Summary
Important information on knee kinematics can be obtained using in vitro methods. Specifically, mounting a cadaver lower extremity on an “Oxford” knee jig allows loading of the knee joint and makes it possible to observe physiological motion. This approach can provide a detailed description of the displacements and rotations of the patella, femur, and tibia, and direct measurement of load at both the patellofemoral and tibiofemoral articulations. Using this approach, the “two-axis” description of tibiofemoral kinematics has been advanced. Another application of this method describes lower patellofemoral contact forces when a more posterior femorotibial contact point is present after total knee arthroplasty. This kinematic information is useful when considering new designs in knee arthroplasty.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Blaha JD et al (2003) Kinematics of the human knee using an open chain cadaver model. Clin Orthop 410:25–34
Blankevoort L et al (1990) Helical axes of passive knee joint motions. J Biomech 23:1219–1229
Churchill DL et al (1998) The transepicondylar axis approximates the optimal flexion axis of the knee. Clin Orthop 356:111–118
Churchill DL et al (2001) The influence of femoral roll-back on patellofemoral contact loads in total knee arthroplasty. J Arthroplasty 16:909–918
Coughlin KM et al (2003) Tibial axis and patellar position relative to the femoral epicondylar axis during squatting. J Arthroplasty 18:1048–1055
D’Lima DD et al (2003) Impact of patellofemoral design on patellofemoral forces and polyethylene stresses. J Bone Joint Surg [Am] 85[Suppl 4]: 85–93
D’Lima DD et al (2000) Comparison between the kinematics of fixed and rotating bearing knee prostheses. Clin Orthop 380:151–157
Elias S et al (1990) A correlative study of the geometry and anatomy of the distal femur. Clin Orthop 260:98–103
Frankel V (1971) Biomechanics of the knee. Orthop Clin North Am 2:175–190
Hollister AM et al (1993) The axes of rotation of the knee. Clin Orthop 290:259–268
Incavo SJ et al (1997) Knee kinematics in genesis total knee arthroplasty. A comparison of different tibial designs with and without posterior cruciate substitution in cadaveric specimens. Am J Knee Surg 10:209–215
Incavo SJ et al (2003) Anatomic rotational relationships of the proximal tibia, distal femur, and patella: implications for rotational alignment in total knee arthroplasty. J Arthroplasty 18:643–648
Jonsson H et al (1994) Three-dimensional knee joint movements during a step-up: evaluation after anterior cruciate ligament rupture. J Orthop Res 12:769–779
Karrholm J et al (1994) Kinematics of successful knee prostheses during weight-bearing: three-dimensional movements and positions of screw axes in the Tricon-M and Miller-Galante designs. Knee Surg Sports Traumatol Arthrosc 2:50–59
Li G et al (2001) Cruciate-retaining and cruciate-substituting total knee arthroplasty: an in vitro comparison of the kinematics under muscle loads. J Arthroplasty 16[Suppl 1]:150–156
Most E et al. (2003) The kinematics of fixed-and mobile-bearing total knee arthroplasty. Clin Orthop 416:197–207
Nordin M, Frankel VH (2001) Biomechanics of the knee. In: Nordin M, Frankel VH (eds) Basic biomechanics of the musculoskeletal system. Lippencott Williams and Wilkins, Philadelphia
Weidenhielm L et al (1993) Knee motion after tibial osteotomy for arthhrosis. Acta Orthop Scand 64:317–319
Woltring H et al (1985) Finite centroid and helical axis estimation from noisy landmark measurements in the study of human joint kinematics. J Biomech 18:379–389
Wulff W, Incavo SJ (2000) The effect of patella preparation for total knee arthroplasty on patellar strain: a comparison of resurfacing versus inset implants. J Arthroplasty 15:778–782
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Incavo, S., Beynnon, B., Coughlin, K. (2005). In Vitro Kinematics of the Replaced Knee. In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_23
Download citation
DOI: https://doi.org/10.1007/3-540-27658-0_23
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-20242-4
Online ISBN: 978-3-540-27658-6
eBook Packages: MedicineMedicine (R0)