scholarly journals Comparative gait analysis of patients with different design of total knee arthroplasty

2021 ◽  
pp. 46-46
Author(s):  
Nikola Prodanovic ◽  
Suzana Petrovic-Savic ◽  
Goran Devedzic ◽  
Aleksandar Matic ◽  
Dragce Radovanovic ◽  
...  
Keyword(s):  
Knee Joint ◽  
Cruciate Ligament ◽  
Wilcoxon Test ◽  
Knee Joints ◽  
Posterior Stabilized ◽  
Kinematic Data ◽  
Fluorescent Markers ◽  
Posterior Cruciate Ligament Retaining ◽  
Motion Range ◽  
Total Knee

Introduction/Objective. The essence of the treatment of degenerative knee joint diseases is pain relief, restoring motion range and stability of knee joints. Methods. In this study, 35 patients participated after having surgery of the knee joint. The patients had a posterior - stabilized (PS) endoprosthesis in one joint, and a posterior cruciate ligament retaining (CR) endoprosthesis in the other. Kinematic data was collected using a 3D optical system for tracking fluorescent markers in time. Based on these data, the following parameters were determined: degree of flexion, medio - lateral (ML) translation, lateral gap, medial gap and the angle of change between the transtibial and transfemoral axes. Results. The results show a more pronounced flexion degree with the PS prosthesis compared to the CR prosthesis. Also, the results show negligible values of the ML translation, lateral gap and medial gap in both types of prostheses. Using the non-parameter Wilcoxon test, a substantial difference in the angle change between the transtibial and transfemoral axes was confirmed, that is, in the flexion angles on the CR and PS prostheses. Conclusion. This study shows that there is no great difference in the use of the PS or CR designs of endoprostheses. Better behavior and range of motion in the knee joint were established with the implantation of the PS endoprosthesis. This conclusion is confirmed by the substantial difference in the degree of flexion of the knee joint and in the position of the transversal axes of the tibia and femur

scholarly journals Simulation Analysis of Knee Ligaments in the Landing Phase of Freestyle Skiing Aerial

2019 ◽  
Vol 9 (18) ◽  
pp. 3713 ◽  
Author(s):  
Yanming Fu ◽  
Xin Wang ◽  
Tianbiao Yu
Keyword(s):  
Knee Joint ◽  
Mechanical Response ◽  
Simulation Analysis ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Element Model ◽  
Knee Joints ◽  
Internal Stresses ◽  
Risk Of Injury ◽  
Medium Risk

The risk of knee injuries in freestyle skiing athletes that perform aerials is high. The internal stresses in the knee joints of these athletes cannot easily be directly measured. In order to ascertain the mechanical response of knee joints during the landing phase, and to explore the mechanism of damage to the cartilage and ligaments, a finite element model of the knee joint was established. Three successful landing conditions (neutral, backward, or forward landing) from a triple kicker were analyzed. The results demonstrate that the risk of cruciate ligament damage during a neutral landing was lowest. A forward landing carried medium risk, while backward landing was of highest risk. Backward and forward landing carried risk of injury to the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL), respectively. The magnitude of stress on the meniscus and cartilage varied for all three landing scenarios. Stress was largest during neutral landing and least in backward landing, while forward landing resulted in a medium level of stress. The results also provide the basis for training that is scientifically robust so as to reduce the risk of injury and assist in the development of a professional knee joint protector.

Knee Stability in Posterior Cruciate Ligament Retaining Total Knee Arthroplasty

1999 ◽  
Vol 366 ◽  
pp. 169-173 ◽  
Author(s):  
Shuichi Matsuda ◽  
Hiromasa Miura ◽  
Ryuji Nagamine ◽  
Ken Urabe ◽  
Tomoya Matsunobu ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Posterior Cruciate Ligament ◽  
Knee Arthroplasty ◽  
Cruciate Ligament ◽  
Knee Stability ◽  
Posterior Cruciate Ligament Retaining ◽  
Total Knee

scholarly journals Evaluation of Traumatic Knee and Shoulder Joint Ligaments with MRI among Adult Sudanese Patients

2020 ◽  
Vol 10 (4) ◽  
pp. 387-391
Author(s):  
Shaza Mahgoub Masaad ◽  
Mohamed Yousef ◽  
Hanady Elyas Osman ◽  
Mustafa Z. Mahmoud
Keyword(s):  
Body Weight ◽  
Knee Joint ◽  
Shoulder Joint ◽  
Cruciate Ligament ◽  
Lateral Meniscus ◽  
Knee Joints ◽  
Meniscus Tear ◽  
Common Finding ◽  
Age Range ◽  
Joint Group

