS; POLYETHYLENES; STIFFNESS;

ANALYSIS OF VARIATIONS; BALANCING TECHNIQUES; CRUCIATE-RETAINING; HIGH-FLEXION; LOADING CHARACTERISTICS; POSTERIOR CRUCIATE LIGAMENT; TOTAL KNEE ARTHROPLASTY; TOTAL KNEE REPLACEMENT;

ARTHROPLASTY;

POLYETHYLENE;

ARTICLE; BIOMECHANICS; FEMUR; FINITE ELEMENT ANALYSIS; KNEE FUNCTION; KNEE LIGAMENT; MATHEMATICAL ANALYSIS; MECHANICAL STRESS; PRIORITY JOURNAL; RANGE OF MOTION; SURGICAL APPROACH; SURGICAL TECHNIQUE; TOTAL KNEE REPLACEMENT; WEIGHT BEARING;

EID: 77955276931     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2010.04.013     Document Type: Article

References (33)

1. Rodricks D.J., Patil S., Pulido P., Colwell C.W. Press-fit condylar design total knee arthroplasty. Fourteen to seventeen-year follow-up. Journal of Bone and Joint Surgery (Am) 2007, 89:89-95.
2. Amis A.A., Gupte C.M., Bull A.M., Edwards A. Anatomy of the posterior cruciate ligament and the meniscofemoral ligaments. Knee Surgery, Sports Traumatology, Arthroscopy 2006, 14:257-263.
3. Pagnano M.W., Cushner F.D., Scott W.N. Role of the posterior cruciate ligament in total knee arthroplasty. Journal of the American Academy of Orthopaedic Surgeons 1998, 6:176-187.
4. Banks S., Bellemans J., Nozaki H., Whiteside L.A., Harman M., Hodge W.A. Knee motions during maximum flexion in fixed and mobile-bearing arthroplasties. Clinical Orthopaedics and Related Research 2003, 131-138.
5. Mahoney O.M., Noble P.C., Rhoads D.D., Alexander J.W., Tullos H.S. Posterior cruciate function following total knee arthroplasty. A biomechanical study. Journal of Arthroplasty 1994, 9:569-578.
6. Scott R.D., Chmell M.J. Balancing the posterior cruciate ligament during cruciate-retaining fixed and mobile-bearing total knee arthroplasty: description of the pull-out lift-off and slide-back tests. Journal of Arthroplasty 2008, 23:605-608.
7. Race A., Amis A.A. The mechanical properties of the two bundles of the human posterior cruciate ligament. Journal of Biomechanics 1994, 27:13-24.
8. Takahashi M., Matsubara T., Doi M., Suzuki D., Nagano A. Anatomical study of the femoral and tibial insertions of the anterolateral and posteromedial bundles of human posterior cruciate ligament. Knee Surgery, Sports Traumatology, Arthroscopy 2006, 14:1055-1059.
9. Dennis D.A., Komistek R.D., Colwell C.E., Ranawat C.S., Scott R.D., Thornhill T.S., et al. In vivo anteroposterior femorotibial translation of total knee arthroplasty: a multicenter analysis. Clinical Orthopaedics and Related Research 1998, 47-57.
10. Ritter M.A., Faris P.M., Keating E.M. Posterior cruciate ligament balancing during total knee arthroplasty. Journal of Arthroplasty 1988, 3:323-326.
11. Bellemans J. Total knee arthroplasty: a guide to get better performance 2005, 188-193. Springer, Heidelberg. J. Bellemans, M.D. Ries, J. Victor (Eds.).
12. Shannon F.J., Cronin J.J., Cleary M.S., Eustace S.J., O'Byrne J.M. The posterior cruciate ligament-preserving total knee replacement: do we 'preserve' it? A radiological study. Journal of Bone and Joint Surgery (Br) 2007, 89:766-771.
13. Williams T.J., Thornhill T.S. Total knee arthroplasty: a guide to get better performance 2005, 177-181. Springer, Heidelberg. J. Bellemans, M.D. Ries, J. Victor (Eds.).
14. Jojima H., Whiteside L.A., Ogata K. Effect of tibial slope or posterior cruciate ligament release on knee kinematics. Clinical Orthopaedics and Related Research 2004, 194-198.
15. Lombardi A.V., Berend K.R., Aziz-Jacobo J., Davis M.B. Balancing the flexion gap: relationship between tibial slope and posterior cruciate ligament release and correlation with range of motion. Journal of Bone and Joint Surgery (Am) 2008, 90(Suppl. 4):121-132.
