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[Technology opportunity 2007-070]



Surface Guided Total Knee

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Description:
Researchers at Queen’s University have developed a fixed-bearing total knee system that
employs an innovative bearing surface design to guide the motion of the joint in both flexion
and extension and to attain normal kinematics in deep knee bending without the use of an
intercondylar cam/post.

Possessing inherent stability, the design generates an external rotation and posterior roll-back
of the femur consistent with that of the normal knee during deep knee flexion. As such,
impingement caused by paradoxical motion is reduced and a high range of motion is possible.
The design accommodates both PCL retaining and bi-cruciate retaining surgical approaches and
permits normal patella mechanics over the entire range of motion.

Figure 1: Kinematics of the lateral femoral condyle 

Top: Schematic of the articulation of the device when tested in a joint simulator under a  compressive load. Femoral posterior roll-back of
23mm and external rotation of 20° are observed during flexion between 0° and 150°.
Bottom: Results from MRI studies of the kinematics of the lateral condyle in the normal knee joint. Posterior roll-back of 27±3mm and external rotation of 18±2° are observed during flexion. Note: CP = Contact Point

Advantages:
Advantages of this novel design include:
1. Normal knee kinematics during deep knee flexion without the use of an intercondylar
cam/post – 20° external rotation and 23mm posterior roll-back of the femur;
2. Impingement caused by paradoxical motion is reduced - a high range of motion is
possible;
3. Accommodates both PCL retaining and bi-cruciate retaining surgical approaches;
4. Permits normal patella mechanics over the entire range of motion;
5. Motion is guided in both flexion and extension; and
6. Lower contact stresses during deep knee bending may result in reduced wear and
improved long-term success.
Status of Development:

A proof-of-concept prototype has been made and its kinematics have been tested in a joint
simulator under various compressive loads.
Status of Commercialization:

PARTEQ Innovations, the technology transfer office of Queen’s University, is seeking industrial
partners interested in further developing and/or licensing the intellectual property.

Contact:
Jason Hendry
Manager, Commercial Development
Phone: 613. 533. 2342
Fax: 613. 533. 6853
Email: jhendry@parteqinnovations.com

 

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