Solutions Considered

Medial Pivot

  • Intended to mimic normal knee kinematics in the absence of the ACL.
  • May increase poly stresses by resisting ACL deficient pattern of motion.

Lateral Pivot

  • “Mother Nature’s” solution for the ACL deficient knee
  • Retain PCL
  • Imposes least A/P constraint
  • Optimized for “cruciate deficient” knee mechanics

Mobile Bearing

  • Requires careful soft-tissue balance
  • Technically demanding