16. Morra E.A., Greenwald A.S. Polymer insert stress in total knee designs during high-flexion activities: a finite element study. Journal of Bone and Joint Surgery (Am) 2005, 87(Suppl. 2):120-124.
17. Pena E., Calvo B., Martinez M.A., Doblare M. A three-dimensional finite element analysis of the combined behavior of ligaments and menisci in the healthy human knee joint. Journal of Biomechanics 2006, 39:1686-1701.
18. Zelle J., Barink M., De Waal Malefijt M., Verdonschot N. Thigh-calf contact: does it affect the loading of the knee in the high-flexion range?. Journal of Biomechanics 2009, 42:587-593.
19. Zelle J., Van der Zanden A.C., De Waal M.M., Verdonschot N. Biomechanical analysis of posterior cruciate ligament retaining high-flexion total knee arthroplasty. Clinical Biomechanics (Bristol, Avon) 2009, 24:842-849.
20. Kurtz S.M., Ochoa J.A., White C.V., Srivastav S., Cournoyer J. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. Journal of Biomechanics 1998, 31:431-437.
21. Butler D.L., Kay M.D., Stouffer D.C. Comparison of material properties in fascicle-bone units from human patellar tendon and knee ligaments. Journal of Biomechanics 1986, 19:425-432.
22. Quapp K.M., Weiss J.A. Material characterization of human medial collateral ligament. Journal of Biomechanical Engineering 1998, 120:757-763.
23. Pioletti D.P., Rakotomanana L.R., Benvenuti J.F., Leyvraz P.F. Viscoelastic constitutive law in large deformations: application to human knee ligaments and tendons. Journal of Biomechanics 1998, 31:753-757.
24. Heesterbeek PJC, Keijsers NLW, Jacobs WCH, Verdonschot N, Wymenga AB. Posterior cruciate ligament recruitment affects antero-posterior translation during flexion gap distraction in total knee replacement: intra-operative study in 50 patients. Acta Orthopaedica 2010;81(4).
25. DeFrate L.E., Gill T.J., Li G. In vivo function of the posterior cruciate ligament during weight bearing knee flexion. The American Journal of Sports Medicine 2004, 32:1923-1928.
26. Papannagari R., DeFrate L.E., Nha K.W., Moses J.M., Moussa M., Gill T.J., et al. Function of posterior cruciate ligament bundles during in vivo knee flexion. The American Journal of Sports Medicine 2007, 35:1507-1512.
27. Mommersteeg T.J., Blankevoort L., Huiskes R., Kooloos J.G., Kauer J.M., Hendriks J.C. The effect of variable relative insertion orientation of human knee bone-ligament-bone complexes on the tensile stiffness. Journal of Biomechanics 1995, 28:745-752.
28. Bellemans J., Robijns F., Duerinckx J., Banks S., Vandenneucker H. The influence of tibial slope on maximal flexion after total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy 2005, 13:193-196.
29. Zavatsky A.B. A kinematic-freedom analysis of a flexed-knee-stance testing rig. Journal of Biomechanics 1997, 30:277-280.
30. Thambyah A. How critical are the tibiofemoral joint reaction forces during frequent squatting in Asian populations?. The Knee 2008, 15:286-294.
31. Markolf K.L., Burchfield D.M., Shapiro M.M., Davis B.R., Finerman G.A., Slauterbeck J.L. Biomechanical consequences of replacement of the anterior cruciate ligament with a patellar ligament allograft. Part I. insertion of the graft and anterior-posterior testing. Journal of Bone and Joint Surgery (Am) 1996, 78:1720-1727.
32. Pena E., Pena J.A., Doblare M. On modelling nonlinear viscoelastic effects in ligaments. Journal of Biomechanics 2008, 41:2659-2666.
33. Giffin J.R., Vogrin T.M., Zantop T., Woo S.L., Harner C.D. Effects of increasing tibial slope on the biomechanics of the knee. The American Journal of Sports Medicine 2004, 32:376-382.