Background: Magnetic resonance imaging (MRI) is currently regarded as the reference standard for the diagnosis and evaluation of internal derangements of the knee and shoulder girdle. This study aimed to evaluate traumatic injuries of the knee and shoulder joint ligaments by MRI and classify the most common ligament injuries. Methods and Results: This study included 50 patients, who were presented in the Radiology Department of Modern Medical Center in Khartoum, in the period from October 2019 to January 2020. The sample was divided into two groups: shoulder joint group (Group 1, n=30) with an age range between 16 and 74 years and knee joint group (Group 2, n=20) with an age range between 16 and 77 years. The age group most affected with shoulder (46.7%) and knee joint (25%) injuries was 46-65 years. The injuries of the shoulder (40%) and knee joints (55%) were common in patients with body weight ranging from 71-80kg and >81kg, respectively. Different grades of partial meniscus tear of both shoulder and knee joints were noted as Grades 1 and 2 in 8.7% of cases, Grade 2 - 13%, Grades 2 and 3 - 34.8%, and Grade 3 - 30.4%. There were incidences of 27.3%, 0%, 54.5%, 15.20, 0%, and 3% for anterior cruciate ligament, posterior cruciate ligament, medial meniscus C-shape (M Me C), lateral meniscus C-shape (L Me C), MCL, and LCL tears in the knee joints of the affected patients. Conclusion: MRI revealed that injuries to the shoulder and knee joints were common in patients with body weight ranging from 71-80kg and >81kg, respectively. Different grades of partial meniscus tear of the shoulder and knee joints were noted though Grades 2 and 3 partial tears were the most common finding. Finally, it was noted that in the knee joints of the affected patients, the M Me C shaped tear was the major type of tear.

scholarly journals The MRI posterior drawer test to assess posterior cruciate ligament functionality and knee joint laxity

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lena Marie Wollschläger ◽  
Karl Ludger Radke ◽  
Justus Schock ◽  
Niklas Kotowski ◽  
David Latz ◽  
...  
Keyword(s):  
Knee Joint ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Joint Laxity ◽  
Knee Joints ◽  
Joint Models ◽  
Human Knee ◽  
Clinical Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Therapeutic Decision Making

AbstractClinical Magnetic Resonance Imaging (MRI) of joints is limited to mere morphologic evaluation and fails to directly visualize joint or ligament function. In this controlled laboratory study, we show that knee joint functionality may be quantified in situ and as a function of graded posterior cruciate ligament (PCL)-deficiency by combining MRI and standardized loading. 11 human knee joints underwent MRI under standardized posterior loading in the unloaded and loaded (147 N) configurations and in the intact, partially, and completely PCL-injured conditions. For each specimen, configuration, and condition, 3D joint models were implemented to analyse joint kinematics based on 3D Euclidean vectors and their projections on the Cartesian planes. Manual 2D measurements served as reference. With increasing PCL deficiency, vector projections increased significantly in the anteroposterior dimension under loading and manual measurements demonstrated similar patterns of change. Consequently, if combined with advanced image post-processing, stress MRI is a powerful diagnostic adjunct to evaluate ligament functionality and joint laxity in multiple dimensions and may have a role in differentiating PCL injury patterns, therapeutic decision-making, and treatment monitoring.

scholarly journals DIFFERENCE OF ANATOMY INFORMATION MRI KNEE JOINT ON VARIATION OF TIME REPETITION SEQUENCES STIR IN SAGITTAL SLICES

2020 ◽  
Vol 4 (2) ◽  
pp. 89
Author(s):  
Rini Indrati ◽  
Lydia Purna Widyastuti ◽  
Tri Puspita Sari ◽  
Sudiyono Sudiyono
Keyword(s):  
Knee Joint ◽  
Cruciate Ligament ◽  
Wilcoxon Test ◽  
P Value ◽  
Optimal Value ◽  
Mri Sequences ◽  
Anterior Cruciate ◽  
Anatomical Mri ◽  
Anatomical Information ◽  
Mri Knee

Background: Time Repetition (TR) is one of the main parameters of Inversion Recovery. The purpose of this study to determine differences in anatomical MRI information on the variation of the knee joint TR sequences STIR Sagittal slices. Method: Type of research is experimental. The study was conducted with MRI 1.5 Tesla. Data in the form of 42 image sequences STIR MRI knee joint with TR 3500,  4000, 4500, 5000, 5500, 6000, and 6500 ms. Anatomical assessments on the anterior cruciate ligament, posterior cruciate ligament, articular cartilage, and meniscus were performed by a radiologist. Data analyzed by Friedman and Wilcoxon test. Result: The results showed that there were differences in the MRI anatomical information of the knee joint of the STIR sagitas slice in the TR variation with p-value < 0.001. There is a difference in anatomical information between TR 5000 and 6000 ms (p-value = 0.034), TR 5000 and 6500 ms (p-value = 0.024), TR 5500 and 6500 ms (p-value = 0.038). There is no difference in anatomical information between TR 4500 and 5000 ms (p-value  = 0.395), TR 4500 and 5500 ms (p-value = 0.131), TR 4500 and 6000 ms (p-value = 0.078), TR 4500 and 6500 ms (p-value = 0.066), TR 5000 and 5500 ms (p-value = 0.414), TR 5500 and 6000 ms (p-value = 0.102),  TR 6000 and 6500 ms (p-value = 0.083). Conclusion: The optimal value to produce anatomical information of the knee joint sagittal MRI sequences STIR is TR 4500 ms.

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