In vivo Kinematics of the Knee after a Posterior Cruciate-Substituting Total Knee Arthroplasty: A Comparison between Caucasian and South Korean Patients

PURPOSE: This study compared in vivo kinematic differences between Caucasian and South Korean patients after a posterior-substituting total knee arthroplasty (PS-TKA). MATERIALS AND METHODS: In vivo motions of 9 Caucasian and 13 South Korean knees with a PS-TKA during weight bearing single leg lunge were determined using a dual fluoroscopic imaging technique. Normalized tibiofemoral condylar motions and articular contact locations were analyzed. RESULTS: Femoral condylar motions of the two groups showed a similar trend in anteroposterior translation, but the South Korean patients were more anteriorly positioned than the Caucasian patients at low flexion and maximal flexion angles in both medial and lateral compartments (p<0.05). Mediolateral femoral condyle translations were similar between the two groups. For tibiofemoral articular contact kinematics, the South Korean patients had significantly more anterior contact locations at the medial compartment at low flexion angles, and more lateral contact locations at the lateral compartment at 0° and 90° flexion compared to the Caucasian patients (p<0.05). The South Korean patients had significantly larger distances between the medial and lateral contact locations at 60° and 90° flexion compared to the Caucasian patients (p<0.05). CONCLUSIONS: The study revealed that while the Caucasian and South Korean knees had similar femoral condylar motions, after PS-TKA the South Korean patients showed different articular contact point kinematics compared to the Caucasian patients.

Human motion analysis: A review of its development and applications / 医用生物力学

Motion analysis is the science that quantitatively investigates human body movement. Motion analysis can help simplify human body motion when performing complex tasks, facilitate standardization of the movement and improve the efficiency of carrying out the tasks. Currently, motion analysis has been widely applied in many fields of the daily life, including medicine, sports science, rehabilitation, entertainment, etc. In clinics, motion analysis had been used in not only the diagnoses of various neuromusculoskeletal diseases and patient-specific treatment planning, but also in the evaluation of outcomes of medical devices such as orthopedic implants and rehabilitation equipment. Therefore, the development of accurate and user-friendly motion analysis techniques will greatly advance the orthopedic surgeries, rehabilitation applications, precision medicine and medical engineering research. This article briefly introduces the history of motion analysis science, typical motion capture technologies, and then discusses the clinical applications of contemporary motion analysis methods as well as its future development.