A Bio-Inspired Condylar Knee Joint for Knee Prosthetics

A Bio-Inspired Condylar Knee Joint for Knee Prosthetics

A.C. Etoundi R.J. Lock R. Vaidyanathan S.C. Burgess 

University of Bristol, Bristol, United Kingdom

Imperial College, London, United Kingdom

Page: 
213-225
|
DOI: 
https://doi.org/10.2495/DNE-V8-N3-213-225
Received: 
N/A
| |
Accepted: 
N/A
| | Citation

OPEN ACCESS

Abstract: 

This paper presents a novel bio-inspired condylar prosthetic knee joint developed at the University of Bristol. The bio-inspired condylar joint mimics the structure and biomechanics of the human knee joint. The joint contains an inverted parallelogram four-bar mechanism combined with a cam mechanism. The joint has a favourable mechanical advantage compared with a hinge joint. The joint is also compact and robust. An adultsized prototype joint has been designed and tested. The prototype joint contains a long cable for the ligaments with a mechanism for adjusting preload. Compared with other prosthetic joints, the condylar joint has the advantages that it is simple and closely mimics human biomechanics. This paper presents the design of the new artifi cial knee joint and some of the test results. The joint can be used in artifi cial legs and also for knee implants. A rapid prototyping procedure is also presented that enables a custom-sized prosthetic knee joint to be made very quickly and from just a few key dimensions. This process has the potential to improve the quality of surgical implants.

Keywords: 

Bio-inspired hinge joint, cruciate ligaments, four-bar mechanism, moving centre of rotation, prosthetic joint, rapid prototyping.

  References

[1] Murnaghan, J.M. & Hamer, A.J., Hip and knee replacement. Orthopaedic Surgery: Lower Limb, 28(10), pp. 508–513, 2010.

[2] Michael, J.W., Prosthetic knee mechanisms. Physical Medicine & Rehabilitation: State of the Art Reviews, 8, pp. 147–164, 1994.

[3] Etoundi, A.C., Vaidyanathan, R. & Burgess, S.C., A bio-inspired condylar hinge joint for mobile robots, Proceedings of the IEEE International Conference on Intelligent Robots and System, ed. N.M. Amato, IEEE/RSJ: San Francisco, pp. 4042–4047, 2011.

[4] Buckley, J.G., Spence, W.D. & Solomonidis, S.E., Energy cost of walking: comparison of “intelligent prosthesis” with conventional mechanism. Archives of Physical Medicine and Rehabilitation, 78, pp. 330–333, 1997. doi: http://dx.doi.org/10.1016/S0003-9993(97)90044-7

[5] Radcliffe, C. W., Above-knee prosthetics. Prosthetics and Orthotics International, 1, pp. 146– 160, 1977.

[6] ST&G Prosthetics Product Catalog 2010, available at http://www.fabtechsystems.com/skin1/images/pdfs/STNGcatalog_usa_web.pdf

[7] Otto Bock Modular Knee Joints Catalog 2003, available at http://www.ottobock.ca/cps/rde/xbcr/ob_us_en/knee_joints.pdf 

[8] Beijing P&O Technique Center Catalog 2008, available at http://www.bjpotc.com/upload/66304317.pdf

[9] Fu, F.H., Harner, C.D., Johnson, D.L., Miller, M.D. & Woo, S.L.Y., Biomechanics of knee ligaments. Journal of Bone & Joint Surgery, 75, pp. 1716–1727, 1993.

[10] Montgomery, S.C., Moorehead, J.D., Davidson, J. S., Lowe, D. & Dangerfi eld, P.H., A new technique for measuring the rotational axis pathway of a moving knee. The Knee, 5(4), pp. 289–295, 1998. doi: http://dx.doi.org/10.1016/S0968-0160(97)10029-1

[11] Rajendran, K., Mechanism of locking at the knee joint. Journal of Anatomy, 143, pp. 189–194, 1985.

[12] Wilson, D.R., Feikes, J.D. & O’Connor, J.J., Ligaments and articular contact guide passive knee fl exion. Journal of Biomechanics, 31, pp. 1127–1136, 1998. doi: http://dx.doi.org/10.1016/ S0021-9290(98)00119-5

[13] Moglo, K.E. & Shirazi-Adl, A., Cruciate coupling and screw-home mechanism in passive knee joint during extension-fl exion. Journal of Biomechanics, 38, pp. 1075–1083, 2005. doi: http:// dx.doi.org/10.1016/j.jbiomech.2004.05.033

[14] Wilson, D.R., Feikes, J.D., Zavatsky, A.B. & O’Connor, J.J., The components of passive knee movement are coupled to fl exion angle. Journal of Biomechanics, 33, pp. 465–473, 2000. doi: http://dx.doi.org/10.1016/S0021-9290(99)00206-7

