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KNEETA                           R






                                                           Total Knee system





                                                            The goal of any total

                                                            knee implant system


                                                            is to provide the patient with a long-lasting solution that addresses
                                                            their knee pain.  However, patient expectations and satisfaction
                                                            levels have steadily increased and patients require an option that
                                                            most closely replicates the function of the normal knee.  Multiple
                                                            studies have characterized the movement of the normal knee,
                                                            illustrating greater posterior translation of the lateral condyle over
                                                                                           1,2   The normal knee has

                                                            than conventional knee implants.   As such, the need for a long-
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                                                            lasting knee system that can achieve normal knee kinematics, is
                                                            stable throughout the range of motion, and incorporates features


                                                            Conventional knee implants have been developed to rely either on
                                                            soft tissue or a post and cam mechanism to predictably roll back,
                                                            providing posterior translation of the femur on the tibia during

                                                            phenomenon does not occur with many conventional knee
                                                            designs, especially those that incorporate a symmetric tibial insert.
                                                            These implants illustrate “paradoxical motion,” where the femoral

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                                                            instead of rolling back.    This type of motion has been described
                                                            by patients as feeling like “walking on ice”.  It is also one of the main
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                                                            problems the medial-pivot “ball-in-socket” philosophy solves.
                                                            In order to better understand the concept of the medial-pivot
                                                            “ball-in-socket” philosophy, a brief reference to the anatomic
                                                            structures that provide stability to the normal knee is necessary.
                                                            The normal anatomy provides features that give the knee
                                                            stability on the medial pivot side and that allow a more mobile lateral
                                                                                    pivot
                                                            stability that the lateral meniscus does not.  This is largely due

                                                            tibia and extensively attached to the capsule and larger medial pivot
                                                            collateral ligament. The lateral meniscus, which lacks the
                                                            extensiveness of these attachments, is more mobile and may
                                                            displace up to 1cm.   The ligaments in the knee also serve as
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                                                            stabilizers for the knee joint. The anterior cruciate ligament (ACL)
                                                            prevents posterior translation of the femur on the tibia, where
                                                            while the posterior cruciate ligament (PCL) is considered the
                                                            primary stabilizer of the knee.  Being almost twice as strong
                                                            as the ACL, the PCL prevents posterior translation of the tibia on
                                                            the femur.




                                                                         SUNTEK
                                                                         Medical Devices
                                                                         and Electronic
                                                                         Products Trade Co.  KNEETA® Medial-Pivot Knee System
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