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Convened under the auspicious of esteemed endorsers - ISTA

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vivo motion <strong>of</strong> MB total knee arthroplasty including <strong>the</strong> PE during stairs up and down.Patients and methods: We investigated <strong>the</strong> in vivo knee kinematics <strong>of</strong> 11 knees (10 patients)implanted with PFC-Sigma RP-F (DePuy). Under fluoroscopic surveillance, each patient didstairs up and down motion. And motion between each component was analyzed using two- tothree-dimensional registration technique, which used computer-assisted design (CAD) modelsto reproduce <strong>the</strong> spatial position <strong>of</strong> <strong>the</strong> femoral, tibial components, and PE (implanted with fourtantalum beads intra-operatively) from single-view fluoroscopic images. We evaluated <strong>the</strong>range <strong>of</strong> motion between <strong>the</strong> femoral and tibial components during being grounded, axialrotation between <strong>the</strong> femoral component and PE, <strong>the</strong> femoral and tibial component, and <strong>the</strong> PEand tibial component during being grounded.Results: The mean flexion angle <strong>of</strong> being grounded during stairs up was 72.0° ~ 8.74° (Max,Min). The femoral component relative to <strong>the</strong> tibial component demonstrated 8.77° externalrotation during stairs up. The PE relative to <strong>the</strong> tibial component demonstrated 8.23°externalrotation and <strong>the</strong> femoral component relative to <strong>the</strong> PE demonstrated 3.93°external rotationduring stairs up. The average ROM during stairs down was from 40.8° to 5.75° (Max, Min). Theexternal rotation <strong>of</strong> <strong>the</strong> femoral component relative to <strong>the</strong> tibial component was 4.73° duringstairs down. The tibial component rotated 6.36° relative to <strong>the</strong> PE and <strong>the</strong> femoral componentrotated 3.95° relative to <strong>the</strong> PE. In both two movement, <strong>the</strong>re was a positive correlation between<strong>the</strong> femoral component relative to <strong>the</strong> tibial component and <strong>the</strong> PE relative to <strong>the</strong> tibialcomponent in terms <strong>of</strong> axial rotation at each flexion angle.Discussion and conclusion: In this study, we evaluated <strong>the</strong> in vivo motion <strong>of</strong> <strong>the</strong> PE duringstairs up and down. <strong>the</strong>re was a positive correlation between <strong>the</strong> femoral component relative to<strong>the</strong> tibial component and <strong>the</strong> PE relative to <strong>the</strong> tibial component about axial rotation at eachflexion angle.Thursday, October 7, 2010, 10:20-11:00Session A3: Bearing Mobility IssuesA Comparison <strong>of</strong> Mobile-Bearing Versus Fixed-Bearing Total KneeArthroplasty*Seyed Kazemi - . - ., IranHamid Reza Seyyed Hosseinzadeh - Akhtar OrthopaedIc Hospital, Shahid Beheshti MedicalUniversity - Tehran, Iran*Email: seyedmortesakazemi@yahoo.comBackground: Currently <strong>the</strong>re are various knee pros<strong>the</strong>sis designs available each with its plusand minus points; <strong>the</strong>re is no general consensus on whe<strong>the</strong>r mobile-bearing knees arefunctionally better than fixed-bearing ones. This study is designed to compare outcomes aftertotal knee arthroplasty with both <strong>of</strong> <strong>the</strong> above pros<strong>the</strong>ses.Materials & Methods: 50 patients (68 knees) who'd had a total knee arthroplasty betweenApril 1999 and April 2008 at both Akhtar and Kian Hospitals for primary osteoarthritis wereselected. In 30 cases a fixed-bearing knee (Scorpio®, Stryker) and in <strong>the</strong> remaining 38 amobile-bearing pros<strong>the</strong>sis (Rotaglide®, Corin Group) was used. Patients' knees were scoredfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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