Biomechanics of the knee: with application to the pathogenesis and the surgical treatment of osteoarthritis
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin [u.a.]
Springer
1984
|
| Ausgabe: | 2. ed., expanded and rev. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XVIII, 306 S. zahlr. Ill., graph. Darst. |
| ISBN: | 3540124896 0387124896 |
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Datensatz im Suchindex
| _version_ | 1804114716976480256 |
|---|---|
| adam_text | IMAGE 1
CONTENTS
CHAPTER I. AIMS AND LIMITATIONS OF THE WORK 1
CHAPTER II. REVIEW OF THE LITERATURE 3
CHAPTER III. METHODS 9
I. MATHEMATICAL ANALYSIS 9
II. EXPERIMENTS ON ANATOMICAL SPECIMENS 9
III. PHOTOELASTIC MODELS 10
A. THEORETICAL BASIS 11
B. HISTORICAL 11
C. APPLICATION AND LIMITATION OF THE PHOTOELASTIC TECH- NIQUE 12
IV. CLINICAL AND RADIOLOGICAL MATERIAL 12
CHAPTER IV. MECHANICS OF THE KNEE 15
I. LOAD AND MECHANICAL STRESSES 15
A. CONCEPT OF LOAD AND STRESSES. RIGID MODELS 15
B. ARTICULATED MODELS 18
1. FORCES 18
2. CONTACT STRESSES 20
II. MECHANICAL STRESS IN THE KNEE 22
A. FORCES EXERTED ON THE KNEE 22
1. FORCE EXERTED ON THE KNEE DURING SYMMETRICAL STANCE ON BOTH LEGS 22
2. FORCES EXERTED ON THE KNEE IN STANDING ON ONE LEG 24 A) CORONAL PLANE
24
B) SAGITTAL PLANE 26
3. FORCES EXERTED ON THE KNEE DURING GAIT 28
A) DISPLACEMENT OF THE CENTRE OF GRAVITY S 7 . .. 29
B) FORCES OF INERTIA DUE TO THE ACCELERATIONS OF S 7 33 C) FORCE P
EXERTED ON THE KNEE BY THE PARTIAL MASS S 7 OF THE BODY 36
D) POSITION IN SPACE OF POINT G WHICH LIES CENTRALLY ON THE AXIS OF
FLEXION OF THE KNEE 37
E) POSITION OF THE KNEE IN RELATION TO THE PARTIAL CENTRE OF GRAVITY S 7
43
F) DISTANCE A BETWEEN THE LINE OF ACTION OF FORCE P AND POINT G 46
XIII
IMAGE 2
G) MUSCULAR AND LIGAMENTOUS FORCES BALANCING
FORCE P 48
A) FORMULARIZATION 48
*) CALCULATION 51
Y) CRITICAL ANALYSIS OF THE CHOSEN SOLUTION . .. 52 H) CURVES
ILLUSTRATING THE FORCES TRANSMITTED ACROSS THE FEMORO-TIBIAL JOINT 56
I) PATELLO-FEMORAL COMPRESSIVE FORCE 58
B. WEIGHT-BEARING SURFACES OF THE JOINT 62
1. FEMORO-TIBIAL JOINT 62
A) TECHNIQUE 62
B) RESULTS 65
2. PATELLO-FEMORAL JOINT 70
C. CONTACT ARTICULAR STRESSES 71
1. FEMORO-TIBIAL JOINT 71
2. PATELLO-FEMORAL JOINT 73
III. CONCLUSION 73
CHAPTER V. THE PATHOMECHANICS OF OSTEOARTHRITIS OF THE KNEE 75
I. THEORETICAL ANALYSIS OF THE CAUSES OF KNEE OSTEOARTHRITIS 75 A.
MEDIAL DISPLACEMENT OF FORCE R 76
B. LATERAL DISPLACEMENT OF FORCE R 81
C. UNSTABLE KNEES 86
D. EVOLUTION OF THE MAXIMUM STRESS IN RELATION TO SEVERAL PARAMETERS 88
1. VARUS OR VALGUS DEFORMITY 89
A) MAGNITUDE AND LINE OF ACTION OF R 89
B) ARTICULAR COMPRESSIVE STRESSES 91
2. STRENGTHENING OR WEAKENING OF THE MUSCULAR FORCE L 94
3. CUMULATIVE EFFECT OF A CHANGE OF THE FORCE L AND A DEFORMITY OF THE
LEG 96
4. MODIFICATION OF FORCE P 100
5. HORIZONTAL DISPLACEMENT OF S 7 IN THE CORONAL PLANE 102 6. CONCLUSION
