Modular knee megaendoprotheses are commonly used devices for distal femur or proximal tibia replacement in tumor surgery as well as for treatment of some periprosthetic fractures around a loose or failed total knee arthroplasty. Structural failures of the prosthesis are well-known postoperative complications and have been reported for various prosthesis types. In the majority of the cases, the ...

The experience with 142 below-knee amputations for vascular occlusive disease and/or diabetes mellitus in 133 patients has been reviewed. The program utilized Xenon(133) skin bloodflow measurement for the selection of amputation level, emphasized the use of the long posterior skin flap as an important part of surgical technique, and employed immediate postoperative prosthesis with accelerated r...

Prosthetic alignment is an important factor in the overall fit and performance of a lower-limb prosthesis. However, the association between prosthetic alignment and control strategies used by persons with transfemoral amputation to coordinate the movement of a passive prosthetic knee is poorly understood. This study investigated the biomechanical response of persons with transfemoral amputation...

INTRODUCTION: Total knee arthroplasty (TKA) has become a standard operative procedure to relieve pain and restore function in patients with osteoarthritis. Polyethylene (Pe) mobile bearing (MB) inserts have been developed to minimize implant wear, prolong prosthesis survival and evoke less anterior knee pain due to better self-alignment. The aim of this study was to compare the clinical, radiol...

The optimal design of human lower limb prostheses, in particular of knee devices, is fundamental in order to restore the lost functionality and aesthetic aspect of the amputee’s locomotion. Among all knee devices, the four-bar linkage is still the most widespread mechanism, since, despite its simplicity, it allows the prosthesis to be sufficiently stable and, at the same time, to replicate the ...

This paper presents a novel method for stance and swing phase detection employing Learning Vector Quantization (LVQ), using knee angle information only. The results show detection accuracy of 95.9% in stance phase and 83.9% in swing phase. The research concludes an efficient replacement of footswitch for phase detection. The work can directly lead to low cost speed adaptive transtibial prosthes...

the finite element method (fem) is one of advanced methods in modeling of solid mechanics used in the design and analyzing of prosthesis in the human body. one of the important factors in designing a femur (the linkage between basin and knee) which is under complicated stresses is to minimize the amount of the stress in the components of the prosthesis due to the body weight. in this research t...

Bilateral amputees who are fitted with standard full length prostheses find it difficult to walk fast or climb up and down stairs. Usually stubbies, or short prostheses with non-articulated rocker bottoms, are also provided, especially for geriatric amputees. An interchangeable system has been evolved which enables the same prosthesis to be used either as a full length prosthesis or as a stubby...

PURPOSE To review clinical results of total knee arthroplasty (TKA) in rheumatoid arthritis (RA) patients with large bone defects of the tibial condyle. METHODS Records of 33 knees in 27 women and 3 men aged 44 to 80 (mean, 63.6) years who underwent primary TKA for RA with large tibial bone defects were reviewed. 16 knees had peripheral defects extending to the bone cortex, whereas 17 knees h...

BACKGROUND Patellofemoral joint replacement is a successful treatment option for isolated patellofemoral osteoarthritis. However, results of later conversion to total knee replacement may be compromised by periprosthetic bone loss. Previous clinical studies have demonstrated a decrease in distal femoral bone mineral density after patellofemoral joint replacement. It is unclear whether this is d...