Advertisement

Loading on Normal Hip and Knee Joints and on Joint Replacements

  • J. P. Paul
Chapter

Abstract

Increasing use is being made of implanted joint replacements in the treatment of patients suffering from degenerative and other joint diseases. The success of these is naturally measured in most cases by the patient himself in his expressed satisfaction with the end result in respect of relief from pain and in restoration of function. The clinician also makes an assessment in terms of the degree of activity which the patient can routinely undertake and the degree of abnormality in the restored pattern of use.

Keywords

Knee Flexion Joint Replacement Total Knee Replacement Heel Strike Joint Force 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bresler, B., Frankel, J.P.: The forces and moments in the leg during level walking. Transaction of the American Society of Mechanical Engineering 72, 27 (1950)Google Scholar
  2. 2.
    Charnley, J., Pusso, R.: The recording and analysis of gait in relation to the surgery of the hip joint. Clinical Orthopaedics and Related Research 58, 153 (1968)PubMedCrossRefGoogle Scholar
  3. 3.
    Eberhart, H., Inman, V.T., Saunders, J.B.: Fundamental studies of human locomotion and other information relating to artificial limbs. Report of National Research Council on Artificial Limbs, University of California, Berkeley (1947)Google Scholar
  4. 4.
    Ganguli, S., Datta, S.R.: Prediction of energy cost from peak heart rate in lower extremity amputees. Biomedical Engineering 10, 52 (1975)PubMedGoogle Scholar
  5. 5.
    Grieve, D.W.: Gait patterns and the speed of walking. Biomedical Engineering 3, 119 (1968)Google Scholar
  6. 6.
    Harrington, I.J.: The effect of congenital and pathological conditions on the load actions transmitted at the knee joint. In: Total Knee Replacement, Institute of Mechanical Engineering, London: in press.Google Scholar
  7. 7.
    Inman, V.T.: Functional Aspects of the abductor muscles of the hip. Journal of Bone and Joint Surgery 39, 214 (1947)Google Scholar
  8. 8.
    Jacobs, N.A., Skorecki, J., Charnley, J.: Analysis of the vertical component of force in normal and pathological gait. Journal of Biomechanics 5, 11 (1972)PubMedCrossRefGoogle Scholar
  9. 9.
    James, U.: Oxygen uptake and heart rate during prosthetic walking. Scandinavian Journal of Rehabilitation Medicine 5, 71 (1973)PubMedGoogle Scholar
  10. 10.
    McGrother, D.A.: Load actions transmitted at the knee of arthritic patients. In: Total Knee Replacement, Institute of Mechanical Engineering, London: in press.Google Scholar
  11. 11.
    McGrouther, D.A.: In vivo measurement of joint loading after total hip replacement. Proceedings of the Clemson Conference on Biomaterials (1974)Google Scholar
  12. 12.
    McLeish, R.D., Charnley, J.: Forces in the one-legged stance. Journal of Biomechanics 3, 191 (1970)PubMedCrossRefGoogle Scholar
  13. 13.
    Milner, M., Dall, D., McConnell, V.A., Brennan, P.K., Hershler, C.: Angle diagrams in the assessment of locomotor functions. S.A.Med.J. 47, 951 (1973)Google Scholar
  14. 14.
    Milner, M., Dall, D., Ruff, A.L., Brennan, P.K.: Pre- and post-operative angle diagram in cases of total hip reconstruction. Digest of the 5th Canadian Medical and Biological Engineering Conference, Montreal (1974)Google Scholar
  15. 15.
    Molbech, S.: Energy cost in level walking in subjects with abnormal gait. In: K. Evang and K.L. Andersen, edit., Physical Activity in Health and Disease, Oslo: Universitatsforlaget 1966Google Scholar
  16. 16.
    Morrison, J.B.: Bioengineering analysis of force actions transmitted by the knee joint. Biomedical Engineering 3, 164 (1968)Google Scholar
  17. 17.
    Murray, M.P., Gore, D.R., Clarkson, B.H.: Walking patterns of patients with unilateral hip. Pain due to osteoarthritis and avascular necrosis. Journal of Bone and Joint Surgery 53-A, 259(1971)Google Scholar
  18. 18.
    Murray, M.P., Brewer, B.J., Zuege, R.C.: Kinesiological measurements of functional performance before and after McKee Farrar total hip replacement. Journal of Bone and Joint Surgery 54-A, 237 (1972)Google Scholar
  19. 19.
    Paul, J.P.: Forces transmitted by joints in the human body. Proceedings of the Institute of Mechanical Engineering 181, 8 (1967)Google Scholar
  20. 20.
    Paul, J.P.: Forces at the human hip joint. PhD Thesis, University of Glasgow (1967)Google Scholar
  21. 21.
    Paul, J.P.: Force actions transmitted by joints in the human body. Proceedings of the Royal Society-B, in press.Google Scholar
  22. 22.
    Pauwels, F.: Der Schenkelhalsbruch, ein mechanisches Problem, Stuttgart: Ferdinand Enke Verlag 1935Google Scholar
  23. 23.
    Ralston, HJ.: Energy speed relation and optimal speed during level walking. Internationale Zeitschrift für angewandte Physiologie 17, 277 (1958)Google Scholar
  24. 24.
    Ralston, H.J.: Effects of immobilization of the knee on energy expenditure during level walking. Ergonomics, Proc. 2nd I.E.A. Congress, Dortmund (1965)Google Scholar
  25. 25.
    Rydell, N.W.: Forces acting on the femoral head prosthesis. Acta Orthopaedica Scandinavica, Supplement 88 (1966)Google Scholar
  26. 26.
    Skorecki, J.: The design and construction of a new apparatus for measuring the vertical forces in walking. Journal of Strain Analysis 1, 429 (1966)CrossRefGoogle Scholar
  27. 27.
    Smidt, G.L., Wadsworth, J.B.: Floor reaction during gait — comparison of patients with hip disease and normal subjects. Phys. Therapy 53, 1056 (1973)Google Scholar
  28. 28.
    Stauffer, R., Smidt, G.L., Wadsworth, J.B.: Clinical and biomechanical analysis of gait following Charnley total hip replacement. Clinical Orthopaedics and Related Research 99, 70(1974)PubMedCrossRefGoogle Scholar
  29. 29.
    Stange, F.G.: The hip, London: Heineman 1965Google Scholar
  30. 30.
    Williams, J.F.: A force analysis of the hip joint. Biomedical Engineering 3, 365 (1968)Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1976

Authors and Affiliations

  • J. P. Paul

There are no affiliations available

Personalised recommendations