An Optimized Image Matching Method for Determining In-Vivo TKA Kinematics with a Dual-Orthogonal Fluoroscopic Imaging System

2006 ◽  
Vol 128 (4) ◽  
pp. 588-595 ◽  
Author(s):  
Jeffrey Bingham ◽  
Guoan Li
Keyword(s):  
Femoral Component ◽  
Tibial Component ◽  
Degrees Of Freedom ◽  
Imaging System ◽  
Matching Algorithm ◽  
Translational Accuracy ◽  
Fluoroscopic Imaging ◽  
Total Knee ◽  
Accuracy And Repeatability

This study presents an optimized matching algorithm for a dual-orthogonal fluoroscopic image system used to determine six degrees-of-freedom total knee arthroplasty (TKA) kinematics in-vivo. The algorithm was evaluated using controlled conditions and standard geometries. Results of the validation demonstrate the algorithm’s robustness and capability of realizing a pose from a variety of initial poses. Under idealized conditions, poses of a TKA system were recreated to within 0.02±0.01 mm and 0.02±0.03 deg for the femoral component and 0.07±0.09 mm and 0.16±0.18 deg for the tibial component. By employing a standardized geometry with spheres, the translational accuracy and repeatability under actual conditions was found to be 0.01±0.06 mm. Application of the optimized matching algorithm to a TKA patient showed that the pose of in-vivo TKA components can be repeatedly located, with standard deviations less than ±0.12 mm and ±0.12 deg for the femoral component and ±0.29 mm and ±0.25 deg for the tibial component. This methodology presents a useful tool that can be readily applied to the investigation of in-vivo motion of TKA kinematics.

scholarly journals In Vivo Kinematic Analysis of Bicruciate-retaining Total Knee Arthroplasty Focused on Function of the ACL

2021 ◽  
Author(s):  
Kosei Ishigaki ◽  
Hideyuki Aoki ◽  
Ryo Takamatsu ◽  
Yuji Nishiwaki ◽  
Hiroshi Takahashi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Kinematic Analysis ◽  
Tibial Component ◽  
Lateral Translation ◽  
In Vivo Kinetics ◽  
Total Knee ◽  
Bcr Tka

Abstract Background: The utility of a bi-cruciate retaining total knee arthroplasty (BCR-TKA) is uncertain. In this study, we performed an in vivo kinematic analysis of squat motion on level ground and on a downward slope in patients treated with BCR-TKA to examine the value of anterior cruciate ligament (ACL) preservation.Methods: The subjects were ten valgus knees that underwent TKA (BCR: 5 knees, CR: 5 knees) at our hospital. We evaluated in vivo kinematics of the knee using fluoroscopy and investigated the femoral component translation relative to the tibial component from extension to maximum flexion, and the rotation angle between the components under the two conditions. Statistical analysis was conducted by Mann-Whitney U test to compare the rotational angle, the location of lateral and medial contact points per flexion angle. Differences in these parameters between the BCR and CR groups across the flexion angles were compared by repeated measures ANOVA.Results: Rotation of the femoral component to the tibial component occurred gradually as flexion continued. On level ground, lateral rotation at 0° to 120° flexion was 14.5±1.95° in the BCR group and 7.9±0.47° in the CR group. Medial translation was 4.1±1.73mm in the BCR group and 2.5±1.64mm in the CR group, and lateral translation was 13.2±1.6mm in the BCR group and 7.1±1.74mm in the CR group. On a forward slope, lateral rotation was 12.7±1.45° in the BCR group and 7.57±0.47° in the CR group. Medial translation was 5.87±1.78mm in the BCR and 2.9±0.81mm in the CR, and lateral translation was 13.6±1.84mm in the BCR and 7.4±0.96mm in the CR.Conclusion: An in vivo kinetics analysis of deep flexion motion was conducted on level ground and on a forward slope to stress the ACL. Under both conditions, kinetics close to screw home movement were found in the BCR group and rotation was significantly larger than that in the CR group. The medial contact point between components was located significantly more anterior in the BCR group. In conclusion, BCR-TKA was found to have in vivo kinetics close to those of a normal knee, in comparison with CR-TKA.

