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POSTER ABSTRACTS - ISAKOS

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asymmetrical space with the narrowing of the<br />

medial gap and maintaining or widening of the<br />

lateral gap at 130 degrees. Even up to 6.8 degrees<br />

external rotation of the femoral component (4.5<br />

degrees on average), there was no case showing a<br />

larger medial gap than lateral at 90 degrees<br />

flexion. The statistical analysis revealed that<br />

increased external rotation of the femoral<br />

component significantly reduce the amount of the<br />

medial flexion gap narrowing at 130 degrees.<br />

Conclusion: Our results indicate that the<br />

commonly reported 3 degrees of external rotation<br />

relative to the PCA and aligning the femoral<br />

component parallel to the surgical TEA would be<br />

an insufficient external rotation’ especially in the<br />

Asian female osteoarthritic patients whose<br />

lifestyle frequently requires deep knee flexion.<br />

E-poster #544<br />

The Early Results of LPS-Flex Fixed Bearing<br />

Total Knee Arthroplasty<br />

Myung Chul Lee, Seoul, KOREA,<br />

Sang Cheol Seong, Seoul, KOREA<br />

Chong Bum Chang, Seoul, KOREA, Presenter<br />

Sahnghoon Lee, Seoul, KOREA<br />

Joonoh Lee, Seoul, KOREA<br />

Seoul National University Hospital, Seoul, KOREA<br />

Introduction: LPS-flex knee prosthesis was<br />

specially designed to safely accommodate deep<br />

knee flexion of up to 155 degrees. The purpose of<br />

this study was to evaluate the early results of LPSflex<br />

fixed bearing prosthesis to assess whether<br />

this new implant had achieved its design<br />

objectives.<br />

Materials and Methods: Between Jul. 2001 and<br />

Mar. 2003, 99 total knee arthroplasties of 72<br />

patients were performed with LPS-flex prosthesis<br />

and followed for a minimum of one year (mean:<br />

22months). Of the 72 patients, 68 patients (94<br />

knees) were female and 4 patients (5 knees) were<br />

male. The mean age at the time of surgery was<br />

sixty nine years and mean weight and height were<br />

63kg and 153cm. The preoperative diagnoses<br />

included osteoarthritis in 95 knees and<br />

rheumatoid arthritis in 4 knees. We evaluated the<br />

change in postoperative range of motion over<br />

time. Knee rating system of the Hospital for<br />

Special Surgery and Knee Society clinical rating<br />

system were used for clinical evaluation.<br />

Results: The mean range of motion improved from<br />

119.3 degrees to 127.2 degrees at the time of<br />

latest follow-up. The mean range of motion at six<br />

months was 123 degrees, 128 degrees at one year<br />

and 127.8 degrees at two years. The change in<br />

mean range of motion from six months to one<br />

year was significant but no significant change was<br />

found after one year postoperatively. The mean<br />

Hospital for Special Surgery knee score improved<br />

from 60 points to 86 points (p

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