Mobile-bearing total knee arthroplasty has potential advantages over fixed- bearing prostheses that may lead to an improvement of the range of motion and inferior long-term polyethylene wear. However, the potential disadvantages include the dislocation of the PE tibial insert that is usually the result of quadriceps deficiency, ligament laxity and traumatic events. Therefore, 2 goals are pursued in this project. In a first step, an analysis of the existing literature will let to find out the causes of bearing dislocation. In a second step, some of these causes will be reproduced in a 3D musculoskeletal model of the lower limb to investigate the effect on the tibial insert of the knee prosthesis FIRST (Symbios, Switzerland).
Alexandre Terrier, Patrick Goetti, Frédéric Vauclair
Dominique Pioletti, Alexandre Terrier, Patrick Goetti, Philippe Büchler