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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2011

01-02-2011 | Knee

Measurement of an intact knee kinematics using gait and fluoroscopic analysis

Authors: Amir Hossein Saveh, Hamid Reza Katouzian, Mahmoud Chizari

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2011

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Abstract

A method has been introduced in this paper to measure the kinematics of a knee joint and to use it as a boundary condition to model the knee’s mechanical behaviour. A mobile C-Arm fluoroscopy system (Ziehm Vision R) and a CCD camera were used for the measurement of a patient’s knee kinematics. The fluoroscopic images were recorded with 12 fps and then sent to Matlab software (Mathworks, Natick, MA, USA) for image processing. In parallel, CT scan images of the knee bones were used to create the 3D anatomical geometry of the knee by aid of Mimics software (Materialise NV). However, the geometrical model of the two medial and lateral menisci was generated from MRI data. The 3D geometrical model of the knee was then sent to Abaqus finite element software (Simulia Dassault Systems) to analyse the knee joint contact loads by introducing the boundary condition which was obtained from fluoroscopic images. The finite element model was used to evaluate the stress distribution on the cartilages during the gait. The result was then compared with the experimental data of gait analysis. The comparison between the results showed a close agreement between the two outcomes.
Literature
1.
go back to reference Alam M, Amis AA, Bull AMG, Kessler O (2008) Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Reat Res 466:2491–2499CrossRef Alam M, Amis AA, Bull AMG, Kessler O (2008) Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Reat Res 466:2491–2499CrossRef
2.
go back to reference Albu AB, Bergevin R, Jean F (2009) Towards view-invariant gait modelling: computing view-normalized body part trajectories. Patt Recog 42:2936–2949CrossRef Albu AB, Bergevin R, Jean F (2009) Towards view-invariant gait modelling: computing view-normalized body part trajectories. Patt Recog 42:2936–2949CrossRef
3.
go back to reference Argenson JA, Aubaniac J, Kelly MA, Komistek RD, Scott WN, Scuderi GR (2005) In vivo kinematic evaluation and design considerations related to high flexion in total knee arthroplasty. J Biomech 38:277–284CrossRefPubMed Argenson JA, Aubaniac J, Kelly MA, Komistek RD, Scott WN, Scuderi GR (2005) In vivo kinematic evaluation and design considerations related to high flexion in total knee arthroplasty. J Biomech 38:277–284CrossRefPubMed
4.
go back to reference Astolfi L, Benedetti MG, Catani F, Fantozzia S, Leardini A, Vicecontic M (2005) Advanced multimodal visualization of clinical gait and fluoroscopy analyses in the assessment of total knee replacement. Comp Meth Biomed 79:227–240CrossRef Astolfi L, Benedetti MG, Catani F, Fantozzia S, Leardini A, Vicecontic M (2005) Advanced multimodal visualization of clinical gait and fluoroscopy analyses in the assessment of total knee replacement. Comp Meth Biomed 79:227–240CrossRef
5.
go back to reference Ateshian GA, Donzelli P, Mow VC, Spilker RL (1999) Contact analysis of biphasic transversely isotropic cartilage layers and correlation with tissue failure. J Biomech 32:1037–1047CrossRefPubMed Ateshian GA, Donzelli P, Mow VC, Spilker RL (1999) Contact analysis of biphasic transversely isotropic cartilage layers and correlation with tissue failure. J Biomech 32:1037–1047CrossRefPubMed
6.
go back to reference Badea C, Pallikarakis N, Soimu D (2003) A novel approach for distortion correction for X-ray image intensifiers. Comp Med Imag Graph 27:79–85CrossRef Badea C, Pallikarakis N, Soimu D (2003) A novel approach for distortion correction for X-ray image intensifiers. Comp Med Imag Graph 27:79–85CrossRef
