| Changes of contact pressure and area in patellofemoral joint after different meniscectomies. | |
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MedLine Citation:
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PMID: 22215367 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We investigated the contact pressure and area of the patellofemoral joint both before and after different meniscectomies to provide a biomechanical basis for selecting meniscectomy and its clinical application for meniscus injuries. METHODS: Six fresh cadaveric knees were used in the study. Using Staubli robots and an ultra-low-min-type pressure-sensitive tablet, changes in contact area and stress in the patellofemoral joint were measured at various flexion angles following different parts and degrees of meniscectomy. RESULTS: The patellofemoral contact area enlarged with the increase of knee flexion angle. From the values obtained from contact areas and average contact pressure of the patellofemoral joint, we found no significant difference between partial meniscectomy and intact knees, but a significant difference was found between total meniscectomy and intact knees. The contact area after lateral meniscectomy was statistically less than that of intact knees. The mean patellofemoral contact pressure after lateral meniscectomy was larger than in intact knees at each angle of flexion. No significant difference in contact area was observed between intact knees and medial meniscectomy. The average patellofemoral contact pressure after medial meniscectomy was larger than in intact knees from 0° ~ 30° of knee flexion, and no significant differences were found between intact knees and medial meniscectomy while knee bending from 60° to 90°. CONCLUSIONS: Different meniscectomies result in high contact pressure or disordered distribution of contact pressure, which may be the cause of postoperative patellofemoral degenerative arthrosis. |
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Authors:
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Bo Bai; Hui Shun; Zhi Xun Yin; Zhuang-Wen Liao; Ni Chen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2012-01-04 |
Journal Detail:
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Title: International orthopaedics Volume: 36 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-04-24 Completed Date: 2013-04-22 Revised Date: 2013-05-02 |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 987-91 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, the First Affiliated Hospital of Guangzhou Medical University, 151 Yanjing Road, Guangzhou, 510120, China. drbobai@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biomechanics Cadaver Female Humans Knee Injuries / surgery* Knee Joint / surgery* Male Menisci, Tibial / injuries*, surgery Middle Aged Patellofemoral Joint / anatomy & histology, physiology, surgery* Pressure Range of Motion, Articular Stress, Mechanical Weight-Bearing |
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