This review looks at the LCS Mobile Bearing Arthroplasty, which was enthusiastically embraced by surgeons worldwide since introduction in 1977. Dr. Frederick Buechel and Dr. Mike Pappas developed a total knee prosthesis based on the concepts of low contact stress with unconstrained articulation using a mobile polyethylene bearing and highly conforming geometry. The long-term clinical results and evolutionary changes in surgical technique and understanding of total knee arthroplasty are discussed. Scientific methodologies including wear simulation and fluoroscopic kinematic analysis have provided enlightening insight to clinical performance. Future modifications to the implant system are described. Surgeons interested in proposing future designs using the mobile bearing concept should benefit from the knowledge of this experience.
Indice testuale
History; Design of the LCS Knee Prosthesis; Clinical; Indications; Surgery; Multicenter Worldwide Outcome Study; Complications and Management; Revision. Future Perspectives.
