Kinematics of the human knee using an open chain cadaver model

Clinical Orthopaedics and Related Research
J David BlahaGanesh Thyagarajan

Abstract

There continues to be controversy about the kinematics of the human knee. This study used seven knees from cadavers moved by pulling on the quadriceps tendon in an open chain fashion using video motion analysis to determine the instantaneous helical axis of movement. Computed tomography scans of the specimens allowed the axes to be related to condyles. The parameter beta was defined by the relationship of the helical axis to the center of the condyle (pure spinning motion) and the contact point of the condyle on the tibia (pure rolling motion). Axes above the center of the condyle represent countertranslation, those between the center and the contact point combined spinning and rolling, and those below represent concordant translation. If the motion of the knee is guided by the crossed four-bar link then this model, that allows the knee to 'seek its own path' throughout the range of motion, should show the rollback that commonly is thought to be an important feature of knee motion. The results of this study show that the medial side of the knee stays stable in spinning kinematics whereas the lateral side has a rolling motion in full flexion progressing to a spinning motion in midflexion and counter-translation near full extensi...Continue Reading

References

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Citations

Apr 17, 2007·Journal of Biomechanics·B H van DurenH S Gill
May 7, 2008·Journal of Biomechanics·A J van den BogertA Lundberg
Dec 16, 2004·Journal of Biomechanics·M A R Freeman, V Pinskerova
Feb 2, 2017·The Knee·George A MacherasStamatios A Papadakis
May 6, 2010·The American Journal of Sports Medicine·Jia-Lin WuGuoan Li
May 15, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sébastien LustigPhilippe Neyret
Mar 19, 2014·Knee Surgery & Related Research·Tae-Hoon KimKwang-Jun Oh
Apr 25, 2019·Journal of Biomechanical Engineering·Seungbum Koo, Young-Jun Koo
Nov 2, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuichi Hoshino, Scott Tashman
Jul 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F ColleM Marcacci
Sep 12, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tomoharu MochizukiNaoto Endo
Aug 12, 2010·Clinical Orthopaedics and Related Research·Fahad HossainFares Sami Haddad
Sep 29, 2020·Journal of Experimental Orthopaedics·Kota MiuraTatsunori Maeda
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gabriel StanPanait Gheorghe
Jun 15, 2021·Indian Journal of Orthopaedics·Dhrumin SangoiSushrut Kulkarni

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