Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2006-6-9
pubmed:abstractText
The patella groove of total knee replacements has evolved from a groove with a neutral orientation to a groove with a lateral (also referred to as valgus) orientation. In this study the authors questioned whether femoral components with a lateral groove orientation more closely approximate the configuration in the natural knee. The groove orientations of an implanted CKS femoral component, available in different sizes and with different groove orientations, were determined and compared with formerly published measurements of the natural trochlear orientation. It was found that the prosthetic groove orientations differed considerably from human anatomy, up to a maximum deviation of 6.4 degrees. The orientations of the prosthetic grooves were all equal within the area of the natural trochlea. The area of the natural trochlea guides the patella between about 30 degrees and 120 degrees of knee flexion. The orientations of the prosthetic grooves were different in the area of the supracondylar pouch/proximal anterior flange. This area guides the patella between about 0 degrees and 30 degrees of knee flexion. As this study showed a considerable deviation between natural and prosthetic groove orientation, an optimal prosthetic groove orientation, matching the average orientation in the natural knee, was mathematically determined.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0021-9290
pubmed:author
pubmed:issnType
Print
pubmed:volume
39
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1708-15
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
The difference in trochlear orientation between the natural knee and current prosthetic knee designs; towards a truly physiological prosthetic groove orientation.
pubmed:affiliation
Orthopaedic Research Lab, Department of Orthopaedics, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
pubmed:publicationType
Journal Article