In Vivo Tibiofemoral Contact Kinematics and Contact Forces During Dynamic Weight-Bearing Activities Following Total Knee Arthroplasty

2008 ◽  
Author(s):  
Kartik M. Varadarajan ◽  
Angela Moynihan ◽  
Darryl D’Lima ◽  
Clifford W. Colwell ◽  
Harry E. Rubash ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Computational Models ◽  
Imaging System ◽  
Weight Bearing ◽  
Contact Forces ◽  
Inverse Dynamic ◽  
Contact Kinematics ◽  
Total Knee

Accurate knowledge of in vivo articular contact kinematics and contact forces is required to quantitatively understand factors limiting life of total knee arthroplasty (TKA) implants, such as polyethylene component wear and implant loosening [1]. Determination of in vivo tibiofemoral contact forces has been a challenging issue in biomechanics. Historically, instrumented tibial implants have been used to measure tibiofemoral forces in vitro [2] and computational models involving inverse dynamic optimization have been used to estimate joint forces in vivo [3]. Recently, D’Lima et al. reported the first in vivo measurement of 6DOF tibiofemoral forces via an instrumented implant in a TKA patient [4]. However this technique does not provide a direct estimation of tibiofemoral contact forces in the medial and lateral compartments. Recently, a dual fluoroscopic imaging system has been used to accurately determine tibiofemoral contact locations on the medial and lateral tibial polyethylene surfaces [5]. The objective of this study was to combine the dual fluoroscope technique and the instrumented TKAs to determine the dynamic 3D articular contact kinematics and contact forces on the medial and lateral tibial polyethylene surfaces during functional activities.

A different fixation of the femoral component in total knee arthroplasty may lead to preservation of femoral bone stock

2003 ◽  
Vol 217 (5) ◽  
pp. 325-332 ◽  
Author(s):  
M Barink ◽  
N Verdonschot ◽  
M de Waal Malefijt
Keyword(s):  
Femoral Component ◽  
Knee Arthroplasty ◽  
Bone Remodelling ◽  
Significant Loss ◽  
Bone Stock ◽  
Femoral Bone ◽  
Secondary Effects ◽  
Total Knee ◽  
The Stability

Good femoral bone stock is important for the stability of the femoral component in revision knee arthroplasty. However, the primary total knee replacement (TKR) may cause significant loss of bone stock in the distal anterior femur. Earlier stress-induced bone remodelling simulations have suggested that a completely debonded component may save bone stock in the distal anterior region. However, these simulations did not consider the fixation of a debonded implant and possible secondary effects of micromotions and osteolysis at the interface. The current study tries to combine the preservation of bone stock with adequate component fixation. Different bone remodelling simulations were performed around femoral knee components with different sizes of bonding area and different friction characteristics of the debonded area. The fixation of the femoral component with different bonding characteristics is quantified with calculated implant-bone interface stresses. The results show that a bonded femoral component with a debonded inner side of the anterior flange may significantly reduce bone resorption in the endangered distal anterior femur, without jeopardizing the fixation of the femoral implant. This effect may be obtained in vivo by using a femoral component with a highly polished inner side of the anterior flange.

The Effects of Resection Technique on Implant Migration in Single Radius Posterior-Stabilized Total Knee Replacement

2018 ◽  
Vol 33 (01) ◽  
pp. 078-083
Author(s):  
Matthew G. Teeter ◽  
Kevin Perry ◽  
Xunhua Yuan ◽  
James L. Howard ◽  
Brent A. Lanting
Keyword(s):  
Total Knee Replacement ◽  
Femoral Component ◽  
Knee Replacement ◽  
Tibial Component ◽  
Posterior Stabilized ◽  
Gap Balancing ◽  
Measured Resection ◽  
Total Knee ◽  
Single Radius ◽  
Component Migration

AbstractThe purpose of the present study was to measure the effects of gap balancing and resection techniques on migration of a single total knee replacement implant design. A total of 23 patients (24 knees) were recruited on referral to either a surgeon performing gap balancing or a surgeon performing measured resection and followed prospectively. All patients received a fixed bearing, posterior stabilized total knee replacement implant of a single radius femoral component design with cement fixation, and all aspects of care outside of resection technique were identical. Patients underwent radiostereometric analysis (RSA) at 2 weeks (baseline), 6 weeks, 3 months, 6 months, 1 year, and 2 years. Migration of the tibial and femoral components was compared between groups. Tibial component migration was greater at 2 years in the gap balancing group (mean difference = 0.336 mm, p = 0.036), but there was no difference at 1 year. One measured resection and three gap balancing tibial components demonstrated continuous migration > 0.2 mm between years 1 and 2. There was no difference in femoral component migration. Small differences in tibial component migration were found between the gap balancing and measured resection techniques. However, comparing the migration to established predictive thresholds for long-term loosening risk, implants performed with both techniques were found to have equally low revision risk.

