Knee Surg Relat Res.  2012 Mar;24(1):25-33. 10.5792/ksrr.2012.24.1.25.

Comparison of Mobile-Bearing and Fixed-Bearing Designs in High Flexion Total Knee Arthroplasty: Using a Navigation System

• Kim TW
• Park SH
• Suh JT

• KMID: 2223444
• DOI: http://doi.org/10.5792/ksrr.2012.24.1.25

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.

Keyword

Knee joint; High flexion total knee arthroplasty; Electromagnetic navigation system; Mobile-bearing; Fixed-bearing

MeSH Terms

Arthroplasty
Axis, Cervical Vertebra
Follow-Up Studies
Humans
Knee
Knee Joint
Magnets
Range of Motion, Articular
Survival Rate
Ursidae