Hip muscle and joint contact forces before, 6 and 12 months after minimally invasive periacetabular osteotomy

2020 ◽  
pp. 112070002092541
Author(s):  
Henrik Sørensen ◽  
Ole Skalshøi ◽  
Dennis Brandborg Nielsen ◽  
Julie Sandell Jacobsen ◽  
Kjeld Søballe ◽  
...  

Background: Previous studies on different periacetabular osteotomy approaches for correction of hip dysplasia disagree on the time course of normalisation of muscle function postoperatively, some stating that especially hip flexor function is not fully normalised after 12 months. Purpose: The purpose of this study was to evaluate hip function during walking before, and 6 and 12 months after minimally invasive periacetabular osteotomy. Methods: Using conventional 3D inverse dynamics followed by static optimisation, we calculated hip net joint moment and angular impulse, as well as individual muscle forces and hip joint contact force, during walking for 32 patients with hip dysplasia and 32 matched controls. Results: None of the extensor and abductor measures were significantly different between controls and patients tested preoperatively, nor between any of the 3 time points patients were tested. For all of the flexor measures, patients’ preoperative values were lower than controls’, but had increased to values above the controls 6 months postoperatively. Conclusion: Hip muscle function during walking seemed normalised after 6 months after minimally invasive periacetabular osteotomy, while joint contact force did not fully normalise until 12 months postoperatively, perhaps because the hip joint structures need a longer time to heal than the muscles and a potential pain alleviating strategy was still in effect. Trial registry: Movement pattern in patients with hip dysplasia https://clinicaltrials.gov/ct2/show/NCT01344421 , NCT01344421.

2020 ◽  
Author(s):  
Takuma Inai ◽  
Tomoya Takabayashi ◽  
Mutsuaki Edama ◽  
Masayoshi Kubo

Abstract Background: Excessive mechanical loading, in the form of the joint contact force, has been reported to promote osteoarthritis in vitro and vivo in mice. However, it has also been reported that an excessive hip adduction moment impulse during the stance phase likely contributes to the progression of hip osteoarthritis. The relationship between the hip adduction moment impulse and hip joint contact force (impulse, and first and second peaks) during the stance phase is unclear. The objective of the present study was to clarify this relationship. Methods: A public dataset pertaining to the overground walking of 84 healthy adults, in which the participants walked at a self-selected speed, was considered. The data of three trials for each participant were analyzed. The relationship between the hip adduction moment and hip joint contact force, in terms of the impulse and first and second peaks, during the stance phase was evaluated using correlation coefficients.Results: The hip adduction moment impulse during the stance phase was positively correlated with the hip joint contact force impulse and not correlated with the first and second peak hip joint contact forces. Furthermore, the first and second peak hip adduction moments during the stance phase were positively correlated with the first and second peak hip joint contact forces, respectively. Conclusions: These findings indicate that the hip joint contact force impulse during the stance phase can be used as an index to determine the risk factors for the progression of hip osteoarthritis.


2018 ◽  
Vol 34 (5) ◽  
pp. 419-423 ◽  
Author(s):  
Christopher M. Saliba ◽  
Allison L. Clouthier ◽  
Scott C.E. Brandon ◽  
Michael J. Rainbow ◽  
Kevin J. Deluzio

Abnormal loading of the knee joint contributes to the pathogenesis of knee osteoarthritis. Gait retraining is a noninvasive intervention that aims to reduce knee loads by providing audible, visual, or haptic feedback of gait parameters. The computational expense of joint contact force prediction has limited real-time feedback to surrogate measures of the contact force, such as the knee adduction moment. We developed a method to predict knee joint contact forces using motion analysis and a statistical regression model that can be implemented in near real-time. Gait waveform variables were deconstructed using principal component analysis, and a linear regression was used to predict the principal component scores of the contact force waveforms. Knee joint contact force waveforms were reconstructed using the predicted scores. We tested our method using a heterogenous population of asymptomatic controls and subjects with knee osteoarthritis. The reconstructed contact force waveforms had mean (SD) root mean square differences of 0.17 (0.05) bodyweight compared with the contact forces predicted by a musculoskeletal model. Our method successfully predicted subject-specific shape features of contact force waveforms and is a potentially powerful tool in biofeedback and clinical gait analysis.


