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The Electronic Knee

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Total Knee Arthroplasty

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Summary

The knee is a complex joint that is difficult to model accurately. Although significant advances have been made in mathematical modeling, these have yet to be successfully validated in vivo. Direct measurement of knee forces could lead to a better understanding of the stresses seen in total knee arthroplasty. This would enable more accurate mathematical and in vitro modeling of the knee, which could then be used to evaluate and to implement relevant improvements in implant design. An instrumented knee prosthesis was used for wireless measurement of tibial forces. Accurate measurement of these forces can yield insights into the stresses generated during common activities of daily living. The tibiofemoral force data can be used to develop better biomechanical knee models and in vitro wear tests and can be used to evaluate the effect of improvements in implant design and bearing surfaces, rehabilitation protocols, and orthotics. This may lead to refinement of surgical techniques and to enhancement of prosthetic design that will improve the function, quality of life, and longevity of total knee arthroplasty. Given the current increase in the number of older persons who are at higher risk for chronic musculoskeletal disorders, a significant positive impact on clinical outcomes and patient health care could be anticipated.

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References

  1. Blunn GW et al (1991) The dominance of cyclic sliding in producing wear in total knee replacements. Clin Orthop Rel Res 273:253–260

    Google Scholar 

  2. D’Lima DD et al (2001) Polyethylene wear and variations in knee kinematics. Clin Orthop Rel Res 392/124–130

    Google Scholar 

  3. Kaufman KR et al (1996) Instrumented implant for measuring tibiofemoral forces. Journal of biomechanics. J Biomech 29:667–671

    PubMed  Google Scholar 

  4. Perry J et al (1975) Analysis of knee-joint forces during flexed-knee stance. J Bone Joint Surg [Am] 57:961–967

    PubMed  Google Scholar 

  5. Bergmann G et al (1993) Hip joint loading during walking and running, measured in two patients. J Biomech 26:969–990

    PubMed  Google Scholar 

  6. Kotzar GM et al (1991) Telemeterized in vivo hip joint force data: a report on two patients after total hip surgery. J Orthop Res 9:621–633

    PubMed  Google Scholar 

  7. Davy DT et al (1988) Telemetric force measurements across the hip after total arthroplasty. J Bone Joint Surg [Am] 70:45–50

    PubMed  Google Scholar 

  8. Hodge WA et al (1989) Contact pressures from an instrumented hip endoprosthesis. J Bone Joint Surg [Am] 71:1378–1386

    PubMed  Google Scholar 

  9. Rohlmann A et al (1995) Telemeterized load measurement using instrumented spinal internal fixators in a patient with degenerative instability. Spine 20:2683–2689

    PubMed  Google Scholar 

  10. Taylor SJ et al (1998) The forces in the distal femur and the knee during walking and other activities measured by telemetry. J Arthroplasty 13/4:428–437

    Article  Google Scholar 

  11. Lutz GE et al (1993) Comparison of tibiofemoral joint forces during open-kinetic-chain and closed-kinetic-chain exercises. J Bone Joint Surg [Am] 75:732–739

    PubMed  Google Scholar 

  12. Nisell R et al (1989) Tibiofemoral joint forces during isokinetic knee extension. Am J Sports Med 17:49–54

    PubMed  Google Scholar 

  13. Collins JJ (1995) The redundant nature of locomotor optimization laws. J Biomech 28:251–267

    Article  PubMed  Google Scholar 

  14. Wilk KE et al (1996) A comparison of tibiofemoral joint forces and electromyographic activity during open and closed kinetic chain exercises. Am J Sports Med 24:518–527

    PubMed  Google Scholar 

  15. Li G et al (1998) Prediction of muscle recruitment and its effect on joint reaction forces during knee exercises. Ann Biomed Eng 26:725–733

    Article  PubMed  Google Scholar 

  16. Li G et al (1999) Prediction of antagonistic muscle forces using inverse dynamic optimization during flexion/extension of the knee. J Biomech Eng 121:316–322

    PubMed  Google Scholar 

  17. Seireg A et al (1973) A mathematical model for evaluation of forces in lower extremeties of the musculo-skeletal system. J Biomech 6:313–326

    Article  PubMed  Google Scholar 

  18. Ellis MI et al (1984) Forces in the knee joint whilst rising from a seated position. J Biomed Eng 6:113–120

    PubMed  Google Scholar 

  19. Kaufman KR et al (1991) Dynamic joint forces during knee isokinetic exercise. Am J Sports Med 19:305–316

    PubMed  Google Scholar 

  20. An KN et al (1984) Determination of muscle and joint forces: a new technique to solve the indeterminate problem. J Biomech Eng 106:364–367

    PubMed  Google Scholar 

  21. Crowninshield RD et al (1981) A physiologically based criterion of muscle force prediction in locomotion. J Biomech 14:793–801

    Article  PubMed  Google Scholar 

  22. Pedersen DR et al (1987) Direct comparison of muscle force predictions using linear and nonlinear programming. J Biomech Eng 109:192–199

    PubMed  Google Scholar 

  23. Herzog W et al (1991) Validation of optimization models that estimate the forces exerted by synergistic muscles. J Biomech 24[Suppl 1]:31–39

    Article  PubMed  Google Scholar 

  24. Grady-Benson JC et al (1992) The influence of joint line location on tibiofemoral forces after total knee arthroplasty. Trans Orthop Res Soc 17:324–324

    Google Scholar 

  25. Singerman R et al (1999) In vitro forces in the normal and cruciate-deficient knee during simulated squatting motion. J Biomech Eng 121:234–242

    PubMed  Google Scholar 

  26. D’Lima DD et al (1999) An implantable telemetry system to measure intra-articular tibial forces. Trans 45th Orthop Res Soc 24

    Google Scholar 

  27. D’Lima DD et al (2005) An implantable telemetry device to measure intra-articular tibial forces. J Biomech 38:299–304

    Article  PubMed  Google Scholar 

  28. Stiehl JB et al (1999) In vivo determination of condylar lift-off and screw-home in a mobile-bearing total knee arthroplasty. J Arthroplasty 14:293–299

    Article  PubMed  Google Scholar 

  29. Morris BA et al (2001) e-Knee: Evolution of the electronic knee prosthesis: Telemetry technology development. J Bone Joint Surg [Am] 83[Suppl 2]:62–66

    Article  PubMed  Google Scholar 

  30. D’Lima DD et al (2004) In vitro and in vivo measurement of dynamic soft-tissue balance during total knee arthroplasty with an instrumental tibial prosthesis. Trans 50th Orthop Res Society 29:301

    Google Scholar 

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Authors
  1. C. W. Colwell Jr.
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  2. D. D. D’Lima
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Editor information

Editors and Affiliations

  1. Universitair Ziekenhuis, Weligerveld 1, 3212, Pellenberg-Leuven, Belgium

    Johan Bellemans (Professor) (Professor)

  2. Department of Orthopedic Surgery, San Francisco Medical Center, 500 Parnassus Ave., MU 320-W, San Francisco, CA, 94143, USA

    Michael D. Ries (Professor) (Professor)

  3. AZ St-Lucas Hospital, Sint-Lucaslaan 29, 8310, Brugge, Belgium

    Jan M.K. Victor M.D.

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© 2005 Springer Medizin Verlag Heidelberg

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Colwell, C.W., D’Lima, D.D. (2005). The Electronic 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_45

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  • DOI: https://doi.org/10.1007/3-540-27658-0_45

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20242-4

  • Online ISBN: 978-3-540-27658-6

  • eBook Packages: MedicineMedicine (R0)

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