The evolution of the total knee arthroplasty for the last 50 years

I.M. Zazirnyi, B. Ryzhkov


The modern knee replacement dated back to the 1970s, from the development of the total anatomical condylar implants of Insal, Ranavat, Scott and Coventry. It is important to analyze the technical progress in the total knee arthroplasty 50 years after this outstanding orthopedic achievement. This review is devoted to the development of ideas for total knee arthroplasty during the last period. In particular, the review deals with the trends in epidemiology, advances in the development of implants, as well as new technologies with an emphasis on design and implantation through digital technology.


total knee arthroplasty; implant design; computer-assisted total knee arthroplasty


Mihalko W.M. Arthroplasty of the knee. In: Canale S.T., Beaty J.H., eds. Campbell’s Operative Orthopaedics. 12th edition. Philadelphia: Elsevier-Mosby. 2013. 376-444.

Bang H., Chiu Y.L., Memtsoudis S.G., et al. Total hip and total knee arthroplasties: trends and disparities revisited. Am. J. Orthop. 2010. 39(9). Е 95-102.

Kurtz S., Mowat F., Ong K., et al. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J. Bone Joint Surg. 2005. 87. 1487-1497.

Kurtz S., Ong K., Lau E., et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J. Bone Joint Surg. 2007. 89. 780-785.

Muratoglu O.K., Mark A., Vittetoe D.A., et al. Polyethy-lene damage in total knees and use of highly crosslinked poly-ethylene. J. Bone Joint Surg. 2003. 85(A). Suppl. 1. S7-S13.

McGovern T.F., Ammeen D.J., Collier J.P., et al. Rapid polyethylene failure of unicondylar tibial components sterilized with gamma irradiation in air and implanted after a long shelf life. J. Bone Joint Surg. 2002. 84(A). 901-906.

Inacio M.C., Cafri G., Paxton E.W., et al. Alternative bearings in total knee arthroplasty: risk of early revision compared to traditional bearings: an analysis of 62,177 primary cases. Acta Orthop. 2013. 84. 145-152.

Hodrick J.T., Severson E.P., McAlister D.S., et al. Highly crosslinked polyethylene is safe for use in total knee arthroplasty. Clin. Orthop. Relat. Res. 2008. 466. 2806-2812.

Jung K.A., Lee S.C., Hwang S.H., et al. Fractured polyethylene tibial post in a posterior-stabilized knee prosthesis presenting as a floating palpable mass. Knee Surg. 2009. 22. 374-376.

Mauerhan D.R. Fracture of the polyethylene tibial post in a posterior cruciate-substituting total knee arthroplasty mimicking patellar clunk syndrome: a report of 5 cases. Arthroplasty. 2003. 18. 942-945.

Engh G.A., Zimmerman R.L., Parks N.L., et al. Analysis of wear in retrieved mobile and fixed bearing knee inserts. Arthroplasty. 2009. 24(6 Suppl.). 28-32.

Lu Y.C., Huang C.H., Chang T.K., et al. Wear pattern analysis in retrieved tibial inserts of mobile-bearing and fixed-bearing total knee prostheses. Bone Joint Surg. 2010. 92(B). 500-507.

Luna J.T., Sembrano J.N., Gioe T.J. Mobile and fixed-bearing (all polyethylene tibial component) total knee arthroplasty designs: surgical technique. Bone Joint Surg. 2010. 92(A). Suppl. 1. Pt. 2. 240-249.

Kim Y.H., Kim D.Y., Kim J.S. Simultaneous mobile- and fixed-bearing total knee replacement in the same patients. A prospective comparison of mid-term outcomes using a similar design of prosthesis. Bone Joint Surg. 2007. 89(B). 904-910.

Namba R.S., Inacio M.C., Paxton E.W., et al. Risk of revision for fixed versus mobile-bearing primary total knee replacements. Bone Joint Surg. 2012. 94(A). 1929-1935.

