Mechanical alignment with conventional total knee arthroplasty (TKA) instruments often requires collateral ligament releases, which result in a high prevalence of adduction and reverse axial rotation (external rotation) of the tibial component during knee flexion with a variety of component designs. We used a radiographic image-matching technique to determine the contact kinematics during stand...

Achieving a large range of motion (ROM) is a much-desired clinical outcome after total knee arthroplasty (TKA), especially in Asian and Middle Eastern cultures. TKA design plays an important role in providing the post-operative ROM. This study investigated the kinematics of a new high-flexion posterior cruciate ligament retaining total knee replacement, featuring an enlarged posterior condylar ...

OBJECTIVES Our study aimed to examine if a mobile-bearing total knee replacement (TKR) offered an advantage over fixed-bearing designs with respect to rates of secondary resurfacing of the patella in knees in which it was initially left unresurfaced. METHODS We examined the 11-year report of the New Zealand Joint Registry and identified all primary TKR designs that had been implanted in > 500...

We have examined the relationship between the size of the flexion gap and the anterior translation of the tibia in flexion during implantation of a posterior cruciate ligament (PCL)-retaining BalanSys total knee replacement (TKR). In 91 knees, the flexion gap and anterior tibial translation were measured intra-operatively using a custom-made, flexible tensor-spacer device. The results showed th...