Summary
The relationship between ambulatory function and the biomechanics of the knee was examined during activities of daily living including walking, stair climbing, and squatting into deep flexion. Each activity was characterized by a unique relationship between the primary motion (flexion) and secondary movements (including internal- external rotation, anterior-posterior displacement) that occur during the weight-bearing and non-weight-bearing phases of each activity. The results demonstrate that the secondary motion of the knee have an important influence on wear, stair climbing function, and the ability to achieve flexion during deep flexion. The short- and long-term outcomes of total knee arthroplasty require a better understanding of the relationship between the primary and secondary motion of the knee during the most common activities of daily living.
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
Andriacchi TP, Dyrby CO, Johnson TS (2003) The use of functional analysis in evaluating knee kinematics. Clin Orthop 410:44–53
Andriacchi TP, Galante JO, Fermier RW (1982) The influence of total knee replacement design on walking and stair climbing. J Bone Joint Surg 64-A:1328–1335
Andriacchi TP, Stanwyck TS, Galante JO (1986) Knee biomechanics and total knee replacement. J Arthroplasty 1:211–219
Blankevoort L, Huiskes R, Delange A (1988) The envelope of passive kneejoint motion. J Biomech 21:705–720
Dyrby CO, Andriacchi TP (1998) Deep knee flexion and tibio-femoral rotation during activities of daily living. In: Trans Orthop Res Soc, New Orleans
Dyrby CO, Andriacchi TP (2004) Secondary motions of the knee during weight-bearing and non-weight-bearing activities. J Orthop Res 22:794–800
Dyrby CO, Tria F, Johnson R, et al (2004) Bilateral posterior stabilized and cruciate retaining total knee replacements compared during stair-climbing. In: Trans Orthop Res Soc, San Francisco
Fukubayashi T, Torzilli PA, Sherman MF, Warren RF (1982) An in vitro biomechanical evaluation of anterior-posterior motion of the knee. Tibial displacement, rotation, and torque. J Bone Joint Surg 64-A:258–264
Hallén LG, Lindahl O (1966) The “screw-home” movement in the knee-joint. Acta Orthop Scand 37:97–106
Harman MK, DesJardins JD, Banks SA, et al (2001) Damage patterns on polyethylene inserts after retrieval and after wear simulation. In: Trans Orthop Res Soc, San Francisco
Hefzy MS, Kelly BP, Cooke TD (1998) Kinematics of the knee joint in deep flexion: a radiographic assessment. Med Eng Phys 20:302–307
Johnson T, Andriacchi T, Laurent M (2000) Development of a knee wear test method based on prosthetic in vivo slip velocity profiles. In: Tran Orthop Res Soc, Orlando
Johnson T, Andriacchi T, Laurent M, et al (2001) An in vivo based knee wear test protocol incorporating a heel strike slip velocity transient. In: Trans Orthop Res Soc, San Francisco
Markolf KL, Bargar WL, Shoemaker SC, Amstutz HC (1981) The role of joint load in knee stability. J Bone Joint Surg 63-A: 570–585
Markolf KL, Graff-Radford A, Amstutz HC (1978) In vivo knee stability. A quantitative assessment using an instrumented clinical testing apparatus. J Bone Joint Surg 60-A:664–674
Wilson DR, Feikes JD, Zavatsky AB, O’Connor JJ (2000) The components of passive knee movement are coupled to flexion angle. J Biomech 33:465–473
Wimmer MA, Andriacchi TP (1997) Tractive forces during rolling motion of the knee: implications for wear in total knee replacement. J Biomech 30:131–137
Wimmer MA, Andriacchi TP, Natarajan RN, et al (1998) A striated pattern of wear in ultra high-molecular-weight polyethylene components of Miller-Galante total knee arthroplasty. J Arthroplasty 13:8–16
Wimmer MA, Nechtow WH, Kleingries M, et al (2003) TKR wear scar formation is influenced by the host’s gait pattern. Trans Orthop Res Soc, New Orleans
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Springer Medizin Verlag Heidelberg
About this chapter
Cite this chapter
Andriacchi, T., Dyrby, C. (2005). Gait Analysis and Total Knee Replacement. 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_6
Download citation
DOI: https://doi.org/10.1007/3-540-27658-0_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-20242-4
Online ISBN: 978-3-540-27658-6
eBook Packages: MedicineMedicine (R0)