Pijls B.G., Valstar E.R., Kaptein B.L., et al. Differences in long-term fixation between mobile-bearing and fixed-bearing knee prostheses at ten to 12 years’ follow-up: a single-blinded randomised controlled radiostereometric trial. Bone Joint Surg. 2012. 94(B). 1366-1371.

Cheng M., Chen D., Guo Y., et al. Comparison of fixed- and mobile-bearing total knee arthroplasty with a mean five-year follow-up: a meta-analysis. Exp. Ther. Med. 2013. 6. 45-51.

Sykes J., Snearly C., Benner R., et al. Comparison of mobile bearing and fixed bearing total knee arthroplasty outcomes: a review of the literature. ASTM Int. 2011. 8. doi:10.1520/JAI103168.

Ferguson K.B., Bailey O., Anthony I., et al. A prospective randomized study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design — outcomes at two year follow-up. Knee. 2013. [Epub ahead of print].

Choi W.C., Lee S., Seong S.C., et al. Comparison between standard and high-flexion posterior-stabilized rotating-platform mobile- bearing knee arthroplasties: a randomized controlled trial. Bone Joint Surg. 2010. 92(A). 2634-2642.

Hamilton W.G., Sritulanondha S., Engh C.A. Jr. Prospective randomized comparison of high-flex and standard rotating platform total knee arthroplasty. Arthroplasty. 2011. 26(6 Suppl.). 28-34.

Kim Y.H., Sohn K.S., Kim J.S. Range of motion of standard and high-flexion posterior stabilized total knee prostheses. A prospective, randomized study. Bone Joint Surg. 2005. 87(A). 1470-1475.

Cook L.E., Klika A.K., Szubski C.R., et al. Functional outcomes used to compare single radius and multiradius of curvature designs in total knee arthroplasty. Knee Surg. 2012. 25. 249-253.

Kessler O., Dürselen L., Banks S., et al. Sagittal curvature of total knee replacements predicts in vivo kinematics. Clin. Biomech. 2007. 22. 52-58.

Stoddard J.E., Deehan D.J., Bull A.M., et al. The kinematics and stability of single-radius versus multi-radius femoral components related to mid-range instability after TKA. Orthop. Res. 2013. 31. 53-58.

Ostermeier S., Stukenborg-Colsman C. Quadriceps force after TKA with femoral single radius. Acta Orthop. 2011. 82. 339-343.

Barnes C.L., Sharma A., Blaha J.D., et al. Kneeling is safe for patients implanted with medial-pivot total knee arthroplasty designs. Arthroplasty. 2011. 26. 549-550.

Miyazaki Y., Nakamura T., Kogame K., et al. Analysis of the kinematics of total knee prostheses with a medial pivot design. Arthroplasty. 2011. 26. 1038-1044.

Grupp T.M., Saleh K.J., Mihalko W.M., et al. Effect of anterior-posterior and internal-external motion restraint during knee wear simulation on a posterior stabilised knee design. Biomech. 2013. 46. 491-497.

Ward T.R., Burns A.W., Gillespie M.J., et al. Bicruciate-stabilised total knee replacements produce more normal sagittal plane kinematics than posterior-stabilised designs. Bone Joint Surg. 2011. 93(B). 907-913.

Kuroyanagi Y., Mu S., Hamai S., et al. In vivo knee kinematics during stair and deep flexion activities in patients with bicruciate substituting total knee arthroplasty. Arthroplasty. 2012. 27. 122-128.

Kim S.J., MacDonald M., Hernandez J., et al. Computer assisted navigation in total knee arthroplasty: improved coronal alignment. Arthroplasty. 2005. 20(Suppl. 3). 123-131.

Delp S.L., Stulberg S.D., Davies B., et al. Computed assisted knee replacement. Clin. Orthop. Relat. Res. 1998. 354. 49-56.

Hetaimish B.M., Khan M.M., Simunovic N., et al. Meta-analysis of navigation vs. conventional total knee arthroplasty. Arthroplasty. 2012. 27. 1177-1182.

