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Med Devices (Auckl). 2015 Jan 06;8:47-56. doi: 10.2147/MDER.S75852. eCollection 2015.

Device-length changes and implant function following surgical implantation of the KineSpring in cadaver knees.

Medical devices (Auckland, N.Z.)

Michael J McNicholas, Stefan M Gabriel, Anton G Clifford, Evelyne M Hasler

Affiliations

  1. Aintree University Hospital, Teaching Hospital, Major Trauma Centre, NHS Foundation Trust, Liverpool, UK.
  2. Moximed, Hayward, CA, USA.

PMID: 25610006 PMCID: PMC4294763 DOI: 10.2147/MDER.S75852

Abstract

INTRODUCTION: The KineSpring implant system has been shown to provide load reductions at the medial compartment of the knee, and has demonstrated clinical success in reducing pain and increasing function in patients with medial knee osteoarthritis. These results depend on the ability of the KineSpring to rotate, lengthen, and shorten to accommodate knee motions, and in response to knee position and loading.

PURPOSE: The present study was undertaken to determine length changes of the implanted KineSpring in response to a range of knee positions, external knee loads, and placements by different orthopedic surgeons.

MATERIALS AND METHODS: KineSpring system components were implanted in ten cadaver leg specimens by ten orthopedic surgeons, and absorber-length changes were measured under combined loading and in different positions of the knee.

RESULTS AND CONCLUSION: Spring compression consistent with knee-load reduction, and device lengthening and shortening to accommodate knee loads and motions were seen. These confirm the functionality of the KineSpring when implanted medially to the knee.

Keywords: KineSpring; function; knee; offloading; osteoarthritis; preservation

References

  1. Clin Orthop Relat Res. 2000 Jun;(375):185-92 - PubMed
  2. Best Pract Res Clin Rheumatol. 2001 Oct;15(4):627-43 - PubMed
  3. Arthritis Rheum. 2007 Oct 15;57(7):1254-60 - PubMed
  4. J Bone Joint Surg Am. 2006 Dec;88(12):2645-52 - PubMed
  5. Clin Orthop Relat Res. 1997 Nov;(344):290-7 - PubMed
  6. Clin Orthop Relat Res. 1987 Aug;(221):181-7 - PubMed
  7. Clin Med Insights Arthritis Musculoskelet Disord. 2013 May 13;6:19-28 - PubMed
  8. Indiana Med. 1991 Sep;84(9):614-5 - PubMed
  9. Instr Course Lect. 2001;50:499-511 - PubMed
  10. Arthritis Rheum. 2004 Jun 15;51(3):371-6 - PubMed
  11. J Orthop Res. 2007 Apr;25(4):540-6 - PubMed
  12. J Bone Joint Surg Am. 1999 Apr;81(4):539-48 - PubMed
  13. Arch Phys Med Rehabil. 2002 Jul;83(7):889-93 - PubMed
  14. J Knee Surg. 2002 Summer;15(3):155-8; discussion 159 - PubMed
  15. J Orthop Res. 2007 Jun;25(6):789-97 - PubMed
  16. Orthop Rev. 1993 Aug;22(8):921-4 - PubMed
  17. Am J Sports Med. 2002 May-Jun;30(3):414-21 - PubMed
  18. Orthopedics. 1998 Feb;21(2):131-8 - PubMed
  19. Arthritis Rheum. 1998 Jul;41(7):1233-40 - PubMed
  20. J Bone Joint Surg Am. 1974 Oct;56(7):1397-405 - PubMed
  21. Cochrane Database Syst Rev. 2007 Jul 18;(3):CD004019 - PubMed
  22. J Bone Joint Surg Br. 2000 Sep;82(7):1001-5 - PubMed
  23. Arch Phys Med Rehabil. 1997 Jul;78(7):745-9 - PubMed
  24. Clin Orthop Relat Res. 1984 Jan-Feb;(182):46-52 - PubMed
  25. J Appl Biomech. 2013 Dec;29(6):647-54 - PubMed
  26. J Biomech. 2006;39(12):2213-20 - PubMed
  27. Int Orthop. 1991;15(1):31-3 - PubMed
  28. Am J Sports Med. 1998 Jul-Aug;26(4):567-70 - PubMed
  29. Ann Rheum Dis. 2002 Jul;61(7):617-22 - PubMed
  30. Clin Orthop Relat Res. 1983 Jun;(176):239-51 - PubMed
  31. Am J Phys Med Rehabil. 2007 Aug;86(8):678-86 - PubMed
  32. Clin Orthop Relat Res. 1987 Feb;(215):162-72 - PubMed
  33. Arch Orthop Trauma Surg. 2013 Nov;133(11):1575-8 - PubMed
  34. Cochrane Database Syst Rev. 2005 Jan 25;(1):CD004020 - PubMed
  35. Arthritis Care Res. 2000 Aug;13(4):191-7 - PubMed
  36. J Med Eng Technol. 2011 Jan;35(1):65-71 - PubMed

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