Modern prosthetic knee mechanisms.

The plethora of presently available prosthetic knee components can be divided into two groups based on how they are controlled: recent innovations that incorporate an onboard computer and the more familiar purely mechanical devices. These categories then can be subdivided into generic functional classes based on the degree of stance phase stability and swing phase responsiveness offered by each type of knee mechanism. This article summarizes the key advantages and limitations of available prosthetic knee systems and suggests a simple method to match the biomechanical capabilities of specific prosthetic knee components to the individual functional capabilities and goals of the person with an amputated limb.

[1]  Sylvia Lachmann,et al.  An assessment of the intelligent knee prosthesis , 1996 .

[2]  M. B. Taylor,et al.  A comparison of energy expenditure by a high level trans-femoral amputee using the Intelligent Prosthesis and conventionally damped prosthetic limbs , 1996, Prosthetics and orthotics international.

[3]  S Tashman,et al.  Swing phase control with knee friction in juvenile amputees , 1985, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[4]  Murray Mp,et al.  Gait patterns in above-knee amputee patients: hydraulic swing control vs constant-friction knee components. , 1983 .

[5]  T B Volatile,et al.  The Mauch hydraulic knee unit for above knee amputation. , 1985, Orthopedics.

[6]  S. Gard,et al.  The Influence of Four‐Bar Linkage Knees on Prosthetic Swing‐Phase Floor Clearance , 1996 .

[7]  C W Radcliffe The Knud Jansen Lecture: above-knee prosthetics. , 1977, Prosthetics and orthotics international.

[8]  Thomas Schmalz,et al.  Transfemoral Amputees Walking on a Rotary Hydraulic Prosthetic Knee Mechanism: A Preliminary Report , 1998 .

[9]  W D Spence,et al.  Energy cost of walking: comparison of "intelligent prosthesis" with conventional mechanism. , 1997, Archives of physical medicine and rehabilitation.

[10]  C W Radcliffe Four-bar linkage prosthetic knee mechanisms: Kinematics, alignment and prescription criteria , 1994, Prosthetics and orthotics international.

[11]  C. W. Radcliffe,et al.  Simulation of swing phase dynamics in above-knee prostheses. , 1976, Journal of biomechanics.