A novel ceramic tibial component is as safe as its metal counterpart

2018 ◽  
Vol 63 (3) ◽  
pp. 327-332 ◽  
Author(s):  
Klemens Trieb
Keyword(s):  
Tibial Component ◽  
Maximum Load ◽  
Load Test ◽  
Strength Testing ◽  
Burst Strength ◽  
Total Knee ◽  
Material Fracture ◽  
Set Up ◽  
Further Development

Abstract Failure rates of 2–10% provide evidence for further development in knee arthroplasty. The purpose of our study was to examine the safety of the tibial component of a novel all-ceramic total knee replacement (TKR) (BPK-S Integration ceramic) consisting of BIOLOX®delta ceramic. The standards ISO 14879-1 and ASTM F1800-07 describe the test set-up for the experimental strength verification with a significantly increased maximum load of 5300 N (900 N are required) and post-fatigue burst strength testing. All specimens were able to prove their mechanical strength against fracture in the alternating load test. There was no material fracture in any of the included tibial components. The subsequent post-fatigue burst strength testing revealed the maximum strength against fracture of all specimens. With at least 9.7 kN for size 3 and at least 12.1 kN for size 6, all specimens showed relatively large strength reserves to the stress in the alternating load test. So far we simulated an in vivo lifetime of 10 years for the tibial component. Further studies should be conducted in which longer in vivo lifetimes of the components are simulated to investigate possible fatigue of the used material over a longer period of time.

Computer-assisted surgery improves rotational positioning of the femoral component but not the tibial component in total knee arthroplasty

2014 ◽  
Vol 22 (12) ◽  
pp. 3127-3134 ◽  
Author(s):  
Daniel Hernandez-Vaquero ◽  
Alfonso Noriega-Fernandez ◽  
Jose Manuel Fernandez-Carreira ◽  
Jose Manuel Fernandez-Simon ◽  
Jimena Llorens de los Rios
Keyword(s):  
Total Knee Arthroplasty ◽  
Femoral Component ◽  
Knee Arthroplasty ◽  
Tibial Component ◽  
Computer Assisted Surgery ◽  
Computer Assisted ◽  
Total Knee

scholarly journals In Vivo Kinematic Analysis of Bicruciate-Retaining Total Knee Arthroplasty Focused on Function of the ACL

2021 ◽  
Author(s):  
Kosei Ishigaki ◽  
Hideyuki Aoki ◽  
Ryo Takamatsu ◽  
Yuji Nishiwaki ◽  
Hiroshi Takahashi ◽  
...  
Keyword(s):  
Femoral Component ◽  
Kinematic Analysis ◽  
Repeated Measures ◽  
Tibial Component ◽  
Rotational Angle ◽  
Contact Points ◽  
Lateral Translation ◽  
Lateral Rotation ◽  
Bcr Tka

Abstract uncertain. In this study, we performed an in vivo kinematic analysis of squat motion on level ground and on a downward slope in patients treated with BCR-TKA to examine the value of anterior cruciate ligament (ACL) preservation.Methods: The subjects were ten valgus knees that underwent TKA (BCR: 5 knees, CR: 5 knees) at our hospital. We evaluated in vivo kinematics of the knee using fluoroscopy and investigated the femoral component translation relative to the tibial component from extension to maximum flexion, and the rotation angle between the components under the two conditions. Statistical analysis was conducted by Mann-Whitney U test to compare the rotational angle, the location of lateral and medial contact points per flexion angle. Differences in these parameters between the BCR and CR groups across the flexion angles were compared by repeated measures ANOVA. Results: Rotation of the femoral component to the tibial component occurred gradually as flexion continued. On level ground, lateral rotation at 0° to 120° flexion was 14.5±1.95° in the BCR group and 7.9±0.47° in the CR group. Medial translation was 4.1±1.73mm in the BCR group and 2.5±1.64mm in the CR group, and lateral translation was 13.2±1.6mm in the BCR group and 7.1±1.74mm in the CR group. On a forward slope, lateral rotation was 12.7±1.45° in the BCR group and 7.57±0.47° in the CR group. Medial translation was 5.87±1.78mm in the BCR and 2.9±0.81mm in the CR, and lateral translation was 13.6±1.84mm in the BCR and 7.4±0.96mm in the CR.Conclusion: An in vivo kinetics analysis of deep flexion motion was conducted on level ground and on a forward slope to stress the ACL. Under both conditions, kinetics close to screw home movement were found in the BCR group and rotation was significantly larger than that in the CR group. The medial contact point between components was located significantly more anterior in the BCR group. In conclusion, BCR-TKA was found to have in vivo kinetics close to those of a normal knee, in comparison with CR-TKA.

