This study of normal patello-femoral biomechanics defines some functional specifications which may be useful in future total knee prosthesis design. Serial lateral X-rays of 15 fresh knees and their patellar mechanisms at several flexion angles provided definition of the direction of the resolved patello-femoral forces. Assuming that the patella acts as a frictionless pulley, the magnitude of the patello-femoral forces during several activities was calculated using data from Morrison (1970) and Smidt (1973). It ranged between 421 and 3420 newtons for the various activities and for isometric exercise. A methylene blue contact print technique was used to measure the bearing areas. These data indicate that between 13 and 38 per cent of the patellar surface bears joint loadings. Patello-femoral contact stresses were calculated to range from 1.28 to 12.6 N/mm2. A 696 new-ton man climbing stairs would, for example, generate a patello-femoral force of 1754 newtons and would experience patello-femoral contact str...
[1]
P. Walker,et al.
The role of the menisci in force transmission across the knee.
,
1975,
Clinical orthopaedics and related research.
[2]
J B Morrison,et al.
The mechanics of muscle function in locomotion.
,
1970,
Journal of biomechanics.
[3]
D. Kettelkamp,et al.
Tibiofemoral contact area--determination and implications.
,
1972,
The Journal of bone and joint surgery. American volume.
[4]
J B Morrison,et al.
The mechanics of the knee joint in relation to normal walking.
,
1970,
Journal of biomechanics.
[5]
P S Walker,et al.
A new patella prosthesis. Design and application.
,
1975,
Clinical orthopaedics and related research.
[6]
G. Smidt.
Biomechanical analysis of knee flexion and extension.
,
1973,
Journal of biomechanics.