7.
go back to reference Banks SA, Field RE, Moonot P, Rilton GT, Shang M (2009) In vivo weight-bearing kinematics with medial rotation knee arthroplasty. J Knee 17(1):33–37 Banks SA, Field RE, Moonot P, Rilton GT, Shang M (2009) In vivo weight-bearing kinematics with medial rotation knee arthroplasty. J Knee 17(1):33–37
8.
go back to reference Banks SA, Fregly BJ, Hamai S, Higaki H, Miura H, Moro-oka T, Shimoto T (2007) Can magnetic resonance imaging-derived bone models be used for accurate motion measurement with single-plane three-dimensional shape registration? J Orthop Res 25:867–872CrossRefPubMed Banks SA, Fregly BJ, Hamai S, Higaki H, Miura H, Moro-oka T, Shimoto T (2007) Can magnetic resonance imaging-derived bone models be used for accurate motion measurement with single-plane three-dimensional shape registration? J Orthop Res 25:867–872CrossRefPubMed
9.
go back to reference Belvedere C, Benedetti MG, Catani F, Ensini A (2009) In vivo kinematics and kinetics of a bi-cruciate substituting total knee arthroplasty: a combined fluoroscopic and gait analysis study. J Orthop Res 27:1569–1575CrossRefPubMed Belvedere C, Benedetti MG, Catani F, Ensini A (2009) In vivo kinematics and kinetics of a bi-cruciate substituting total knee arthroplasty: a combined fluoroscopic and gait analysis study. J Orthop Res 27:1569–1575CrossRefPubMed
10.
go back to reference Bingham J, Li G, Van de Velde SK (2008) Validation of a non-invasive fluoroscopic imaging technique for the measurement of dynamic knee joint motion. J Biomech 41:1616–1622CrossRefPubMed Bingham J, Li G, Van de Velde SK (2008) Validation of a non-invasive fluoroscopic imaging technique for the measurement of dynamic knee joint motion. J Biomech 41:1616–1622CrossRefPubMed
11.
go back to reference Bowers ME, Fleming BC, Tung GA (2007) Quantification of meniscal volume by segmentation of 3T magnetic resonance imaging. J Biomech 40:2811–2815CrossRefPubMed Bowers ME, Fleming BC, Tung GA (2007) Quantification of meniscal volume by segmentation of 3T magnetic resonance imaging. J Biomech 40:2811–2815CrossRefPubMed
12.
go back to reference Burstein D, Eckstein F, Link TM (2006) Quantitative MRI of cartilage and bone: degenerative changes in osteoarthritis. NMR Biomed 19:822–854CrossRefPubMed Burstein D, Eckstein F, Link TM (2006) Quantitative MRI of cartilage and bone: degenerative changes in osteoarthritis. NMR Biomed 19:822–854CrossRefPubMed
13.
go back to reference Carter JN, Gordon L, Nixon MS, Veres GV (2004) What image information is important in silhouette-based gait recognition? IEEE Proc Comp Vis 2:776–782 Carter JN, Gordon L, Nixon MS, Veres GV (2004) What image information is important in silhouette-based gait recognition? IEEE Proc Comp Vis 2:776–782
14.
go back to reference Chen HL, Hsu HC, Kuo MY, Lu TW, Tsai TY (2008) In vivo three-dimensional kinematics of the normal knee during active extension under unloaded and loaded conditions using single-plane fluoroscopy. Med Eng Phys 30:1004–1012CrossRefPubMed Chen HL, Hsu HC, Kuo MY, Lu TW, Tsai TY (2008) In vivo three-dimensional kinematics of the normal knee during active extension under unloaded and loaded conditions using single-plane fluoroscopy. Med Eng Phys 30:1004–1012CrossRefPubMed
15.
go back to reference Chizari M, Snow M, Wang B (2008) Post-operative analysis of ACL tibial fixation. Knee Surg Sports Traumatol 17(7):730–736CrossRef Chizari M, Snow M, Wang B (2008) Post-operative analysis of ACL tibial fixation. Knee Surg Sports Traumatol 17(7):730–736CrossRef
16.
