3D in vivo femoro-tibial kinematics of tri-condylar total knee arthroplasty during kneeling activities

The Knee ◽  
2014 ◽  
Vol 21 (1) ◽  
pp. 162-167 ◽  
Author(s):  
Shinichiro Nakamura ◽  
Adrija Sharma ◽  
Masahiko Kobayashi ◽  
Hiromu Ito ◽  
Kenji Nakamura ◽  
...  
Author(s):  
Jeffrey E. Bischoff ◽  
Justin S. Hertzler

Computational modeling of the reconstructed knee is an important tool in designing components for maximum functionality and life. Utilization of boundary conditions consistent with in vivo gait loading in such models enables predictions of knee kinematics and polyethylene damage [1–4], which can then be used to optimize component design. Several recent clinical studies have focused on complications associated with the patellofemoral joint [5–6], highlighting the need to better understand the mechanics of this compartment of total knee arthroplasty (TKA). This study utilizes a computational model to characterize the impact of gait loading on the mechanics of the patella in TKA.


Author(s):  
Kartik M. Varadarajan ◽  
Angela Moynihan ◽  
Darryl D’Lima ◽  
Clifford W. Colwell ◽  
Harry E. Rubash ◽  
...  

Accurate knowledge of in vivo articular contact kinematics and contact forces is required to quantitatively understand factors limiting life of total knee arthroplasty (TKA) implants, such as polyethylene component wear and implant loosening [1]. Determination of in vivo tibiofemoral contact forces has been a challenging issue in biomechanics. Historically, instrumented tibial implants have been used to measure tibiofemoral forces in vitro [2] and computational models involving inverse dynamic optimization have been used to estimate joint forces in vivo [3]. Recently, D’Lima et al. reported the first in vivo measurement of 6DOF tibiofemoral forces via an instrumented implant in a TKA patient [4]. However this technique does not provide a direct estimation of tibiofemoral contact forces in the medial and lateral compartments. Recently, a dual fluoroscopic imaging system has been used to accurately determine tibiofemoral contact locations on the medial and lateral tibial polyethylene surfaces [5]. The objective of this study was to combine the dual fluoroscope technique and the instrumented TKAs to determine the dynamic 3D articular contact kinematics and contact forces on the medial and lateral tibial polyethylene surfaces during functional activities.


2010 ◽  
Vol 25 (6) ◽  
pp. 964-969 ◽  
Author(s):  
Atsushi Kitagawa ◽  
Nobuhiro Tsumura ◽  
Takaaki Chin ◽  
Kazuyoshi Gamada ◽  
Scott A. Banks ◽  
...  

1998 ◽  
Vol 356 ◽  
pp. 47-57 ◽  
Author(s):  
Douglas A. Dennis ◽  
Richard D. Komistek ◽  
Clifford E. Colwell ◽  
Chitranjan S. Ranawat ◽  
Richard D. Scott ◽  
...  

2005 ◽  
Vol 440 (&NA;) ◽  
pp. 45-49 ◽  
Author(s):  
Darryl D D???Lima ◽  
Shantanu Patil ◽  
Nikolai Steklov ◽  
John E Slamin ◽  
Clifford W Colwell

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