Tibio-femoral joint contact in healthy and osteoarthritic knees during quasi-static squat A bi-planar X-ray analysis.pdfVIP
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Tibio-femoral joint contact in healthy and osteoarthritic knees during quasi-static squat A bi-planar X-ray analysis.pdf
Journal of Biomechanics 53 (2017) 178–184
Contents lists available at ScienceDirect
Journal of Biomechanics
journal homepage: /locate/jbiomech www.JB
Tibio-femoral joint contact in healthy and osteoarthritic knees during quasi-static squat: A bi-planar X-ray analysis
A. Zeighami a,n, R. Dumas b, M. Kanhonou a, N. Hagemeister a, F. Lavoie c, J.A. de Guise a, R. Aissaoui a
a Laboratoire de Recherche en Imagerie et Orthopédie (LIO), école de Technologie Supérieure (éTS), Centre de Recherche du CHUM, Montréal, Québec, Canada b Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, UMR_T9406, LBMC, F69622 Lyon, France c Department of Orthopedic Surgery, Centre Hospitalier de lUniversité de Montréal (CHUM), Montréal, Québec, Canada
article info
Article history: Accepted 13 January 2017
Keywords: Osteoarthritis In vivo tibio-femoral contact Bi-planar X-ray Squat Knee quasi-static kinematics
abstract
The aim of this study was to quantify the tibio-femoral contact point (CP) locations in healthy and osteoarthritic (OA) subjects during a weight-bearing squat using stand-alone biplanar X-ray images.
Ten healthy and 9 severe OA subjects performed quasi-static squats. Bi-planar X-ray images were recorded at 0°, 15°, 30°, 45°, and 70° of knee ?exion. A reconstruction/registration process was used to create 3D models of tibia, ?bula, and femur from bi-planar X-rays and to measure their positions at each posture. A weighted centroid of proximity algorithm was used to calculate the tibio-femoral CP locations. The accuracy of the reconstruction/registration process in measuring the quasi-static kinematics and the contact parameters was evaluated in a validation study.
The quasi-static kinematics data revealed that in OA knees, adduction angles were greater (po 0.01), and the femur was located more medially relative to the tibia (po0.01). Similarly, the average CP locations on the medial and lateral tibial plateaus of the OA patients were shifted (6.57 0.7 mm; po 0.01) and (9.67 3.1 mm
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