Comparison of Mobile-Bearing and Fixed-Bearing Designs in High Flexion Total Knee Arthroplasty: Using a Navigation System
- Author:
Tae Wan KIM
1
;
Shi Hwan PARK
;
Jeung Tak SUH
Author Information
1. Department of Orthopaedic Surgery, Pusan National University School of Medicine, Busan, Korea. jtsuh@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Knee joint;
High flexion total knee arthroplasty;
Electromagnetic navigation system;
Mobile-bearing;
Fixed-bearing
- MeSH:
Arthroplasty;
Axis, Cervical Vertebra;
Follow-Up Studies;
Humans;
Knee;
Knee Joint;
Magnets;
Range of Motion, Articular;
Survival Rate;
Ursidae
- From:The Journal of Korean Knee Society
2012;24(1):25-33
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We compared and analyzed the short term results of high flexion total knee arthroplasty (TKA) with mobile-bearing and fixed bearing designs. MATERIALS AND METHODS: We studied 32 patients that had undergone TKA with LPS-Flex Mobile and 34 patients with LPS-Flex Fixed using an electromagnetic navigation system between January 2010 and June 2010, and were followed up for at least 1 year. RESULTS: Knee Society Functional Score (KSFS) and Knee Society Knee Score (KSKS) of the mobile-bearing group were 94.5 and 93.8 points, respectively, and were 48.2 and 45.3 points preoperatively, whereas those of the fixed-bearing group were 95.1 and 94.2 points, respectively, and were 49.5 and 46.9 points preoperatively. Postoperative mechanical axis deviation and implant position of the femoral and tibial component both on the coronal and sigittal planes showed no significant differences between the two groups. Range of motion (ROM) and maximal flexion angle (MFA) of the knee joint also showed no significant differences between the two groups. The possibility of crossed-legged sitting and kneeling position also showed no significant differences between the two groups. CONCLUSIONS: Clinical and radiologic parameters, ROM and MFA of knee joints showed no significant differences in both the groups, but long term follow-up results may be necessary, including survival rate.