[15] Imam, M.H. & Al-Shihri, M., Optimum topology of structural supports. Computers & Structures, 61, pp. 147–154, 1996. doi: http://dx.doi.org/10.1016/0045-7949(96)00087-9

[16] Wang, D., Optimal design of structural support positions for minimizing maximal bending moment. Finite Elements in Analysis and Design, 43, pp. 95–102, 2006. doi: http://dx.doi.org/

10.1016/j.fi nel.2006.07.004

[17] Ounpuu, S., The biomechanics of walking and running. Clinics in Sports Medicine, 13, pp. 843–863, 1994.

[18] Perry, J., Normal and pathologic gait. Atlas of Orthotics: Biomechanical Principles and Application, 2nd edn., American Academy of Orthopaedic Surgeons (AAOS): St Louis, pp. 76–111, 1985.

[19] Shelbourn, K.D. & Nitz, P., Accelerated rehabilitation after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine, 18, pp. 292–299, 1990. doi: http:// dx.doi.org/10.1177/036354659001800313

[20] Ohkoshi, Y., Yasuda, K., Kaneda, K., Wada, T. & Yamanaka, M., Biomechanical analysis of rehabilitation in the standing Position. The American Journal of Sports Medicine, 19, pp. 605–611, 1991. doi: http://dx.doi.org/10.1177/036354659101900609

[21] Bynum, E.B., Barrack, R.L. & Alexander, A.H., Open versus closed chain kinetic exercises after anterior cruciate ligament reconstruction. A prospective randomized study. The 

American Journal of Sports Medicine, 23, pp. 401–406, 1995. doi: http://dx.doi.org/10.1177/ 036354659502300405

[22] Zatsiorsky, V., Kinematics of human motion (Chapter 5). Kinematics of Individual Joints, ed. V. Zatsiorsky, Human Kinetics: Pennsylvania, pp. 282–285, 1998.

[23] Wilson, D.R., Feikes, J.D., Zavatsky, A.B. & O’Connor, J.J., The components of passive knee movement are coupled to fl exion angle. Journal of Biomechanics, 33, pp. 465–473, 2000. doi: http://dx.doi.org/10.1016/S0021-9290(99)00206-7

[24] LINK® Endo-Model Rotational Knee System, available at http://www.presearch.co.uk/assets/ newsplint/products/brochures/821005/Endo_Rotational_Knee_Implants_and_Instruments.pdf [25] Biomet - Oxford Partial Knee, available at http://www.biomet.com/orthopedics/getFile. cfm?id=2857&rt=inline

[26] Csintalan, R.P., Schulz, M.M., Woo, J., McMahon, P.J. & Lee, T.Q., Gender differences in patellofemoral joint biomechanics. Clinical Orthopaedics and Related Research, 402, pp. 260–

269, 2002. doi: http://dx.doi.org/10.1097/00003086-200209000-00026

[27] Kirby, H., Shurman, J.R., Greene, K., McCarthy, J., Moskal, J., Hoeman, T. & Mont, M.A., Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. Journal of Bone & Joint Surgery, 85, pp. 115–122, 2003. 

[28] Burton, T.M.W., Vaidyanathan, R., Burgess, S.C., Turton, A.J. & Melhuish, C., Sensitivity Analysis of a Parametric Hand Exoskeleton Designed to Match Natural Human Grasping Motion. Proceedings of TAROS, pp. 390–401, 2012.

[29] Chua, C.K., Leong, K.F. & Lim, C.S., Rapid prototyping: principles and applications – 3rd edn. (Chapter 7). Applications and Examples, World Scientifi c Publishing Company Incorporated, pp. 360–395, 2010.

[30] Siston, R.A., Giori, N.J., Goodman, S.B. & Delp, S.L., Surgical navigation for total knee arthroplasty: a perspective, Journal of Biomechanics, 40, pp. 728–735, 2007. doi: http://dx.doi. org/10.1016/j.jbiomech.2007.01.006

[31] Chauhan, S.K., Scott, R.G., Breidahl, W. & Beaver, R.J., Computer-assisted knee arthroplasty versus a conventional jig-based technique - A randomised, prospective trial. Journal of Bone & Joint Surgery, 86, pp. 372–377, 2004. doi: http://dx.doi.org/10.1302/0301-620X.86B3.14643

[32] Hart, R., Janecek, M., Chaker, A. & Bucek, P., Total knee arthroplasty implanted with and without kinematic navigation. International Orthopaedics, 27, pp. 366–369, 2003. doi: http:// dx.doi.org/10.1007/s00264-003-0501-6