Fuzzy Image Matching for Pose Recognition of Occluded Knee Implants Using Fluoroscopy Images

2005 ◽  
Vol 9 (2) ◽  
pp. 181-195 ◽  
Author(s):  
Syoji Kobashi ◽  
◽  
Toshihiko Tomosada ◽  
Nao Shibanuma ◽  
Motoi Yamaguchi ◽  
...  
Keyword(s):  
Femoral Component ◽  
Image Matching ◽  
Tibial Tray ◽  
Cad System ◽  
Projection Image ◽  
Tibial Insert ◽  
Total Knee ◽  
Fuzzy Image

Fluoroscopy images have been widely used for evaluating kinematics of the knee implant in vivo after the total knee Arthroplasty, TKA in short. The knee implant mainly consists of tibial tray, tibial insert and femoral component. Because a fluoroscopy image is a 2-D projection image of the 3-D knee implant, the tibial tray often overlaps with the femoral component on the projection image, or a part of the knee implant is outside of the field of view (FOV). In order to analyze such occluded images, this article introduces fuzzy logic into image matching of the given 2-D fluoroscopy image and 3-D geometric models of the knee implant. Based on the proposed fuzzy image matching algorithm, we present a novel computer-aided diagnosis (CAD) system for estimating 3-D kinematics of the knee implant with 2-D fluoroscopy dynamic images. To quantitatively evaluate our system, it was applied to computer-simulated images and phantom images that took the knee implant in vitro fixed with arbitrary pose by a jig. The experimental results denoted that this system could estimate the pose of the knee implant within the error of 0.86° with non-occluded images, and within the error of 1.28° with 15% occluded images. Also, the proposed system was applied to two patients after TKA to demonstrate the clinical application.

scholarly journals Ranges of Cervical Intervertebral Disc Deformation During an In Vivo Dynamic Flexion–Extension of the Neck

2017 ◽  
Vol 139 (6) ◽  
Author(s):  
Yan Yu ◽  
Haiqing Mao ◽  
Jing-Sheng Li ◽  
Tsung-Yuan Tsai ◽  
Liming Cheng ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Imaging System ◽  
Human Subjects ◽  
Three Dimensional ◽  
Cervical Disc ◽  
Significant Difference ◽  
Flexion Extension ◽  
Fluoroscopic Imaging ◽  
Magnetic Resonance Imaging Mri

While abnormal loading is widely believed to cause cervical spine disc diseases, in vivo cervical disc deformation during dynamic neck motion has not been well delineated. This study investigated the range of cervical disc deformation during an in vivo functional flexion–extension of the neck. Ten asymptomatic human subjects were tested using a combined dual fluoroscopic imaging system (DFIS) and magnetic resonance imaging (MRI)-based three-dimensional (3D) modeling technique. Overall disc deformation was determined using the changes of the space geometry between upper and lower endplates of each intervertebral segment (C3/4, C4/5, C5/6, and C6/7). Five points (anterior, center, posterior, left, and right) of each disc were analyzed to examine the disc deformation distributions. The data indicated that between the functional maximum flexion and extension of the neck, the anterior points of the discs experienced large changes of distraction/compression deformation and shear deformation. The higher level discs experienced higher ranges of disc deformation. No significant difference was found in deformation ranges at posterior points of all the discs. The data indicated that the range of disc deformation is disc level dependent and the anterior region experienced larger changes of deformation than the center and posterior regions, except for the C6/7 disc. The data obtained from this study could serve as baseline knowledge for the understanding of the cervical spine disc biomechanics and for investigation of the biomechanical etiology of disc diseases. These data could also provide insights for development of motion preservation surgeries for cervical spine.

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