Three-dimensional kinematics and kinetics of total knee arthroplasty during level walking using single plane video-fluoroscopy and force plates: a pilot study

Gait Posture. 2006 Dec;24(4):475-81. doi: 10.1016/j.gaitpost.2005.12.012. Epub 2006 Feb 10.

Abstract

The goal of the study was to simultaneously obtain accurate kinematic and kinetic data from a total knee arthroplasty (TKA) during level walking, by coupling force plate data with the kinematics of TKA measured by a movable video-fluoroscopic system. Kinematic and kinetic information of a TKA is crucial for the improvement of implant designs and for the increased longevity of the implant components. Instrumented gait analysis, with skin mounted marker tracking and force plates, is a well-established method for the acquisition of kinematic and kinetic data of TKA in vivo and for non-invasive estimation of joint function. However, resultant moments at the knee joint are inaccurate with this method, due to skin movement artifacts. Video-fluoroscopy reduces these inaccuracies by means of the direct tracking of the implant components with X-ray. However this measuring technique carries disadvantages: it provides only kinematic data, and the image intensifier covers a limited field of view. This paper presents a newly developed measuring technique, which enables a more accurate resultant moments calculation for level walking than could be achieved by conventional instrumented gait analysis.

MeSH terms

  • Arthroplasty, Replacement, Knee*
  • Biomechanical Phenomena
  • Calibration
  • Fluoroscopy
  • Humans
  • Knee Prosthesis
  • Male
  • Pilot Projects
  • Rotation
  • Video Recording
  • Walking / physiology*