Tibiofemoral joint contact force in deep knee flexion and its consideration in knee osteoarthritis and joint replacement

被引:59
|
作者
Nagura, Takeo [1 ]
Matsumoto, Hideo
Kiriyama, Yoshimori
Chaudhari, Ajit
Andriacchi, Thomas P.
机构
[1] Keio Univ, Dept Orthoped Surg, Tokyo, Japan
[2] Stanford Univ, Dept Mech Engn, Stanford, CA 94305 USA
关键词
knee joint loading; motion analysis; computer model;
D O I
10.1123/jab.22.4.305
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
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 mm(2) 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.
引用
收藏
页码:305 / 313
页数:9
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