Patellofemoral contact forces and pressures during intramedullary tibial nailing

被引:40
作者
Devitt, AT [1 ]
Coughlan, KA [1 ]
Ward, T [1 ]
McCormack, D [1 ]
Mulcahy, D [1 ]
Felle, P [1 ]
McElwain, JP [1 ]
机构
[1] Meath Hosp, Dept Orthopaed Surg, Dublin, Ireland
关键词
Contact Force; Contact Pressure; Knee Pain; Lateral Facet; Proximal Tibia;
D O I
10.1007/s002640050216
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Patellofemoral joint forces and pressures were measured in a cadaver model during intramedullary nailing of the tibia. A significant increase in contact pressures was found at the lateral facet of the patellofemoral articulation using the medial paratendinous approach (P = 0.01) and at the medial facet when using the trans-patellar tendon approach (P = 0.001) to the proximal tibia. Increased contact pressures at the patellofemoral joint may result in chondral injury, which in turn may cause anterior knee pain, a common complication of tibial nailing.
引用
收藏
页码:92 / 96
页数:5
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