Three-dimensional in vivo motion analysis of normal knees employing transepicondylar axis as an evaluation parameter

被引:49
作者
Tanifuji, Osamu [1 ,2 ]
Sato, Takashi [2 ]
Kobayashi, Koichi [3 ]
Mochizuki, Tomoharu [1 ]
Koga, Yoshio [2 ]
Yamagiwa, Hiroshi [1 ]
Omori, Go [4 ]
Endo, Naoto [1 ]
机构
[1] Niigata Univ, Div Orthopaed Surg, Dept Regenerat & Transplant Med, Grad Sch Med & Dent Sci, Niigata 9518510, Japan
[2] Niigata Med Ctr, Dept Orthopaed Surg, Niigata, Japan
[3] Niigata Univ, Dept Hlth Sci, Sch Med, Niigata 9518510, Japan
[4] Niigata Univ, Ctr Transdisciplinary Res, Inst Res Promot, Niigata 9518510, Japan
关键词
Normal knee; Transepicondylar axis; Knee kinematics; Fluoroscopy; In vivo kinematics; 3-dimensional to 2-dimensional registration technique; FEMORAL COMPONENT ROTATION; IMAGE-MATCHING TECHNIQUE; DISTAL FEMUR; EPICONDYLAR AXIS; FLEXION AXIS; ARTHROPLASTY; KINEMATICS; POSITION; MORPHOLOGY; ALIGNMENT;
D O I
10.1007/s00167-012-2010-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The transepicondylar axis (TEA) has been used as a flexion axis of the knee and a reference of the rotational alignment of the femoral component. However, no study has showed dynamic normal knee kinematics employing TEA as the evaluation parameter throughout the full range of motion in vivo. The purpose of this study was to analyze dynamic kinematics of the normal knee through the full range of motion via the 3-dimensional to 2-dimensional registration technique employing TEA as the evaluation parameter. Dynamic motion of the right knee was analyzed in 20 healthy volunteers (10 female, 10 male; mean age 37.2 years). Knee motion was observed as subjects squatted from standing with knee fully extended to maximum flexion. The following parameters were determined: (1) Anteroposterior translations of the medial and lateral ends of the TEA; and (2) changes in the angle of the TEA on the tibial axial plane (rotation angle). The medial end of the TEA demonstrated anterior translation (3.6 +/- A 3.0 mm) from full extension to 30A degrees flexion and demonstrated posterior translation (18.1 +/- A 3.7 mm) after 30A degrees, while the lateral end of the TEA demonstrated consistent posterior translation (31.1 +/- A 7.3 mm) throughout knee flexion. All subjects exhibited femoral external rotation (16.9 +/- A 6.2A degrees) relative to the tibia throughout knee flexion. Compared to previously used parameters, the TEA showed bicondylar posterior translation from early flexion phase. These results provide control data for dynamic kinematic analyses of pathologic knees in the future and will be useful in the design of total knee prostheses.
引用
收藏
页码:2301 / 2308
页数:8
相关论文
共 26 条
[1]
Rotational Position of Femoral and Tibial Components in TKA Using the Femoral Transepicondylar Axis [J].
Aglietti, Paolo ;
Sensi, Lorenzo ;
Cuomo, Pierluigi ;
Ciardullo, Antonio .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (11) :2751-2755
[2]
The functional flexion-extension axis of the knee corresponds to the surgical epicondylar axis - In vivo analysis using a biplanar image-matching technique [J].
Asano, T ;
Akagi, M ;
Nakamura, T .
JOURNAL OF ARTHROPLASTY, 2005, 20 (08) :1060-1067
[3]
In vivo three-dimensional knee kinematics using a biplanar image-matching technique [J].
Asano, T ;
Akagi, M ;
Tanaka, K ;
Tamura, J ;
Nakamura, T .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2001, (388) :157-166
[4]
BERGER RA, 1993, CLIN ORTHOP RELAT R, P40
[5]
Churchill DL, 1998, CLIN ORTHOP RELAT R, P111
[6]
Knee functional flexion axis in osteoarthritic patients: comparison in vivo with transepicondylar axis using a navigation system [J].
Colle, F. ;
Bignozzi, S. ;
Lopomo, N. ;
Zaffagnini, S. ;
Sun, L. ;
Marcacci, M. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2012, 20 (03) :552-558
[7]
Three-dimensional morphology of the distal part of the femur viewed in virtual reality [J].
Eckhoff, DG ;
Dwyer, TF ;
Bach, JM ;
Spitzer, VM ;
Reinig, KD .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A :43-50
[8]
Difference between the epicondylar and cylindrical axis of the knee [J].
Eckhoff, Donald ;
Hogan, Craig ;
DiMatteo, Laura ;
Robinson, Mitch ;
Bach, Joel .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (461) :238-244
[9]
Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee [J].
Iwaki, H ;
Pinskerova, V ;
Freeman, MAR .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2000, 82B (08) :1189-1195
[10]
Kobayashi K., 2009, J Jpn Soc Exp, V9, P162