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首页> 外文期刊>The Journal of arthroplasty >Effects of Kneeling on Tibiofemoral Contact Pressure and Area in Posterior Cruciate-Retaining and Posterior Cruciate-Sacrificing Total Knee Arthroplasty
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Effects of Kneeling on Tibiofemoral Contact Pressure and Area in Posterior Cruciate-Retaining and Posterior Cruciate-Sacrificing Total Knee Arthroplasty

机译:下跪对保留后交叉和后交叉牺牲的全膝关节置换的胫股接触压力和面积的影响

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摘要

The objective of this study was to measure the effect of kneeling on tibiofemoral contact following cruciate-retaining and posterior-stabilized total knee arthroplasty. Five cadaveric knees were tested on a custom testing system that allowed physiologic muscle loading. Three forces were used to simulate nonkneeling, double-stance kneeling, and single-stance kneeling at flexion angles of 90°, 105°, 120°, and 135°. Tibiofemoral contact areas and pressures were measured using the Tekscan (South Boston, MA) system. Kneeling increased contact areas and pressures in both designs with variable significance (P < .05). Moving from double- to single-stance kneeling increased pressures in the cruciate-retaining group but decreased pressures in the posterior-stabilized group (P < .05). Chronic, repetitive kneeling after total knee arthroplasty may increase polyethylene wear due to increased contact areas and pressures.
机译:这项研究的目的是测量在交叉固定和后路稳定的全膝关节置换术后,膝关节对胫股接触的影响。在允许肌肉生理负荷的定制测试系统上测试了五个尸体膝盖。使用三个力来模拟在90°,105°,120°和135°弯曲角度下的非跪式,双步跪式和单步跪地。使用Tekscan(马萨诸塞州南波士顿)系统测量胫股接触面积和压力。在这两种设计中,下跪都会增加接触面积和压力,且变化显着(P <.05)。从双站跪姿转移到单站跪姿,在十字形保持组中增加了压力,但在后稳定组中减小了压力(P <.05)。全膝关节置换术后的慢性重复性跪下可能会因接触面积和压力增加而增加聚乙烯的磨损。

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