A Comparison of the Noise Generated from Different Types of Knee Prostheses

Abstract

After total knee arthroplasty (TKA), patients may experience noise from their replaced knee. A prospective study was conducted with 465 (930 knees) patients to evaluate noise after bilateral TKA. A different randomly selected prosthesis was used on each side. The prostheses used were medial pivot (MP), anterior and posterior cruciate ligament retaining (ACL-PCL), posterior cruciate ligament retaining (PCL), posterior cruciate-substituting (PS), or mobile bearing (MB). The evaluation included the patients' responses to questions about noise after both their TKAs. Noise-related symptoms were reported by 12% of the patients with MP prostheses, 4% of patients with ACL-PCL, 31% of patients with PCL, 33% of patients with PS, and 42% of patients with MB. Occasionally, patients were concerned or dissatisfied with this phenomenon. Noise was less common with TKAs that used MP and ACL-PCL knee prostheses than with TKAs that used other prostheses.

Keywords

bilateral total knee arthroplasty - bicruciate - medial pivot

• References

• 1 Niikura T, Tsumura N, Tsujimoto K, Yoshiya S, Kurosaka M, Shiba R. Patellar clunk syndrome after TKA with cruciate retaining design: a report of two cases. Orthopedics 2008; 31 (1) 90
• 2 Koh YG, Kim SJ, Chun YM, Kim YC, Park YS. Arthroscopic treatment of patellofemoral soft tissue impingement after posterior stabilized total knee arthroplasty. Knee 2008; 15 (1) 36-39
• 3 Ip D, Ko PS, Lee OB, Wu WC, Lam JJ. Natural history and pathogenesis of the patella clunk syndrome. Arch Orthop Trauma Surg 2004; 124 (9) 597-602
• 4 Hozack WJ, Rothman RH, Booth Jr RE, Balderston RA. The patellar clunk syndrome. A complication of posterior stabilized total knee arthroplasty. Clin Orthop Relat Res 1989; 241 (241) 203-208
• 5 Lewandowski PJ, Engh GA. Patellofemoral complications following total knee arthroplasty. In: Malek M, , ed. Knee Surgery: complications, pitfalls, and salvage. New York, NY: Springer; 2001: 380-390
• 6 Walter WL, Yeung E, Esposito C. A review of squeaking hips. J Am Acad Orthop Surg 2010; 18 (6) 319-326
• 7 Pritchett JW. Patient preferences in knee prostheses. J Bone Joint Surg Br 2004; 86 (7) 979-982
• 8 Fukunaga K, Kobayashi A, Minoda Y, Iwaki H, Hashimoto Y, Takaoka K. The incidence of the patellar clunk syndrome in a recently designed mobile-bearing posteriorly stabilised total knee replacement. J Bone Joint Surg Br 2009; 91 (4) 463-468
• 9 Anderson MJ, Becker DL, Kieckbusch T. Patellofemoral complications after posterior-stabilized total knee arthroplasty: a comparison of 2 different implant designs. J Arthroplasty 2002; 17 (4) 422-426
• 10 Beight JL, Yao B, Hozack WJ, Hearn SL, Booth Jr RE. The patellar “clunk” syndrome after posterior stabilized total knee arthroplasty. Clin Orthop Relat Res 1994; 299 (299) 139-142
• 11 Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 1989; 248 (248) 13-14
• 12 Unsworth A, Dowson D, Wright V. ‘Cracking joints’. A bioengineering study of cavitation in the metacarpophalangeal joint. Ann Rheum Dis 1971; 30 (4) 348-358
• 13 Walter WL, Yeung E, Esposito C. A review of squeaking hips. J Am Acad Orthop Surg 2010; 18 (6) 319-326
• 14 Meftaha M, Ranawat AS. Patellar crepitus after total knee revision: a case report. Curr Orthop Pract 2010; 21 (5) 538-540
• 15 Maloney WJ, Schmidt R, Sculco TP. Femoral component design and patellar clunk syndrome. Clin Orthop Relat Res 2003; 410 (410) 199-202
• 16 Mazzucco D, McKinley G, Scott RD, Spector M. Rheology of joint fluid in total knee arthroplasty patients. J Orthop Res 2002; 20 (6) 1157-1163
• 17 Dennis DA, Komistek RD, Colwell Jr CE , et al. In vivo anteroposterior femorotibial translation of total knee arthroplasty: a multicenter analysis. Clin Orthop Relat Res 1998; 356 (356) 47-57
• 18 Stiehl JB, Komistek RD, Cloutier JM, Dennis DA. The cruciate ligaments in total knee arthroplasty: a kinematic analysis of 2 total knee arthroplasties. J Arthroplasty 2000; 15 (5) 545-550
• 19 Iranpour F, Merican AM, Dandachli W, Amis AA, Cobb JP. The geometry of the trochlear groove. Clin Orthop Relat Res 2010; 468 (3) 782-788
• 20 Fulkerson JP, Hungerford DS. Normal anatomy. In: Fulkerson JP, Hungerford DS, , eds. Disorders of the Patellofemoral Joint. Baltimore, MD: Williams & Wilkins; 1990: 1-24
• 21 Fulkerson JP, Hungerford DS. Biomechanics of the patellofemoral joint. In: Fulkerson JP, Hungerford DS, , eds. Disorders of the Patellofemoral Joint. Baltimore, MD: Williams & Wilkins; 2004: 25-41
• 22 Senavongse W, Amis AA. The effects of articular, retinacular, or muscular deficiencies on patellofemoral joint stability: a biomechanical study in vitro. J Bone Joint Surg Br 2005; 87 (4) 577-582