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Knee joint theory anatomy
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INTRODUCTION
Knee joint is complex structure in human body which undergoes critical loading simultaneously while performing different physical activities such as walking, running, in rotational motion, sitting, static positions etc. what we used to do in our day to day life. Major parts in a knee joint are femur, tibia, patella and meniscus. It has two articulation components one is in between tibia and femur and another in between femur and patella. Knee joint is a pivot hinge joint. It permits extension and flexion of leg with that rotation in both internal as well as external part. It‘s articular bodies are lateral and medial condyle were patella is present in the posterior region in between the lateral and medial condyle surfaces. Articular capsule of knee joints are the fibrous membrane and synovial membranes. Synovial membranes are those which are been attached near the cartilage of both tibia and femur. Cartilage is elastic thin tissue that acts as protection guard for bone and makes the joint surfaces. In knee joint there are two types of cartilages joint one is fibrous cartilage and other as hyaline cartilage. Fibrous cartilage has resistance to high pressure and has high tensile strength. A meniscus is the articular disk present in the knee joint, having two components i.e. medial and lateral meniscus.
Knee Prosthesis:
In the field of medicine prosthesis is defined as an artificial device which is replaced in the position of any defective body part or when any body part went missing because of trauma, disease or any congenital condition. Mainly two types of prosthesis are being used in i.e. craniofacial and somato (body). Craniofacial prosthesis is of two types i.e. extra oral prosthesis and intra prosthesis where as so...
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...ular Metal. It contains pores, the size of which makes this material very good for bone in-growth. In addition, Trabecular Metal has an elastic nature which aids bone remodeling.
6. Polyethylene: The tibial and patellar components in knee replacements are made of polyethylene. Wear is less of a problem in knee implants as the bearing surfaces are flatter and do not result in the same kind of wear. The use of Ultra Highly Cross Linked Polyethylene (UHXLPE) or Ultra High Molecular Weight Polyethylene (UHMWPE) reduces even the minimal wear enabling the knee implants to last for a much longer time.
Material Density Elastic Modulus
Cobalt-Chrome alloy ~8.5 g.cm^-3 7-30
316L Stainless Steel 8.0 g.cm^-3 230
CP Titanium 4.51 g.cm^-3 200
Ti6Al4V 4.40 g.cm^-3 106
Materials and method
1. Tools used :
• CAD software
• PRO/E modeling
• ANSYS (2008,2010,2012)
•
The most common knee injury in sports is damage to the anterior cruciate ligament (ACL) through tears or sprains. “They occur in high demand sports that involve planting and cutting, jumping with a poor landing, and stopping immediately or changing directions” (University of Colorado Hospital). The ACL is a ligament that runs diagonally in the middle of the knee and found at the front of the patellar bone. Its function involves controlling the back and forth motion of the knee, preventing the tibia from sliding out in front of the femur, and providing rational stability to the knee. Interestingly, women are more prone to ACL injuries than men. The occurrence is four to six times greater in female athletes.
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play sports such as football, basketball, skiing or soccer experience this injury.
To understand the importance of the ACL, the knee as a whole must be examined. The knee is formed by the femur, the tibia, and the patella. Several muscles and ligaments control the motion of the knee and protect it from damage at the same time. Ligaments are dense structures of connective tissue that fasten bone to bone and stabilize the knee. Two ligaments on either side of the knee, called the medial and lateral collateral ligaments, stabilize the knee from side-to-side. The ACL along with the posterior cruciate ligament are of a pair of ligaments in the center of the knee joint that form a cross. T...
J Orthop Sports Phys Ther 31; A-37. Nisell R. (1985) Mechanics of the knee: A study of joint and muscle load with clinical applications. Acta Orthop Scand 216; 1-42. Oatis C. (2009)
Rheumatoid arthritis is a chronic inflammatory and an autoimmune disease that occurs when the immune system mistakenly attacks the body’s tissue (Rheumatoid arthritis, 2017). This disease affects the entire body, which is called a systemic (means entire body) disease. Arthritis is derived from the word part arthr-, which means “joint,” and -itis, which means “inflammation,” so altogether it means “inflammation of the joints.” It creates inflammation that causes the tissue that lines the inside of joints (synovium) to thicken. About 1.5 million people in the U.S. are affected. It affects all races, but it affects three times as many women than men (What is Rheumatoid Arthritis, n.d.). Overtime, rheumatoid arthritis causes painful swelling that can potentially result in bone erosion or joint deformity, which leads up to physical disabilities. RA can affect more than just your joints, but can spread to body systems, skin, eyes, lungs, heart, blood vessels, e.t.c (Rheumatoid arthritis, 2017).
Osteoarthritis is the most common type of arthritis, it affects millions of people around the world. It is also known as Degenerative Joint Disease or Degenerative Arthritis or Wear & Tear Arthritis. Osteoarthritis occurs when the protective cartilage in the joints wear down over time. While osteoarthritis can affect any joint in your body, it more often is seen in the knees, hips, hands, neck, and lower back it worsens as you grow older and has no known cure.
