The stationary configuration of the knee

Wangdo Kim, Antonio P. Veloso, Veronica E. Vleck, Carlos Andrade, Sean Kohles

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Ligaments and cartilage contact contribute to the mechanical constraints in the knee joints. However, the precise influence of these structural components on joint movement, especially when the joint constraints are computed using inverse dynamics solutions, is not clear. Methods: We present a mechanical characterization of the connections between the infinitesimal twist of the tibia and the femur due to restraining forces in the specific tissue components that are engaged and responsible for such motion. These components include the anterior cruciate, posterior cruciate, medial collateral, and lateral collateral ligaments and cartilage contact surfaces in the medial and lateral compartments. Their influence on the bony rotation about the instantaneous screw axis is governed by restraining forces along the constraints explored using the principle of reciprocity. Results: Published kinetic and kinematic joint data (American Society of Mechanical Engineers Grand Challenge Competition to Predict In Vivo Knee Loads) are applied to define knee joint function for verification using an available instrumented knee data set. We found that the line of the ground reaction force (GRF) vector is very close to the axis of the knee joint. It aligns the knee joint with the GRF such that the reaction torques are eliminated. The reaction to the GRF will then be carried by the structural components of the knee instead. Conclusions: The use of this reciprocal system introduces a new dimension of foot loading to the knee axis alignment. This insight shows that locating knee functional axes is equivalent to the static alignment measurement. This method can be used for the optimal design of braces and orthoses for conservative treatment of knee osteoarthritis.

Original languageEnglish (US)
Pages (from-to)126-135
Number of pages10
JournalJournal of the American Podiatric Medical Association
Volume103
Issue number2
StatePublished - 2013

Fingerprint

Knee
Knee Joint
Joints
Cartilage
Ankle Lateral Ligament
Orthotic Devices
Braces
Knee Osteoarthritis
Torque
Tibia
Ligaments
Biomechanical Phenomena
Femur
Foot

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Podiatry

Cite this

Kim, W., Veloso, A. P., Vleck, V. E., Andrade, C., & Kohles, S. (2013). The stationary configuration of the knee. Journal of the American Podiatric Medical Association, 103(2), 126-135.

The stationary configuration of the knee. / Kim, Wangdo; Veloso, Antonio P.; Vleck, Veronica E.; Andrade, Carlos; Kohles, Sean.

In: Journal of the American Podiatric Medical Association, Vol. 103, No. 2, 2013, p. 126-135.

Research output: Contribution to journalArticle

Kim, W, Veloso, AP, Vleck, VE, Andrade, C & Kohles, S 2013, 'The stationary configuration of the knee', Journal of the American Podiatric Medical Association, vol. 103, no. 2, pp. 126-135.
Kim W, Veloso AP, Vleck VE, Andrade C, Kohles S. The stationary configuration of the knee. Journal of the American Podiatric Medical Association. 2013;103(2):126-135.
Kim, Wangdo ; Veloso, Antonio P. ; Vleck, Veronica E. ; Andrade, Carlos ; Kohles, Sean. / The stationary configuration of the knee. In: Journal of the American Podiatric Medical Association. 2013 ; Vol. 103, No. 2. pp. 126-135.
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