Document Detail

Tibiofemoral joint contact force in deep knee flexion and its consideration in knee osteoarthritis and joint replacement.
MedLine Citation:
PMID:  17293627     Owner:  NLM     Status:  MEDLINE    
The aim of the study was to estimate the tibiofemoral joint force in deep flexion to consider how the mechanical load affects the knee. We hypothesize that the joint force should not become sufficiently large to damage the joint under normal contact area, but should become deleterious to the joint under the limited contact area. Sixteen healthy knees were analyzed using a motion capture system, a force plate, a surface electromyography, and a knee model, and then tibiofemoral joint contact forces were calculated. Also, a contact stress simulation using the contact areas from the literature was performed. The peak joint contact forces (M +/- SD) were 4566 +/- 1932 N at 140 degrees in rising from full squat and 4479 +/- 1478 N at 90 degrees in rising from kneeling. Under normal contact area, the tibiofemoral contact stresses in deep flexion were less than 5 MPa and did not exceed the stress to damage the cartilage. The contact stress simulation suggests that knee prosthesis having the contact area smaller than 200 mm2 may be problematic since the contact stress in deep flexion would become larger than 21 MPa, and it would lead damage or wear of the polyethylene.
Takeo Nagura; Hideo Matsumoto; Yoshimori Kiriyama; Ajit Chaudhari; Thomas P Andriacchi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of applied biomechanics     Volume:  22     ISSN:  1065-8483     ISO Abbreviation:  J Appl Biomech     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2007-02-12     Completed Date:  2007-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9315240     Medline TA:  J Appl Biomech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-13     Citation Subset:  IM    
Department of Orthopedic Surgery, Keio University, Shinjyuku, Tokyo, Japan.
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MeSH Terms
Arthroplasty, Replacement, Knee
Computer Simulation
Femur / physiology*
Knee Joint / physiology*
Models, Biological*
Movement / physiology*
Muscle Contraction / physiology*
Osteoarthritis, Knee / physiopathology,  surgery
Posture / physiology*
Stress, Mechanical
Surface Properties
Tibia / physiology*

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