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Investigation of in-vivo total knee arthroplasty biomechanics using a dual fluoroscopic imaging system

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dc.contributor.advisor Guoan Li and Derek Rowell. en_US
dc.contributor.author Suggs, Jeremy F. (Jeremy Floyd), 1976- en_US
dc.contributor.other Massachusetts Institute of Technology. Dept. of Mechanical Engineering. en_US
dc.date.accessioned 2008-09-03T15:15:52Z
dc.date.available 2008-09-03T15:15:52Z
dc.date.copyright 2007 en_US
dc.date.issued 2007 en_US
dc.identifier.uri http://hdl.handle.net/1721.1/42297
dc.description Thesis (Sc. D.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering, 2007. en_US
dc.description Includes bibliographical references (p. 240-271). en_US
dc.description.abstract While contempary total knee arthroplasty has been successful in improving the quality of life for those suffering from severe osteoarthritis, the function of these patients has not reached normal levels for their age group. Thus, there is an increasing need to improve total knee arthroplasty techniques to allow patients to function normally. We currently have limited knowledge about how current knee arthroplasties behave in-vivo, but this information could be pivotal in designing new implants and surgical techniques. Therefore, the objective of this work was to develop the Dual Fluoroscopic Imaging System, a non-invasive imaging system capable of measuring in-vivo knee kinematics in all degrees of freedom. This system was used to investigate factors that may affect patient function after total knee arthroplasty. The feasibility of using kinematic data obtained using this system to analyze wear of the polyethylene insert was also explored The system was shown to be repeatable and accurate in determining the pose of the TKA components in all degrees of freedom. Six degree-of-freedom kinematics and articular contact motion were measured in-vivo. Data was obtained for patients with two typical classes of TKA, cruciate-retaining and cruciate-substituting, and the function of conventional implants was compared to that of more recent high flexion designs. In general, no differences were detected between these groups. Further, no factors such as age, weight, PCL management, or kinematics, were found to correlate with flexion capability. Future studies should investigate changes in knee structures from the preoperative state to the postoperative state. Preliminary estimates of polyethylene stresses suggested great potential in using the Dual Fluoroscopic Imaging System in developing a model of in-vivo polyethylene wear. en_US
dc.description.provenance Made available in DSpace on 2008-09-03T15:15:52Z (GMT). No. of bitstreams: 2 232358861.pdf: 23816638 bytes, checksum: 8500c40c296b784b15368b0cac6c129e (MD5) 232358861-MIT.pdf: 23816445 bytes, checksum: c0426d34b6aec028ecba8b67671c1d49 (MD5) Previous issue date: 2007 en
dc.description.statementofresponsibility by Jeremy F. Suggs. en_US
dc.format.extent 271 p. en_US
dc.language.iso eng en_US
dc.publisher Massachusetts Institute of Technology en_US
dc.rights M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. en_US
dc.rights.uri http://dspace.mit.edu/handle/1721.1/7582 en_US
dc.subject Mechanical Engineering. en_US
dc.title Investigation of in-vivo total knee arthroplasty biomechanics using a dual fluoroscopic imaging system en_US
dc.type Thesis en_US
dc.description.degree Sc.D. en_US
dc.contributor.department Massachusetts Institute of Technology. Dept. of Mechanical Engineering. en_US
dc.identifier.oclc 232358861 en_US

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