In vivo articular contact pattern of a total wrist arthroplasty design

被引:3
作者
Akhbari, Bardiya [1 ,2 ]
Morton, Amy M. [3 ,4 ]
Shah, Kalpit N. [3 ,4 ]
Molino, Janine [3 ,4 ]
Moore, Douglas C. [3 ,4 ]
Weiss, Arnold -Peter C. [3 ,4 ,5 ,6 ]
Wolfe, Scott W. [7 ,8 ]
Crisco, Joseph J. [1 ,2 ,3 ,4 ]
机构
[1] Brown Univ, Ctr Biomed Engn, Providence, RI 02912 USA
[2] Brown Univ, Sch Engn, Providence, RI 02912 USA
[3] Brown Univ, Dept Orthoped, Warren Alpert Med Sch, Providence, RI 02903 USA
[4] Rhode Isl Hosp, 1 Hoppin St,CORO West,Suite 404, Providence, RI 02903 USA
[5] Brown Univ, Warren Alpert Med Sch, Dept Orthopaed, Div Hand Upper Extrem & Microvasc Surg, Providence, RI 02912 USA
[6] Rhode Isl Hosp, Providence, RI 02912 USA
[7] Hosp Special Surg, Hand & Upper Extrem Ctr, New York, NY 10021 USA
[8] Cornell Univ, Weill Med Coll, New York, NY 10021 USA
基金
美国国家卫生研究院;
关键词
Contact; Total wrist arthroplasty; Pattern; Wrist; Distance field; TOTAL HIP-REPLACEMENT; BIOMECHANICAL ANALYSIS; KINEMATICS; ARTHRITIS; MECHANICS; IMPLANT; INTACT; LUNATE; JOINT; ROW;
D O I
10.1016/j.jbiomech.2021.110420
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Total wrist arthroplasty (TWA) designs suffer from relatively high complication rates when compared to other arthroplasties. Understanding the contact pattern of hip and knee replacement has improved their design and function; however, the in vivo contact pattern of TWA has not yet been examined and is thus the aim of this study. We hypothesized that the center of contact (CoC) is located at the geometric centers of the carpal component and radial component in the neutral posture and that the CoC moves along the principal arcs of curvature throughout primary anatomical motions. Wrist motion and implant kinematics of six patients with the Freedom (R) total wrist implant were studied during various tasks using biplanar videoradiography. The location of the CoC of the components was investigated by calculating distance fields between the articular surfaces. We found the CoC at the neutral posture was not at the geometric centers but was located 3.5 mm radially on the carpal component and 1.2 mm ulnarly on the radial component. From extension to flexion, the CoC moved 10.8 mm from dorsal to volar side on the carpal component (p < 0.0001) and 7.2 mm from volar to dorsal on the radial component (p = 0.0009). From radial to ulnar deviation, the CoC moved 12.4 mm from radial to ulnar on the carpal component (p < 0.0001), and 5.6 mm from ulnar to radial on the radial component (p = 0.009). The findings of this study may eventually improve TWA success by advancing future designs through a more accurate understating of their kinematic performance in vivo. (C) 2021 Elsevier Ltd. All rights reserved.
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页数:10
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