A. Sahlstrom et al., GROUND REACTION FORCE AND ITS MOMENT WITH RESPECT TO THE KNEE-JOINT CENTER IN A TOTAL CONDYLAR ARTHROPLASTY SERIES, Clinical biomechanics, 9(2), 1994, pp. 125-129
In a group of patients with rheumatoid arthritis (n = 5) and osteoarth
rosis (n = 3) who had had 12 total condylar knee arthroplasties a new
technique for assessment of ground reaction forces was used. This tech
nique graphically displays force vectors superimposed in real time on
a video recording of the subject walking. We found that this new techn
ique could assess reliably moments of the ground reaction force vector
s with respect to the centre of the knee joint. Four patients had bila
teral total condylar knee arthroplasty. All patients were subjectively
satisfied with their operations and had neither radiographic nor clin
ical signs of loosening. Considerable moments were found in the dorsal
part of the medial tibiofemoral compartment. These moments increased
with extension deficits and varus angles. The size of these moments we
re consistent with earlier findings of increased bone strengths in the
same compartment as the biological answer to stress demands and earli
er studies of moment after total condylar knee arthroplasty.