There are many patellofemoral prostheses designs available for patellofemoral resurfacing, but few studies provide results objectively comparing these designs. In this study two designs are compared on the basis of patella kinematics and patellofemoral kinetics by means of a computational technique. Results indicated that the patellae displaced laterally after trochlear engagement, while tilt patterns were irregular between volunteers. Patellofemoral contact loads increased with knee flexion, whereas medial patellofemoral tension diminished. The results from three volunteer-specific models showed that Prosthesis B would reproduce similar patella kinematics and patellofemoral kinetics to the baseline models. The computational technique provided a means by which prostheses designs could be compared with similar input and boundary values.
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http://dx.doi.org/10.1109/IEMBS.2010.5626193 | DOI Listing |
Front Surg
December 2024
Department of Orthopedics, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.
Background: Hemophilic arthritis (HA) is associated with significant changes in the morphology of mature knee joints due to abnormal growth plate development. Previous studies have established marked distinctions between the femur and tibia of subjects with Haemophilia and those with osteoarthritis (OA). This study explored the morphological characteristics of the patella and patellofemoral joint in subjects with Haemophilia.
View Article and Find Full Text PDFJ Orthop Surg Res
December 2024
Department of Orthopaedic Surgery, Shanxi Medical University Second Affiliated Hospital, No. 382 Wuyi Road, Xinghualing District, Taiyuan, China.
Background: Patellofemoral joint (PFJ) diseases are chronic degenerative conditions that contribute to knee joint symptoms. Unicompartmental knee arthroplasty (UKA) is widely regarded as an effective treatment for knee osteoarthritis (KOA); however, its specific indications remain a subject of debate.
Hypothesis: Patients with PFJ disease are expected to experience outcomes post-UKA comparable to those of patients without PFJ disease.
Arch Orthop Trauma Surg
December 2024
Adventist Health Memorial Hospital, Lodi, CA, USA.
Background: Patellofemoral joint (PFJ) issues after total knee arthroplasty (TKA) are becoming a topic of interest once again. Due to the complex three-dimensional shape of the trochlea, various two-dimensional proxy measurements on plain X-rays have been described. One of these measurements is the anterior femoral offset (AFO).
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
November 2024
McGovern Medical School, University of Texas Health Science Center at Houston, 5420 West Loop S. Suite 1300, Bellaire, TX, 77401, USA.
Purpose: Registry data shows that less surgeons are resurfacing the patella during total knee arthroplasty (TKA). This tendency highlights the importance of matching trochlear and native patellar anatomy. Currently, there is a lack of consensus on implant design that best accommodates native patellae.
View Article and Find Full Text PDFOrthop Surg
November 2024
Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China.
Objective: Pseudo-patella baja (PPB) was one of the complications after total knee arthroplasty (TKA). This complication may be closely related to the occurrence of knee joint movement limitation and pain after TKA. This study aimed to investigate whether PPB affects clinical outcomes after TKA and to study the biomechanical effects of PPB after TKA.
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