103
E. POSTERIOR DISPLACEMENT OF FORCE R 104
F. ANTERIOR DISPLACEMENT OF FORCE R 106
G. INCREASE OF THE PATELLO-FEMORAL COMPRESSIVE FORCE . . 107 H. LATERAL
DISPLACEMENT OF THE PATELLO-FEMORAL COMPRES- SIVE FORCE 108
II. RADIOGRAPHIC EXAMINATION OF THE OSTEOARTHRITIC KNEE WITH
DEMONSTRATION OF THE EFFECT OF CHANGES IN THE COMPRESSIVE FORCE ON THE
STRESS DISTRIBUTION 110
A. DEMONSTRATION OF JOINT STRESSES 110
1. A.-P. VIEW 110
2. LATERAL VIEW 113
3. TANGENTIAL VIEW 116
B. UTILITY OF X-RAYS IN THE STANDING POSITION 117
C. ARTHROGRAPHY 118
D. COMPUTERIZED AXIAL TOMOGRAPHY 119
XIV
IMAGE 3
III. THE USE OF PHOTOELASTIC MODELS TO ILLUSTRATE HOW THE POSI-
TION OF COMPRESSIVE FEMORO-TIBIAL AND PATELLO-FEMORAL FORCES AFFECTS THE
DISTRIBUTION OF ARTICULAR STRESSES . . . 121 A. FEMORO-TIBIAL JOINT 121
1. NORMAL LOAD, CENTRED 122
2. NORMAL LOAD, OFF CENTRE 123
3. INCLINED LOAD, CENTRED 126
4. INCLINED LOAD, OFF CENTRE 127
B. PATELLO-FEMORAL JOINT 128
1. DIRECTIONAL DISTRIBUTION OF THE STRESSES 128
2. QUANTITATIVE DISTRIBUTION OF THE STRESSES 130
IV. OSTEOARTHRITIS OF THE KNEE OF MECHANICAL ORIGIN 131
CHAPTER VI. INSTINCTIVE MECHANISMS WHICH REDUCE STRESS IN THE KNEE 133
I. EFFECTS OF LIMPING 133
II. USE OF A WALKING STICK 136
III. COMMENT AND CONCLUSION 137
CHAPTER VII. BIOMECHANICAL TREATMENT OF OSTEOARTHRITIS OF THE KNEE 139
I. RATIONALE OF BIOMECHANICAL TREATMENT 140
II. BIOMECHANICAL TREATMENT OF OSTEOARTHRITIS OF THE KNEE . . 141 A.
CORRECTION OF FLEXION CONTRACTURE 142
1. RATIONALE 142
2. OPERATIVE PROCEDURE 143
A) CAPSULOTOMY ALONE 143
B) CAPSULOTOMY ASSOCIATED WITH OTHER PROCEDURES 143 3. RESULTS 143
B. ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY . .. 144 1. RATIONALE
144
2. OPERATIVE PROCEDURES 146
A) ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY BY ELEVATING THE
TIBIAL CREST 146
B) ANTERIOR AND MEDIAL DISPLACEMENT OF THE TIBIAL TUBEROSITY 151
C) ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY COMBINED WITH UPPER
TIBIAL OSTEOTOMY . . .. 154 D) ANTERIOR DISPLACEMENT OF THE TIBIAL
TUBEROSITY COMBINED WITH OSTEOTOMY OF THE LOWER END OF
THE FEMUR 154
3. ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY AFTER PATELLECTOMY 155
4. CHANGES AT ARTHROSCOPY 156
C. RECENTRING THE LOAD 158
1. OSTEOARTHRITIS OF THE KNEE WITH A VARUS DEFORMITY 158 A) NECESSITY OF
OVERCORRECTING THE VARUS DEFORMITY 158 B) ACCURATE ESTIMATION OF
OVERCORRECTION 159
C) CHOICE OF PROCEDURE: TIBIAL OR FEMORAL OSTEO- TOMY? 162
XV
IMAGE 4
D) PREVIOUS OPERATIVE PROCEDURES 164
E) THE BARREL-VAULT-OSTEOTOMY FOR VARUS DEFORMITY 165 A) PLANNING 165
/?) INSTRUMENTS 168
Y) SURGICAL PROCEDURE 169
S) POSTOPERATIVE CARE 171
E) COMMENTS AND EXAMPLES 171
F) CASES REQUIRING A DEROTATION OF THE LEG . . .. 193
G) REVISIONS 197
A) REVISION AFTER UNDERCORRECTION 197
/?) REVISION AFTER EXAGGERATED OVERCORRECTION 202 H) THE EXCEPTIONS.
