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Electronic Knee

May 31, 2004

Jen Christensen

Knee Replacement

The knee is a hinged joint that connects the lower end of the thighbone

(femur) with the upper shinbone (tibia) and the kneecap (patella). The joint

takes a lot of pressure during movement and is susceptible to injury.

Patients with knee pain and/or limited joint motion may be helped with

medications, lifestyle adjustments, physical therapy and mobility aids. When

treatments no longer help, or when knee pain becomes severe and

debilitating, doctors may recommend knee replacement surgery.

To perform a knee replacement, doctors make an incision into the leg. The

damaged part of the thighbone is removed. The end of the remaining bone is

reshaped to fit a new metal component, which is glued to the bone. Next, the

damaged portions of the shinbone and cartilage are removed and the end is

reshaped. A metal component is secured to the end of the shinbone. Then, a

plastic plate is attached to the metal part of the shinbone. Finally,

doctors cement a new plastic component under the kneecap.

According to the American Academy of Orthopaedic Surgeons, more than 300,000

knee replacements are performed annually in the U.S. The most common reason

for the surgery is osteoarthritis (wearing away of the cartilage that

cushions the joint). Other indications for knee replacement include

rheumatoid arthritis and post-traumatic arthritis (arthritis that develops

sometime after a serious joint injury).

Knee Replacement Failure

Knee replacement reduces pain and improves quality of life for about 90

percent of patients. For the majority of people, the new artificial knee

will last 15 years or more. Failure rates (i.e., loosening or breakage) for

knee replacements are about one percent/year. Activity levels and weight may

influence the longevity of a knee replacement. But in some cases, doctors

don¹t know why artificial knees fail.

The Electronic Knee

Researchers at Scripps Hospital are using new technology to gain a better

understanding of the different joint forces that may contribute to knee

failure. The electronic knee is a one-of-a-kind prosthesis fitted with extra

sensors inside the tibial (shinbone) portion of a slightly modified implant.

Tiny transducers sit on four posts sandwiched between two platforms. A tiny

microprocessor sits in the middle of the implant. Movement of the knee

changes the position of the four posts. The microprocessor records the

stresses or forces on the posts. Then, the information is transmitted

through a tiny antennae at the bottom of the implant to a special coil

placed around the leg. From there, the data is transmitted to a computer,

where it can be analyzed by investigators.

Currently, researchers are using the information from the electronic knee to

gain a better understanding about the nature of the forces during different

levels and types of activity. Investigators hope the data will help them

design better implants or make specific recommendations for rehabilitation

and activity levels after surgery.

http://www.hoinews.com/news/features/4/796587.html

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Very exciting idea, a!

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] Electronic Knee

Electronic Knee

May 31, 2004

Jen Christensen

Knee Replacement

The knee is a hinged joint that connects the lower end of the thighbone

(femur) with the upper shinbone (tibia) and the kneecap (patella). The

joint

takes a lot of pressure during movement and is susceptible to injury.

Patients with knee pain and/or limited joint motion may be helped with

medications, lifestyle adjustments, physical therapy and mobility aids.

When

treatments no longer help, or when knee pain becomes severe and

debilitating, doctors may recommend knee replacement surgery.

To perform a knee replacement, doctors make an incision into the leg.

The

damaged part of the thighbone is removed. The end of the remaining bone

is

reshaped to fit a new metal component, which is glued to the bone. Next,

the

damaged portions of the shinbone and cartilage are removed and the end

is

reshaped. A metal component is secured to the end of the shinbone. Then,

a

plastic plate is attached to the metal part of the shinbone. Finally,

doctors cement a new plastic component under the kneecap.

According to the American Academy of Orthopaedic Surgeons, more than

300,000

knee replacements are performed annually in the U.S. The most common

reason

for the surgery is osteoarthritis (wearing away of the cartilage that

cushions the joint). Other indications for knee replacement include

rheumatoid arthritis and post-traumatic arthritis (arthritis that

develops

sometime after a serious joint injury).

Knee Replacement Failure

Knee replacement reduces pain and improves quality of life for about 90

percent of patients. For the majority of people, the new artificial knee

will last 15 years or more. Failure rates (i.e., loosening or breakage)

for

knee replacements are about one percent/year. Activity levels and weight

may

influence the longevity of a knee replacement. But in some cases,

doctors

don¹t know why artificial knees fail.

The Electronic Knee

Researchers at Scripps Hospital are using new technology to gain a

better

understanding of the different joint forces that may contribute to knee

failure. The electronic knee is a one-of-a-kind prosthesis fitted with

extra

sensors inside the tibial (shinbone) portion of a slightly modified

implant.

Tiny transducers sit on four posts sandwiched between two platforms. A

tiny

microprocessor sits in the middle of the implant. Movement of the knee

changes the position of the four posts. The microprocessor records the

stresses or forces on the posts. Then, the information is transmitted

through a tiny antennae at the bottom of the implant to a special coil

placed around the leg. From there, the data is transmitted to a

computer,

where it can be analyzed by investigators.

Currently, researchers are using the information from the electronic

knee to

gain a better understanding about the nature of the forces during

different

levels and types of activity. Investigators hope the data will help them

design better implants or make specific recommendations for

rehabilitation

and activity levels after surgery.

http://www.hoinews.com/news/features/4/796587.html

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