2019 ◽  
Vol 67 ◽  
pp. 44-48
Author(s):  
Mohammad Taghi Karimi ◽  
Lanie Gutierrez-Farewik ◽  
Anthony McGarry

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1681 ◽  
Author(s):  
Jason Konrath ◽  
Angelos Karatsidis ◽  
H. Schepers ◽  
Giovanni Bellusci ◽  
Mark de Zee ◽  
...  

Knee osteoarthritis is a major cause of pain and disability in the elderly population with many daily living activities being difficult to perform as a result of this disease. The present study aimed to estimate the knee adduction moment and tibiofemoral joint contact force during daily living activities using a musculoskeletal model with inertial motion capture derived kinematics in an elderly population. Eight elderly participants were instrumented with 17 inertial measurement units, as well as 53 opto-reflective markers affixed to anatomical landmarks. Participants performed stair ascent, stair descent, and sit-to-stand movements while both motion capture methods were synchronously recorded. A musculoskeletal model containing 39 degrees-of-freedom was used to estimate the knee adduction moment and tibiofemoral joint contact force. Strong to excellent Pearson correlation coefficients were found for the IMC-derived kinematics across the daily living tasks with root mean square errors (RMSE) between 3° and 7°. Furthermore, moderate to strong Pearson correlation coefficients were found in the knee adduction moment and tibiofemoral joint contact forces with RMSE between 0.006–0.014 body weight × body height and 0.4 to 1 body weights, respectively. These findings demonstrate that inertial motion capture may be used to estimate knee adduction moments and tibiofemoral contact forces with comparable accuracy to optical motion capture.


2008 ◽  
Vol 41 (4) ◽  
pp. 770-778 ◽  
Author(s):  
Jessica E. Goetz ◽  
Timothy R. Derrick ◽  
Douglas R. Pedersen ◽  
Duane A. Robinson ◽  
Michael G. Conzemius ◽  
...  

2019 ◽  
Vol 44 (5) ◽  
pp. 510-516
Author(s):  
Adnan N. Cheema ◽  
Agnes Z. Dardas ◽  
Michael W. Hast ◽  
Benjamin L. Gray

The purpose of this study was to systematically quantify distal radioulnar joint stability with a cadaveric model, using radiographic and joint contact force measurements. Six fresh-frozen cadavers underwent sequential ulnar styloid osteotomies. Posteroanterior and lateral stress radiographs were obtained and joint contact forces and areas were measured. Posteroanterior radiographs showed a significant increase in the distal radioulnar joint gap after osteotomy of the base of the ulnar styloid. Contact force and contact area measurements were not significantly different. We conclude that fractures that involve the ulnar styloid base should be considered for operative fixation when carrying out open reduction and internal fixation of fractures of the distal radius.


BioResources ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. 9291-9302
Author(s):  
Shuo Wang ◽  
Lu Chen ◽  
Li Jun Xu ◽  
Hao Guan ◽  
Sheng Zan Yan ◽  
...  

The box frame is a common structure in modern furniture, especially for cabinets. Accordingly, the joint contact force of the frame is important in evaluating the stability of classified furniture. In this study, a new type of keyed joint was proposed to alter the dovetail joint used in box frame structures. The tensile strength of the dovetail joint and the keyed joint in the frame were evaluated, and the contact forces and failure modes of these two joints were compared. Three levels (T1, T2, and T3) were proposed for the ratio of groove depth (D) to inclined contact surface height (H), under the condition of the same joint spacing and inclination angle considering the effects of keyed joint size on the contact force. Meanwhile, experimental analysis was performed on both sides (S1 and S2) of the dovetail joint. Results showed that the contact force of the joint under the gluing condition decreased in the order of S2 > T2 > T3 > S1 > T1. In terms of failure modes, the keyed joint could be maintained in good condition, whereas failure of the dovetail joint always occurred at the root of the tenon in the S1 direction.


2010 ◽  
Vol 43 (8) ◽  
pp. 1618-1622 ◽  
Author(s):  
Tomas A. Correa ◽  
Kay M. Crossley ◽  
Hyung J. Kim ◽  
Marcus G. Pandy

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