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Gait Analysis and Total Knee Replacement

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Total Knee Arthroplasty

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.

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References

  1. Andriacchi TP, Dyrby CO, Johnson TS (2003) The use of functional analysis in evaluating knee kinematics. Clin Orthop 410:44–53

    PubMed  Google Scholar 

  2. 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

    Google Scholar 

  3. Andriacchi TP, Stanwyck TS, Galante JO (1986) Knee biomechanics and total knee replacement. J Arthroplasty 1:211–219

    PubMed  Google Scholar 

  4. Blankevoort L, Huiskes R, Delange A (1988) The envelope of passive kneejoint motion. J Biomech 21:705–720

    Google Scholar 

  5. Dyrby CO, Andriacchi TP (1998) Deep knee flexion and tibio-femoral rotation during activities of daily living. In: Trans Orthop Res Soc, New Orleans

    Google Scholar 

  6. Dyrby CO, Andriacchi TP (2004) Secondary motions of the knee during weight-bearing and non-weight-bearing activities. J Orthop Res 22:794–800

    Article  PubMed  Google Scholar 

  7. 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

    Google Scholar 

  8. 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

    Google Scholar 

  9. Hallén LG, Lindahl O (1966) The “screw-home” movement in the knee-joint. Acta Orthop Scand 37:97–106

    PubMed  Google Scholar 

  10. 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

    Google Scholar 

  11. Hefzy MS, Kelly BP, Cooke TD (1998) Kinematics of the knee joint in deep flexion: a radiographic assessment. Med Eng Phys 20:302–307

    Article  PubMed  Google Scholar 

  12. 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

    Google Scholar 

  13. 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

    Google Scholar 

  14. 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

    Google Scholar 

  15. 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

    Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

  18. 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

    Article  PubMed  Google Scholar 

  19. 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

    Google Scholar 

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© 2005 Springer Medizin Verlag Heidelberg

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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

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  • 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)

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