go back to reference Chung YN, Lee JS (2005) Integrating edge detection and thresholding approaches to segmenting femora and patellae from magnetic resonance images. Biomed Eng Appl Basis Comm 17:1–11CrossRef Chung YN, Lee JS (2005) Integrating edge detection and thresholding approaches to segmenting femora and patellae from magnetic resonance images. Biomed Eng Appl Basis Comm 17:1–11CrossRef
17.
go back to reference Cicuttini F, Eckstein F, Peterfy C, Raynauld JP, Waterton JC (2006) Magnetic resonance imaging (MRI) of articular cartilage in knee osteoarthritis (OA): morphological assessment. Osteoarth Cart 14:A46–A75CrossRef Cicuttini F, Eckstein F, Peterfy C, Raynauld JP, Waterton JC (2006) Magnetic resonance imaging (MRI) of articular cartilage in knee osteoarthritis (OA): morphological assessment. Osteoarth Cart 14:A46–A75CrossRef
18.
go back to reference Dennis DA, Hoff WA, Komisteck RD, Mahfouz MR (2005) Effect of segmentation errors on 3D-to-2D registration of implant models in X-ray images. J Biomech 38:229–239CrossRefPubMed Dennis DA, Hoff WA, Komisteck RD, Mahfouz MR (2005) Effect of segmentation errors on 3D-to-2D registration of implant models in X-ray images. J Biomech 38:229–239CrossRefPubMed
19.
go back to reference Eckstein F (2006) Quantitative magnetic resonance imaging of osteoarthritis. Future Rheumatol 1:699–715CrossRef Eckstein F (2006) Quantitative magnetic resonance imaging of osteoarthritis. Future Rheumatol 1:699–715CrossRef
20.
go back to reference Erkel AV, Kaptein B, Nelissen R, Strien TV, Zwag EL (2009) Computer assisted versus conventional cemented total knee prostheses alignment accuracy and micromotion of the tibial component. Intern Orthop 33:1255–1261CrossRef Erkel AV, Kaptein B, Nelissen R, Strien TV, Zwag EL (2009) Computer assisted versus conventional cemented total knee prostheses alignment accuracy and micromotion of the tibial component. Intern Orthop 33:1255–1261CrossRef
21.
go back to reference Georgoulis AD, Moraiti C, Ristanis S, Stergiou N (2007) ACL deficiency affects stride-to-stride variability as measured using nonlinear methodology. Knee Surg Sports Traumatol 15:1406–1413CrossRef Georgoulis AD, Moraiti C, Ristanis S, Stergiou N (2007) ACL deficiency affects stride-to-stride variability as measured using nonlinear methodology. Knee Surg Sports Traumatol 15:1406–1413CrossRef
22.
go back to reference Gill TJ, Hosseini A, Kozanek M, Li G, Liu F, Rubash HE, Van de Velde SK (2009) Tibiofemoral kinematics and condylar motion during the stance phase of gait. J Biomech 42:1877–1884CrossRefPubMed Gill TJ, Hosseini A, Kozanek M, Li G, Liu F, Rubash HE, Van de Velde SK (2009) Tibiofemoral kinematics and condylar motion during the stance phase of gait. J Biomech 42:1877–1884CrossRefPubMed
23.
go back to reference Iwata S, Matsumoto H, Nagura T, Otani T, Suda Y, Toyoma Y (2007) Dynamic instability during stair descent in isolated PCL-deficient knees: what affects abnormal posterior translation of the tibia in PCL-deficient knees? Knee Surg Sports Traumatol 15:705–711CrossRef Iwata S, Matsumoto H, Nagura T, Otani T, Suda Y, Toyoma Y (2007) Dynamic instability during stair descent in isolated PCL-deficient knees: what affects abnormal posterior translation of the tibia in PCL-deficient knees? Knee Surg Sports Traumatol 15:705–711CrossRef
24.
go back to reference Mesfar W, Shirazi-Adl A (2006) Knee joint mechanics under quadriceps-hamstrings muscle forces are influenced by tibial restraint. Clinic Biomech 21:841–848CrossRef Mesfar W, Shirazi-Adl A (2006) Knee joint mechanics under quadriceps-hamstrings muscle forces are influenced by tibial restraint. Clinic Biomech 21:841–848CrossRef
Metadata
Title
Measurement of an intact knee kinematics using gait and fluoroscopic analysis
Authors
Amir Hossein Saveh
Hamid Reza Katouzian
Mahmoud Chizari
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1190-5

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