FEMORAL OSTEOTOMY FOR A VARUS DEFORMITY OF THE KNEE 209
A) PLANNING 209
*) SURGICAL PROCEDURE 210
Y) POSTOPERATIVE CARE 211
S) SECOND EXAMPLE 212
2. OSTEOARTHRITIS OF THE KNEE WITH VARUS AND FLEXION DEFORMITY 214
3. OSTEOARTHRITIS WITH A VALGUS DEFORMITY 218
A) NECESSITY OF OVERCORRECTION 218
B) CHOICE OF PROCEDURE: FEMORAL OR TIBIAL OSTEO- TOMY? 218
C) PREVIOUS TECHNIQUES 226
D) DISTAL FEMORAL OSTEOTOMY WITH FIXATION BY FOUR STEINMANN PINS AND TWO
COMPRESSION CLAMPS 227 A) PLANNING 227
/?) SURGICAL PROCEDURE 230
Y) POSTOPERATIVE CARE 231
5) COMMENTS AND EXAMPLES 231
E) DISTAL FEMORAL OSTEOTOMY COMBINED WITH ANTE- RIOR DISPLACEMENT OF THE
TIBIAL TUBEROSITY . . . 237 F) REVISIONS 240
A) REVISION AFTER EXAGGERATED OVERCORRECTION 240 /?) REVISION AFTER
MISCORRECTION 242
4. BILATERAL OSTEOARTHRITIS WITH A VALGUS DEFORMITY ON ONE SIDE AND A
VARUS DEFORMITY ON THE OTHER SIDE 244
5. OSTEOARTHRITIS WITH GENU RECURVATUM 246
6. OSTEOARTHRITIS OF THE KNEE DUE TO A DISTANT DEFORMITY 248 7.
RHEUMATOID ARTHRITIS 254
8. OSTEOARTHRITIS OF THE KNEE IN HAEMOPHILIACS . . .. 256 9.
OSTEONECROSIS OF THE MEDIAL CONDYLE OF THE FEMUR 258 10. WIDESPREAD
OSTEOARTHRITIS WITHOUT DEFORMITY . . . 260 11. HISTOLOGICAL CONFIRMATION
OF THE REGENERATIVE PROCESS 260 D. CRITICAL ANALYSIS OF PATELLECTOMY AND
OTHER PROCEDURES
ON THE PATELLA 262
1. STANDARD PATELLECTOMY 262
2. CORONAL PATELLECTOMY 264
3. SAGITTAL OSTEOTOMY OF THE PATELLA 266
E. OPERATIVE INDICATIONS 266
XVI
IMAGE 5
CHAPTER VIII. RESULTS 267
A. FEMORO-TIBIAL OSTEOARTHRITIS 269
1. OSTEOARTHRITIS WITH A VARUS DEFORMITY 271
A) VALGUS TIBIAL OSTEOTOMY 271
B) VALGUS FEMORAL OSTEOTOMY 273
2. OSTEOARTHRITIS WITH A VALGUS DEFORMITY 274
3. CORRECTION OF A DEFORMITY AT A DISTANCE FROM THE AF- FECTED KNEE 276
4. COMPLICATIONS AND UNSATISFACTORY RESULTS . . .. 278 5. CONCLUSIONS
279
B. PATELLO-FEMORAL OSTEOARTHRITIS 279
1. DIVISION OF THE LATERAL RETINACULUM 279
2. ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY . . 280 3.
