Stability for life
Despite the excellent longevity of total knee arthroplasty,
many patients continue to experience functional deficits after surgery.
Patient expectations are not as well fulfilled by TKA as by total hip replacement with fewer knee patients achieving a “forgotten joint” replacement. Studies show that around 20% of TKA patients are not satisfied[1, 2, 3]. Excessive A/P motion may result in anterior knee pain and continued swelling. In many P/S designs, the stabilising mechanism only engages after 70-80° of flexion leaving the knee vulnerable to A/P instability during the most commonly encountered functional activities[4].
In a study in which patients had a conventional CR or PS in one knee and a medially stabilised device in the other, 76% preferred the knee with the “ball in socket” medial compartment[5]. Patients reported:
Based on the knee anatomy and kinematic studies performed by Prof. Michael Freeman and Prof. Vera Pinskerova[6], the GMK Sphere is an innovative total knee implant designed to deliver maximum functional stability with the goal of increasing TKA patient satisfaction during activities of daily living and decreasing post-operative knee pain.
Medacta is committed to providing innovative and safe solutions for patients with an evidence-based approach.
GMK Sphere was tested over 3 years prior to launch through an intensive evaluation program including in vitro and in vivo trials and
Laboratory tests[8,10,11,14].
13 sizes
Anatomical: left and right
Material: Cobalt-Chrome (Co-Cr-Mo ISO 5832-4)
Cemented: 0.5 mm deep pockets
6 sizes
Anatomical: left and right
7 levels of thickness (10, 11, 12, 13, 14, 17, 20 mm)
Machined Ultra High Molecular Weight Polyethylene (UHMWPE ISO 5834-2)
6 sizes
Anatomical: left and right
Material: Cobalt-Chrome (Co-Cr-Mo ISO 5832-4)
Cemented: 0.5 mm deep pockets
Anatomical shape
4 sizes
Machined Ultra High Molecular Weight Polyethylene (UHMWPE ISO 5834-2)
Cemented
Three fixation pegs
Diameter x length: 11x 30 mm and 11 x 65 mm
Cemented
GMK Sphere features a fully congruent medial compartment providing:
GMK Sphere replicates natural lateralised patella tracking to reduce patello femoral joint pressure and address anterior knee pain[8,9]:
Extensive anthropometric research on a unique global database containing more than 15,000 CT and MRI scans of knees validated the[12]:
GMK Sphere accommodates the best pattern of kinematic motion for each patient rather than imposing an assumed “norm”[11]. This is achieved with:
GMK Sphere maximises the femoro-tibial contact area to minimise polyethylene wear.
[1] Bourne RB et al. “Patients satisfaction after total knee arthroplasty: who is satisfied and who is not?” Clin Orthop Relat Res, 2010.
[2] Tippett SR et al. “Collecting Data with Palm Technology: Comparing Preoperative Expectations and Postoperative Satisfaction in Patients Undergoing Total Knee Arthroplasty “ J Bone Joint Surg Am. 2010.
[3] Behrend et al.” The “Forgotten Joint” as the Ultimate Goal in Joint Arthroplasty”, The Journal of Arthroplasty vol 27, n 3, 2012.
[4] Blaha D “The Rationale for a Total Knee Implant That Confers Anteroposterior Stability Throughout Range of Motion” The Journal of Arthroplasty Vol. 19 No. 4 Suppl. 1 2004.
[5] Pritchett JW “Patients Prefer A Bicruciate-Retaining or the Medial Pivot Total Knee Prosthesis”, The Journal of Arthroplasty, 2011.
[6] Freeman MAR, Pinskerova V “The movement of the normal tibio-femoral joint”, J Biomech. 2005 Feb;38(2):197-208.
[7] Hossain F et al. “Knee arthroplasty with a medially conforming ball-and-socket tibiofemoral articulation provides better function”, Clin Orthop Relat Res. 2011 Jan;469(1):55-63.
[8] Jansson V et al, “Kinematics and contact patterns before and after TKA: an in vitro comparison of GMK PS vs. GMK Sphere”, Podium presentation at DKOU 2014, October 28-31 2014.
[9] Meijerink HJ et al, “The trochlea is medialized by total knee arthroplasty. An intraoperative assessment in 61 patients”. Acta Orthopaedica, 2007.
[10] Morra EA, Greenwald AS “Simulated kinematic performance of The GMK-Sphere Total Knee Design During A Stand to Squat Activity”, Study Report 2013.
[11] Banks S et al, “In Vivo Kinematics of a Medially Conforming & Rotationally Unconstrained TKA Design”, Podium presentation at the 27th Annual Meeting of the International Society for Technology in Arthroplasty, Kyoto, Japan, September 25-27, 2014.
[12] Data on file: Medacta.
[13] Haider H, Kaddick C, “Wear of Mobile Bearing Knees: Is It Necessarily Less?”, Journal of ASTM International, 2012.
[14] Field R et al, “Preliminary results of GMK Sphere”. 7th M.O.R.E. International Symposium, Proceedings. Distributed with The Bone & Joint Journal, June 2014 issue.
MyKnee is a patient-specific cutting block, allowing the surgeon to realize his pre-operative 3D planning, based on CT or MRI images of the patient’s knee.
This innovative concept combines different features giving potential benefits to both the surgeon and to the patient.
Medacta's Knee Revision portfolio consists of a wide range of implant options and combinations to address ligament instability and bone defects and allows the surgeon to find the best solution for each patient.
Featuring modular instrument and implant solutions, Medacta’s products deliver the flexibility to accommodate the interoperative demands even in the most challenging surgical scenarios.
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