Most of the energy needed for ambulation is generated during the double support phase of walking. Knee flexion during push-off is crucial to maintain the walking velocity. Since users of an above-knee prosthesis have to stabilize the knee with the hip muscles, and regular knee mechanisms are not stable during flexion, this may cost a large effort. This paper deals with experimental findings of ...

Knee flexion to 24 degrees during early stance transforms kinetic energy into potential energy of a total center of mass (TCM) position. Flexion is controlled by the musculoligamentous apparatus. Reproduction of such flexion in a new single-axis prosthesis knee unit has minimized the metabolic energy cost to the patient by a more favorable use of gravity acting upon the prosthetic segments and ...

One hundred and three sequential Stanmore knee replacements were reviewed retrospectively on two occasions with a maximal follow-up period of nine years three months. This knee prosthesis, which is hinged, was successful in alleviating pain, stabilising an unstable knee and modestly increasing the arc of flexion. Walking capacity was increased and flexion contractures were reduced. There were s...

PURPOSE To compare the mid-term clinical outcomes in Indian patients after total knee arthroplasty (TKA) using a fixed- or mobile-bearing prosthesis. METHODS 120 consecutive patients (50 men and 70 women) aged 55 to 76 (mean, 63) years who had arthritis of the knee with similar deformity and range of motion were randomised to undergo TKA using a fixed- or mobile-bearing prosthesis. Patients w...

Over the past decades, the performance of the below-knee prosthesis has been significantly improved. However, below-knee amputees still experience many problems during locomotion. For example, they normally exhibit non-symmetric gait patterns, slower self-selected walking speeds, and higher gait metabolic rates compared to intact individuals. The objective of this project is to obtain both qual...

multiplanar or global laxity in arthritic knee is rare , most of this patients have neuromuscular disorder (post poliomyelitis , spinal dystrophy) or history of knee trauma. ligament insufficiency and severe bone loss is significant in this patient. the estimated prevalence for the concurrence of charcot marie-tooth (cmt) with myasthenia gravis (mg) suggests an extremely rare event. we have pre...

Yokenella regensburgei belongs to the family Enterobacteriaceae and is an opportunistic agent rarely associated with infections in humans. We report a case of osteoarticular knee infection caused by Y. patient under treatment for rheumatoid arthritis, using corticosteroids, complication primary total arthroplasty knee. was identified VITEK2 system. Antimicrobial susceptibility testing performed...

A magnetorheological knee prosthesis is presented that automatically adapts knee damping to the gait of the amputee using only local sensing of knee force, torque, and position. To assess the clinical effects of the user-adaptive knee prosthesis, kinematic gait data were collected on four unilateral trans-femoral amputees. Using the user-adaptive knee and a conventional, non-adaptive knee, gait...

BACKGROUND The single radius total knee prosthesis was introduced with the advantage of reduced patellar symptoms; however, there is no long-term follow-up study of the same. The purpose of this study was to determine the survival rate of single radius posterior-stabilized total knee arthroplasty and patellofemoral complication rates in a consecutive series. METHODS Seventy-one patients (103 ...