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Is Posterior Stabilized Needed in TKA James B. Stiehl, MD Medical College of Wisconsin Milwaukee, Wisconsin
Posterior Stabilized Advantages and Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KINEMATICS OF TOTAL KNEE ARTHROPLASTY ,[object Object],[object Object],[object Object],[object Object],[object Object]
INVIVO FLUROROSCOPY Lat condyle, normal Lateral Condyle PCR-TKA
Fluoroscopic Kinematic Analysis of TKA: Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
What About Wear in Mobile Bearings? ,[object Object],[object Object],[object Object],[object Object],[object Object]
LCS Failure at 6 years  Pitting, small med,lat Deep Knee Bend Gait +6mm -7mm +14 °
Forward Body Lean on Stairs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Extensor Mechanism Power Curve
Anterior Femorotibial Translation in TKA ,[object Object],[object Object],[object Object]
Mechanics of Joint Line Elevation: PCR vs PS ,[object Object],[object Object],[object Object],[object Object]
Contact Stress and High Flexion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Active vs Passive Range of Motion in TKA ,[object Object],[object Object],[object Object],[object Object]
Balanced Flexion Gap ,[object Object],[object Object],[object Object],[object Object]
PS for Deformity 7   Varus 16   Varus 16   Varus 0   Varus
Case: 52 YO Female Severe Distal Femur Fracture with 10 ° Varus Deformity; Flexion
 
Final Result: Free Navigation Mechanical Axis:  0 ° !!!
Final Result: Free Navigation
Level 4 Outcome Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Swedish Arthroplasty Register ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osteolysis in PS TKA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tibial Post Wear in PS TKA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations for TKA ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
LCS Rotating Platform vs Posterior Stabilized 3D Analysis ,[object Object],[object Object],[object Object],[object Object]
LCS ROTATING PLATFORM ,[object Object],[object Object],Gait Deep Knee Bend
LCSPS ROTATE PLATFORM ,[object Object],[object Object],Gait Deep Knee Bend
LCS RESULTS:  CONDYLAR LIFTOFF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coronal Plane Liftoff ,[object Object],[object Object],[object Object]
Disadvantages: PS High Flex ,[object Object],[object Object],[object Object],[object Object]
Posterior Stabilized Disadvantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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