COMPLICATIONS OF THE ANTERIOR DISPLACEMENT OF THE TIBIAL TUBEROSITY 282
4. CONCLUSIONS 283
CHAPTER IX. CONCLUSIONS 285
APPENDIX. REMARKS ABOUT THE ACCURACY OF THE CALCULATION OF FORCES AND
STRESSES IN THE KNEE JOINT 291
A. INTRODUCTION 291
1. THE WEIGHTS 291
2. FORMULARIZATION 292
3. THE LAWS 292
4. DIRECT PERSONAL MEASUREMENTS 292
B. ANALYSIS OF THE INFLUENCE OF THE VARIATION OF TIME BE- TWEEN TWO
SUCCESSIVE PHASES 293
C. INFLUENCE OF A SYSTEMATIC ERROR OF 10% IN ALL THE MEA- SUREMENTS OF
BRAUNE AND FISCHER 293
D. THEORY OF CUMULATED ERRORS, A VARIATION OF 0.2 MM BE- ING ASSUMED FOR
ALL THE MEASUREMENTS 294
E. INFLUENCE OF A VARIATION OF THE WEIGHT-BEARING SURFACES 296 F.
INFLUENCE OF AN ERROR IN ESTIMATING R 297
G. DIRECT MEASUREMENTS 298
H. CONCLUSION 298
REFERENCES 299
SUBJECT INDEX 305
XVII
|
| any_adam_object | 1 |
| author | Maquet, Paul G. J. 1928- |
| author_GND | (DE-588)172248418 |
| author_facet | Maquet, Paul G. J. 1928- |
| author_role | aut |
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| building | Verbundindex |
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| discipline | Medizin |
| edition | 2. ed., expanded and rev. |
| format | Book |
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| indexdate | 2024-07-09T15:11:03Z |
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| isbn | 3540124896 0387124896 |
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| physical | XVIII, 306 S. zahlr. Ill., graph. Darst. |
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| publisher | Springer |
| record_format | marc |
| spelling | Maquet, Paul G. J. 1928- Verfasser (DE-588)172248418 aut Biomécanique du genou Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis Paul G. J. Maquet 2. ed., expanded and rev. Berlin [u.a.] Springer 1984 XVIII, 306 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Pathomechanismus (DE-588)4173544-4 gnd rswk-swf Kniegelenkarthrose (DE-588)4208464-7 gnd rswk-swf Kniegelenk (DE-588)4031289-6 gnd rswk-swf Biomechanik (DE-588)4006880-8 gnd rswk-swf Osteoarthritis (DE-588)4172921-3 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf Kniegelenk (DE-588)4031289-6 s Biomechanik (DE-588)4006880-8 s DE-604 Pathomechanismus (DE-588)4173544-4 s Osteoarthritis (DE-588)4172921-3 s Chirurgie (DE-588)4009987-8 s Kniegelenkarthrose (DE-588)4208464-7 s 1\p DE-604 SWB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=000149298&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Maquet, Paul G. J. 1928- Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis Pathomechanismus (DE-588)4173544-4 gnd Kniegelenkarthrose (DE-588)4208464-7 gnd Kniegelenk (DE-588)4031289-6 gnd Biomechanik (DE-588)4006880-8 gnd Osteoarthritis (DE-588)4172921-3 gnd Chirurgie (DE-588)4009987-8 gnd |
| subject_GND | (DE-588)4173544-4 (DE-588)4208464-7 (DE-588)4031289-6 (DE-588)4006880-8 (DE-588)4172921-3 (DE-588)4009987-8 |
| title | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis |
| title_alt | Biomécanique du genou |
| title_auth | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis |
| title_exact_search | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis |
| title_full | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis Paul G. J. Maquet |
| title_fullStr | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis Paul G. J. Maquet |
| title_full_unstemmed | Biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis Paul G. J. Maquet |
| title_short | Biomechanics of the knee |
| title_sort | biomechanics of the knee with application to the pathogenesis and the surgical treatment of osteoarthritis |
| title_sub | with application to the pathogenesis and the surgical treatment of osteoarthritis |
| topic | Pathomechanismus (DE-588)4173544-4 gnd Kniegelenkarthrose (DE-588)4208464-7 gnd Kniegelenk (DE-588)4031289-6 gnd Biomechanik (DE-588)4006880-8 gnd Osteoarthritis (DE-588)4172921-3 gnd Chirurgie (DE-588)4009987-8 gnd |
| topic_facet | Pathomechanismus Kniegelenkarthrose Kniegelenk Biomechanik Osteoarthritis Chirurgie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=000149298&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT maquetpaulgj biomecaniquedugenou AT maquetpaulgj biomechanicsofthekneewithapplicationtothepathogenesisandthesurgicaltreatmentofosteoarthritis |