Osteoarthritis is a degenerative joint condition that primarily affects the hands, spine and the ankles and hips. It is known to be associated with aging, and is concerned with the cartilage that protects the joints (the meeting place of two bones). Normal cartilage allows for bones to slide over each other uniformly, acting as a shock absorber to any damage. However cartilage in osteoarthritis, located at the ends of the bones erodes and deteriorates, causing friction and hence pain, swelling and restricted movement. Therefore in osteoarthritic both the composition and appearance of the cartilage alters, while the body attempts to repair this damaged cartilage is broken down faster than it can be built up. A defective repair process can cause bone overgrowth, bone spur/osteocytes to form which can be seen at the ends of the joints. In osteoarthritis the bones come in close contact with each other, and wear away leaving the bone exposed and unprotected.
Some ceramics are used in orthopaedic applications such as bone repair, bone augmentation and joint replacement but their use in this field is not as extensive or widespread as metals and polymers because ceramics have poor fracture toughness. This severely limits the use of ceramics in load bearing applications (Davis, 2003).
A broken bone is one of the worst and most painful injuries you can suffer. Broken bones can be caused by many different things such as falling on it or even a hard-twisting motion. Bones can be easily viewed as a solid, non-working part of our body where tissue just sits, but your skeletal system is as much a living part as your organs. Your body stores minerals in the compact bone, and stores fat in the yellow marrow. Your bone also has the ability to produce red blood cells in the inner part, the red marrow. Your bones can do many great things, including healing themselves. The process of healing themselves is complex and can take a lengthy period of time.
Anterior knee pain plagues the athletic community, the most common being runner’s knee or patellofemoral pain syndrome (PFPS). One point or another in an athlete’s career they have experienced this kind of pain. When comparing between male and female athletes and who has the higher chance of knee pain, female athletes have a higher prevalence than male athletes (Dolak KL). There are several different mechanisms of patellofemoral pain a few being: pes planus,an increased Q angle, weak, tight or an imbalance in the quadriceps or hip muscles. Recently in my clinic site as the spring sports such as, baseball, soccer and track and field the athlete’s perform a lot of squatting, running, and kneeling which load the patellofemoral joint. We are now starting to see several and treat several athletes with patellofemoral knee pain. Each of them experiencing the pain from a different mechanism. As an athletic trainer we want to treat not only the symptoms, but the mechanism of injury to prevent further injuries down the road. If patellofemoral pain syndrome is not properly treated it can develop into chronic diseases such as chondromalacia or arthritis, maybe eventually leading to a total knee plan. (Lee SE) Treatment while the athletes are young and symptoms aren’t severe is key to preventing further injury.
In order to understand how the menisci can be injured, you must understand the basic anatomy of the menisci and why they are important. The menisci are two oval (semilunar) fibrocartilages that deepen the articular facets of the tibia and cushion any stresses placed on the knee joint. They enhance the total stability of the knee, assist in the control of normal knee motion, and provide shock absorption against compression forces between the tibia and the femur (Booher, 2000). Articular cartilage covers the ends of the bones that make up the joint. The articular cartilage surface is a tough, very slick material that allows the surfaces to slide against one another without damage to either surface. This ability of the meniscus to spread out the force on the joint surfaces as we walk is important because it protects the articular cartilage from excessive forces occurring in any one area on the joint surface, leading to degeneration over time (Sutton, 1999).
These kinds of polymers have both some advantages and disadvantages. Although they are bioactive and biodegradable and provide high comppressive strength, Degradation of such polymers leads to undesired tissue response due to producing acid formation in degradation process. Metallic scaffolds are another method for bone repair and regenaration. They provide high compressive strength and enormous permanent strength. Metallic scaffolds are mainly made of titanium and talium metals. The main disadvantages of metallic scaffolds are not biodegradable and also discharge metal ions. Recent studies in metallic scaffolds mainly focus on biodegradable materials which can be used improve bioactivity of metals such as titanium.
Rheumatoid Arthritis is when the joints are chronically inflamed, which happens because it is an autoimmune disease which means that the immune system attacks the body tissues. Although Rheumatoid Arthritis mainly affects the joints, it can also affect other organs.
The musculoskeletal system is comprised of bones, joints, cartilage, tendons, ligaments, fascia and muscles. Together these body parts work to establish a framework that is the musculoskeletal system. This framework is what gives the body its shape, form, and figure. It stabilizes the body as well as supplies the structural support. The musculoskeletal body features not only provide a framework for your body but allows your ability to create movement. These movements are monitored by the musculoskeletal components which then determine your degree of flexibility. Overall the amount of energy your body uses comes almost entirely from these musculoskeletal functions. Which makes sense because it
Prosthetic limbs, one of the examples of physical enhancement, have improved to such an extent that the capabilities and...