Document Detail

Mathematical study on the guidance of the tibiofemoral joint as theoretical background for total knee replacements.
MedLine Citation:
PMID:  22339245     Owner:  NLM     Status:  In-Data-Review    
The mathematical approach presented allows main features of kinematics and force transfer in the loaded natural tibiofemoral joint (TFJ) or in loaded knee endoprostheses with asymmetric condyles to be deduced from the spatial curvature morphology of the articulating surfaces. The mathematical considerations provide the theoretical background for the development of total knee replacements (TKR) which closely reproduce biomechanical features of the natural TFJ. The model demonstrates that in flexion/extension such kinematic features as centrodes or slip ratios can be implemented in distinct curvature designs of the contact trajectories in such a way that they conform to the kinematics of the natural TFJ in close approximation. Especially the natural roll back in the stance phase during gait can be reproduced. Any external compressive force system, applied to the TFJ or the TKR, produces two joint reaction forces which - when applying screw theory - represent a force wrench. It consists of a force featuring a distinct spatial location of its line and a torque parallel to it. The dependence of the geometrical configuration of the force wrench on flexion angle, lateral/medial distribution of the joint forces, and design of the slopes of the tuberculum intercondylare is calculated. The mathematical considerations give strong hints about TKR design and show how main biomechanical features of the natural TFJ can be reproduced.
Christoph Fiedler; Riccardo Gezzi; Karl-Heinz Frosch; Martin Michael Wachowski; Dietmar Kubein-Meesenburg; Jochen Dörner; Jochen Fanghänel; Hans Nägerl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta of bioengineering and biomechanics / Wrocław University of Technology     Volume:  13     ISSN:  1509-409X     ISO Abbreviation:  Acta Bioeng Biomech     Publication Date:  2011  
Date Detail:
Created Date:  2012-02-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101194794     Medline TA:  Acta Bioeng Biomech     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  38-49     Citation Subset:  IM    
Joint Biomechanical Working Group, Göttingen, Regensburg, Germany ÆQUOS Endoprothetik, Munich, Germany.
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