Gait Analysis and Total Knee Replacement
The relationship between ambulatory function and the biomechanics of the knee was examined during activities of daily living including walking, stair climbing, and squatting into deep flexion. Each activity was characterized by a unique relationship between the primary motion (flexion) and secondary movements (including internal- external rotation, anterior-posterior displacement) that occur during the weight-bearing and non-weight-bearing phases of each activity. The results demonstrate that the secondary motion of the knee have an important influence on wear, stair climbing function, and the ability to achieve flexion during deep flexion. The short- and long-term outcomes of total knee arthroplasty require a better understanding of the relationship between the primary and secondary motion of the knee during the most common activities of daily living.
KeywordsTotal Knee Arthroplasty Knee Flexion Posterior Cruciate Ligament Total Knee Replacement Stair Climbing
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- 2.Andriacchi TP, Galante JO, Fermier RW (1982) The influence of total knee replacement design on walking and stair climbing. J Bone Joint Surg 64-A:1328–1335Google Scholar
- 4.Blankevoort L, Huiskes R, Delange A (1988) The envelope of passive kneejoint motion. J Biomech 21:705–720Google Scholar
- 5.Dyrby CO, Andriacchi TP (1998) Deep knee flexion and tibio-femoral rotation during activities of daily living. In: Trans Orthop Res Soc, New OrleansGoogle Scholar
- 7.Dyrby CO, Tria F, Johnson R, et al (2004) Bilateral posterior stabilized and cruciate retaining total knee replacements compared during stair-climbing. In: Trans Orthop Res Soc, San FranciscoGoogle Scholar
- 8.Fukubayashi T, Torzilli PA, Sherman MF, Warren RF (1982) An in vitro biomechanical evaluation of anterior-posterior motion of the knee. Tibial displacement, rotation, and torque. J Bone Joint Surg 64-A:258–264Google Scholar
- 10.Harman MK, DesJardins JD, Banks SA, et al (2001) Damage patterns on polyethylene inserts after retrieval and after wear simulation. In: Trans Orthop Res Soc, San FranciscoGoogle Scholar
- 12.Johnson T, Andriacchi T, Laurent M (2000) Development of a knee wear test method based on prosthetic in vivo slip velocity profiles. In: Tran Orthop Res Soc, OrlandoGoogle Scholar
- 13.Johnson T, Andriacchi T, Laurent M, et al (2001) An in vivo based knee wear test protocol incorporating a heel strike slip velocity transient. In: Trans Orthop Res Soc, San FranciscoGoogle Scholar
- 14.Markolf KL, Bargar WL, Shoemaker SC, Amstutz HC (1981) The role of joint load in knee stability. J Bone Joint Surg 63-A: 570–585Google Scholar
- 15.Markolf KL, Graff-Radford A, Amstutz HC (1978) In vivo knee stability. A quantitative assessment using an instrumented clinical testing apparatus. J Bone Joint Surg 60-A:664–674Google Scholar
- 19.Wimmer MA, Nechtow WH, Kleingries M, et al (2003) TKR wear scar formation is influenced by the host’s gait pattern. Trans Orthop Res Soc, New OrleansGoogle Scholar