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Biomedical subjects

N Y Afoke

Publications and source records attributed to N Y Afoke.

4 recordsLinked to original sources

Tests on hypotheses about osteoarthritis and hip joints.

Hypotheses suggesting that hip joints which develop osteoarthritis are congruent, have a single area of peak pressure, and have peak pressure which exceeds normal values were tested. Of 100 hip joints examined on necropsy; two showed an early stage of osteoarthritis and the geometry and pressure distribution under load were assessed in these joints. One joint was congruent, in agreement with the hypotheses, but the other was incongruent. In both joints there were several areas of high pressure, the number and location of which depended on the orientation of the joint. The measured values of pressure in the congruent joint exceeded values found previously in normal hip joints. In the incongruent hip joint the peak pressures were within normal limits.

Aged↗

Contact pressures in the human hip joint.

The pressure distribution between the cartilaginous surfaces in the human hip joint was measured using pressure-sensitive film. Five cadaveric hip joints (aged between 58 and 87 years) were measured at three positions and loads, representing three instants in the stance phase of the walking cycle. The pressure distribution was not uniform, indicating that the cartilage did not, to any great extent, distribute the applied load. The maximum pressures recorded were about 10 MN/m2. The anterosuperior surface of the cartilage was identified as an area of high pressure.

Aged↗

The incongruous hip joint: a loading study.

Hip incongruency was studied by load-displacement and casting methods. Twenty-five joints were loaded in 5 different positions of the walking cycle. Seventeen of them had a space at the apex in all positions, while 3 were congruent at low loads, and the remaining 5 had femoral heads smaller than their acetabula. No trends with age were apparent.

Adult↗

The incongruous hip joint. A casting study.

A casting method for measuring the intra-articular space in the loaded hip is described. The results of tests on 22 hips from 22 cadavers show that the joint space is variable both in location and size and can disappear under light loads. It seems likely that the size and shape of the space influence how much access synovial fluid has for lubrication and nutrition.

Adult↗