Reproduction of in vivo motion using a parallel robot.

Although alterations in knee joint loading resulting from injury have been shown to influence the development of osteoarthritis, actual in vivo loading conditions of the joint remain unknown. A method for determining in vivo ligament loads by reproducing joint specific in vivo kinematics using a robotic testing apparatus is described. The in vivo kinematics of the ovine stifle joint during walking were measured with 3D optical motion analysis using markers rigidly affixed to the tibia and femur. An additional independent single degree of freedom measuring device was also used to record a measure of motion. Following sacrifice, the joint was mounted in a robotic/universal force sensor test apparatus and referenced using a coordinate measuring machine. A parallel robot configuration was chosen over the conventional serial manipulator because of its greater accuracy and stiffness. Median normal gait kinematics were applied to the joint and the resulting accuracy compared. The mean error in reproduction as determined by the motion analysis system varied between 0.06 mm and 0.67 mm and 0.07 deg and 0.74 deg for the two individual tests. The mean error measured by the independent device was found to be 0.07 mm and 0.83 mm for the two experiments, respectively. This study demonstrates the ability of this system to reproduce in vivo kinematics of the ovine stifle joint in vitro. The importance of system stiffness is discussed to ensure accurate reproduction of joint motion.

[1]  C E Henning,et al.  An in vivo strain gage study of elongation of the anterior cruciate ligament , 1985, The American journal of sports medicine.

[2]  S L Woo,et al.  Use of robotic technology for diathrodial joint research. , 1999, Journal of science and medicine in sport.

[3]  John Livernois,et al.  Truth or consequences: Enforcing pollution standards with self-reporting , 1999 .

[4]  D L Butler,et al.  In vivo forces in the anterior cruciate ligament: direct measurements during walking and trotting in a quadruped. , 1994, Journal of biomechanics.

[5]  K. Messner,et al.  Anterior Cruciate Ligament Reconstruction and the Long Term Incidence of Gonarthrosis , 1999, Sports medicine.

[6]  K. Benedetto,et al.  Long-term Outcome of Operative or Nonoperative Treatment of Anterior Cruciate Ligament Rupture -Is Sports Activity a Determining Variable? , 2001, International journal of sports medicine.

[7]  M. Strobel,et al.  Importance of Femoral Tunnel Placement in Double-Bundle Posterior Cruciate Ligament Reconstruction , 2006, The American journal of sports medicine.

[8]  S. Woo,et al.  Significance of changes in the reference position for measurements of tibial translation and diagnosis of cruciate ligament deficiency , 2000, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[9]  S Arai,et al.  The use of robotics technology to study human joint kinematics: a new methodology. , 1993, Journal of biomechanical engineering.

[10]  Takeshi Sekito,et al.  A novel robotic system for joint biomechanical tests: application to the human knee joint. , 2004, Journal of biomechanical engineering.

[11]  Harry E Rubash,et al.  Knee kinematics with a high-flexion posterior stabilized total knee prosthesis: an in vitro robotic experimental investigation. , 2004, The Journal of bone and joint surgery. American volume.

[12]  C Hurschler,et al.  Medially Based Anterior Capsular Shift of the Glenohumeral Joint , 2001, The American journal of sports medicine.

[13]  A. Anderson,et al.  Anterior Cruciate Ligament Reconstruction , 2001, The American journal of sports medicine.

[14]  B. Fleming,et al.  Factors influencing the output of an implantable force transducer. , 2000, Journal of biomechanics.

[15]  Scott Tashman,et al.  In-vivo measurement of dynamic joint motion using high speed biplane radiography and CT: application to canine ACL deficiency. , 2003, Journal of biomechanical engineering.

[16]  Janet L Ronsky,et al.  In vivo measurement of the dynamic 3-D kinematics of the ovine stifle joint. , 2004, Journal of biomechanical engineering.

[17]  L. Pinczewski,et al.  Long-term osteoarthritic changes in anterior cruciate ligament reconstructed knees. , 1999, Clinical orthopaedics and related research.

[18]  G A Livesay,et al.  A combined robotic/universal force sensor approach to determine in situ forces of knee ligaments. , 1996, Journal of biomechanics.

[19]  T P Andriacchi,et al.  A point cluster method for in vivo motion analysis: applied to a study of knee kinematics. , 1998, Journal of biomechanical engineering.

[20]  M. H. Pope,et al.  The measurement of anterior cruciate ligament strain in vivo , 2004, International Orthopaedics.

[21]  H. Roos,et al.  Knee ligament injury, surgery and osteoarthrosis. Truth or consequences? , 1994, Acta orthopaedica Scandinavica.

[22]  J L Lewis,et al.  A note on the application and evaluation of the buckle transducer for the knee ligament force measurement. , 1982, Journal of biomechanical engineering.

[23]  Guoan Li,et al.  Feasibility of using orthogonal fluoroscopic images to measure in vivo joint kinematics. , 2004, Journal of biomechanical engineering.

[24]  Braden C. Fleming,et al.  In Vivo Measurement of Ligament/Tendon Strains and Forces: A Review , 2004, Annals of Biomedical Engineering.

[25]  Reymond Clavel,et al.  Argos: A Novel 3-DoF Parallel Wrist Mechanism , 2000, Int. J. Robotics Res..

[26]  I Söderkvist,et al.  Determining the movements of the skeleton using well-configured markers. , 1993, Journal of biomechanics.