The extensor efficiency of unicompartmental, bicompartmental and total knee arthroplasty
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Published version
Author(s)
Garner, Amy
Dandridge, Oliver
Amis, Andrew
Cobb, Justin
van Arkel, Richard
Type
Journal Article
Abstract
Aims: Unicompartmental (UKA) and bicompartmental (BCA) knee arthroplasty have been associated with improved functional outcomes compared to Total Knee Arthroplasty (TKA) in suitable patients, although the reason is poorly understood. The aim of this study was to measure how the different arthroplasties affect knee extensor function. Methods: Extensor function was measured for sixteen cadaveric knees and then re-tested following the different arthroplasties. Eight knees underwent medial UKA then BCA, then posterior-cruciate retaining TKA, and eight underwent the lateral equivalents then TKA. Extensorefficiency was calculated for ranges of knee flexion associated with common 46activities of daily living. Data were analyzed with repeated measures analysis of variance (=0.05). Results: Compared to native, there were no reductions in either extension moment or efficiency following UKA. Conversion to BCA resulted in a small decrease in extension moment between 70-90° flexion(p<0.05), but when examined in the context of daily activity ranges of flexion, extensor efficiency was largely unaffected. Following TKA, large decreases in extension moment were measured at low knee flexion angles(p<0.05), resulting in 12-43% reductions in extensor efficiency for the daily activity ranges. Conclusion: This cadaveric study found that TKA resulted in inferior extensor function compared to UKA and BCA. This may, in part, help explain the reported differences in 58function and satisfaction differences between partial and total knee arthroplasty.
Date Issued
2021-01-01
Date Acceptance
2020-08-27
Citation
Bone and Joint Research, 2021, 10 (1), pp.1-9
ISSN
2046-3758
Publisher
The British Editorial Society of Bone & Joint Surgery
Start Page
1
End Page
9
Journal / Book Title
Bone and Joint Research
Volume
10
Issue
1
Copyright Statement
© 2021 Author(s) et al. This is an open- access article distributed under the terms of
the Creative Commons Attribution Non- Commercial No Derivatives (CC BY- NC- ND 4.0)
licence, which permits the copying and redistribution of the work only, and provided
the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.
the Creative Commons Attribution Non- Commercial No Derivatives (CC BY- NC- ND 4.0)
licence, which permits the copying and redistribution of the work only, and provided
the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/.
Subjects
Science & Technology
Life Sciences & Biomedicine
Cell & Tissue Engineering
Orthopedics
Cell Biology
Arthroplasty
Knee extension
Unicompartmental
Bicompartmental
Extensor mechanism
ANTERIOR CRUCIATE LIGAMENT
KINEMATICS
JOINT
GAIT
OSTEOARTHRITIS
BIOMECHANICS
FLEXION
LAXITY
RATES
TIME
Arthroplasty
Bicompartmental
Extensor mechanism
Knee extension
Unicompartmental
1103 Clinical Sciences
1106 Human Movement and Sports Sciences
Publication Status
Published
Date Publish Online
2020-12-31