[Informed consent in nuclear medicine].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to P Gely.
Explore the source record for details and available documents.
Absolute locations of the main knee ligamentous structures' insertion sites on the femur, the tibia and the patella have been obtained for 30 knees originating from 18 fresh human cadavers. For each knee, the length of ten selected structures was deduced. These length data form the input of the statistical analysis presented in the paper. The correlations between the ligament lengths are presented. A comparison of the lengths from the left and right (laterality) knees of the same specimen is also done and shows no significant difference. The sex difference is also studied and does not seem to be a determinant parameter for the sample investigated. Prediction equations are proposed to estimate the ligament lengths for the knee in extension with respect to the three external parameters: height, weight and femoral condyle width. The menisco-femoral length, the patellar tendon length and the patellar length are not related to the external parameters and predictions are based on mean values. For the other six ligament lengths, the square multiple correlation coefficient with the external parameters ranges between 0.22 and 0.43. The condylar width is the most often used external parameter in these equations while the weight parameter is never present.
A new composite prosthesis was recently proposed for the anterior cruciate ligament. It is implanted in the femur and the tibia through two anchoring channels. Its intra-articular portion, composed of a fiber mesh sheath wrapped around a silicone rubber cylindrical core, reproduces satisfactorily the ligament response in tension. However, the prosthesis does not only undergo elongation. In addition, it is submitted to torsion in its intra-articular portion and bending at its ends. This paper presents a new method to evaluate these two types of deformations throughout a knee flexion by means of a geometric model of the implanted prosthesis. Input data originate from two sources: (i) a three-dimensional anatomic topology of the knee joint in full extension, providing the localization of the prosthesis anchoring channels, and ii) a kinematic model of the knee describing the motion of these anchoring channels during a physiological flexion of the knee joint. The evaluation method is independent of the way input data are obtained. This method, applied to a right cadaveric knee, shows that the orientation of the anchoring channels has a large effect on the extent of torsion and bending applied to the implanted prosthesis throughout a knee flexion, especially on the femoral side. The study suggests also the best choice for the anchoring channel axes orientation.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.