Weng Y.J., Hsu R.W., Hsu W.H. Comparison of computer-assisted navigation and conventional instrumentation for bilateral total knee arthroplasty. Arthroplasty. 2009. 24. 668-673.

Harvie P., Sloan K., Beaver R.J. Computer navigation vs conventional total knee arthroplasty five-year functional results of a prospective randomized trial. Arthroplasty. 2012. 27. 667-672.

Seon J.K., Song E.K., Park S.J., et al. The use of navigation to obtain rectangular flexion and extension gaps during primary total knee arthroplasty and midterm clinical results. Arthroplasty. 2011. 26. 582-590.

Hiscox C.M., Bohm E.R., Turgeon T.R., et al. Randomized trial of computer-assisted knee arthroplasty: impact on clinical and radiographic outcomes. J. Arthroplasty. 2011. 26. 1259-1264.

Choong P.F., Dowsey M.M., Stoney J.D. Does accurate anatomical alignment result in better function and quality of life? Comparting conventional and computer-assisted total knee arthroplasty. Arthroplasty. 2009. 24. 560-569.

Burnett R.S.J., Barrack R.L. Computer-assisted total knee arthroplasty is currently of no proven clinical bene-fit: a systematic review. Clin. Orthop. Relat. Res. 2013. 47. 264-271.

Ponnusamy K., Mohr C., Curet M.J. Clinical outcomes with robotic surgery. Curr Prob. Surg. 2011. 48. 577-656.

Kim S.M., Park Y.S., Ha C.W., et al. Robot-assisted implantation improves the precision of component position in minimally invasive TKA. Orthopedics. 2012. 9. 1334-1339.

Moon Y.W., Ha C.W., Do K.H., et al. Comparison of robot-assisted and conventional total knee arthroplasty: a controlled cadaver study using multiparameter quantitative three-dimensional CT assessment of alignment. Computer Aided Surgery. 2012. 2. 86-95.

Song E.K., Seon J.K., Yim J.H., et al. Robotic-assisted TKA reduces postoperative alignment outliers and improves gap balance compared to conventional TKA. Clin. Orthop. Relat. Res. 2013. 471. 118-126.

Li C.H., Chen T.H., Su Y.P., et al. Periprosthetic femoral supracondylar fracture after total knee arthroplasty with navigation system. Arthroplasty. 2008. 23. 304-307.

Bali K., Walker P., Bruce W. Custom-fit total knee arthroplasty: our initial experience in 32 knees. Arthroplasty. 2012. 27. 1149-1154.

Bonicoli E., Andreani L., Parchi P., et al. Custom-fit total knee arthroplasty: our initial experience with 30 knees. Eur. J. Orthop. Surg. Traumatol. 2013. [Epub ahead of print].

Zeller I.M., Sharma A., Kurtz W.B. et al. Customized versus Patient-Sized Cruciate-retaining Total Knee Arthroplasty: An in vivo Kinematics Study Using Mobile Fluoroscopy. Journal of Arthroplasty. Apr. 2017. 32, Issue 4. 1344-1350.

Ivie C.B., Probst P.J., Bal A.K. et al. Impruved Radiographic Outcomes with Patient-Specific Total Knee Arthroplasty. Journal of Arthroplasty. Nov. 2014. 29, Issue 11. 2100-2103.

Wülker N., Lambermont J.P., Sacchetti L., et al. A prospective randomized study of minimally invasive total knee arthroplasty compared with conventional surgery. Bone Joint Surg. 2010. 92(A). 1584-1590.

McAllister C.M., Stepanian J.D. The impact of minimally invasive surgical techniques on early range of motion after primary total knee arthroplasty. J. Arthroplasty. 2008. 23. 10-18.

Gandhi R., Smith H., Lefaivre K.A., et al. Complications after minimally invasive total knee arthroplasty as compared with traditional incision techniques: a meta-analysis. Arthroplasty. 2011. 26. 29-35.

Copyright (c) 2019 TRAUMA

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2019


   Seo анализ сайта