Biomechanical Factors in Osteoarthritis: The Effects of Joint Instability
- Timothy Wright PhD
- … show all 1 hide
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Osteoarthritis is now appropriately recognized as a joint disease (see the article by Robin Poole in this Supplement), and as such, the biomechanical factors that affect its etiology and progression can best be understood by considering the mechanical function of the whole joint.
Biomechanical Consequences of Joint Injury
A diarthrodial joint such as the knee or shoulder is intended to maintain an appropriate functional position throughout its range of motion . Situations often arise, however, in which the ability of the joint to maintain a stable position is hampered by the loss of a beneficial constraint such as a ligament. Such occurrences impact the mechanical burden placed on the joint in important ways. The velocity with which the articular surfaces move relative to one another can increase dramatically in an unstable joint because rapid, large changes in position can occur. Examples include a torn anterior cruciate ligament (ACL), which can produce a threefold incre ...
- Bartel DL, Bicknell VL, Wright TM: The Effect of Conformity, Thickness, and Material on Stresses in UHMWPE Components for Total Joint Replacement. J Bone Joint Surg 1986; 68A:1041–1051.
- Bedi A, Kelly NH, Baad M, Fox AJ, Brophy RH, Warren RF, Maher SA. Dynamic contact mechanics of the medial meniscus as a function of radial tear, repair, and partial meniscectomy. J Bone Joint Surg Am. 2010;92:1398–408. CrossRef
- Bergmann G, Deuretzbacher G, Heller M, Graichen F, Rohlmann A, Strauss J, Duda GN. Hip contact forces and gait patterns from routine activities. J Biomech. 2001;34:859–71. CrossRef
- Burstein AH and Wright TM: Fundamentals of Orthopaedic Biomechanics. Baltimore, MD, Williams & Wilkins; 1994.
- Fukubayashi T, Torzilli PA, Sherman MF, Warren RF. An in vitro biomechanical evaluation of anterior-posterior motion of the knee. Tibial displacement, rotation, and torque. J Bone Joint Surg Am. 1982;64:258–64.
- Glasson SS, Blanchet TJ, Morris EA. The surgical destabilization of the medial meniscus (DMM) model of osteoarthritis in the 129/SvEv mouse. Osteoarthritis Cartilage. 2007;15:1061–9. CrossRef
- Hurd WJ, Snyder-Mackler L. Knee instability after acute ACL rupture affects movement patterns during the mid-stance phase of gait. J Orthop Res. 2007;25:1369–77. CrossRef
- Mündermann A, Dyrby CO, D'Lima DD, Colwell CW Jr, Andriacchi TP. In vivo knee loading characteristics during activities of daily living as measured by an instrumented total knee replacement. J Orthop Res. 2008;26:1167–72. CrossRef
- Tochigi Y, Vaseenon T, Heiner AD, Fredericks DC, Martin JA, Rudert MJ, Hillis SL, Brown TD, McKinley TO. Instability dependency of osteoarthritis development in a rabbit model of graded anterior cruciate ligament transection. J Bone Joint Surg Am. 2011;93:640–7. CrossRef
- Wright TM, Bartel DL, Rimnac CM: Surface Damage in Polyethylene Joint Components. In: The Changing Role of Engineering in Orthopaedics. London, England: Mech Eng Publ Ltd; 1989:187–192.
- Biomechanical Factors in Osteoarthritis: The Effects of Joint Instability
Volume 8, Issue 1 , pp 15-17
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- cartilage wear
- Author Affiliations
- 1. Department of Biomechanics, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA