Goodfellow J, O'Connor J
J Bone Joint Surg Br. 1978 Aug;60-B(3):358-69. doi: 10.1302/0301-620X.60B3.581081.
The mechanisms controlling and limiting movement and serving to transmit load between the femur and the tibia are discussed. Having accounted for the transmission of all components of force and couple across the joint and noted the load-bearing role of the menisci, some principles which might guide the design of knee prostheses are deduced. It is shown that current designs transgress some of these principles. An experimental prosthesis is then described, which incorporates analogues of the natural menisci. The possible practical application of this novel principle has been studied in cadaveric human joints and in living patients.
本文讨论了控制和限制运动以及在股骨和胫骨之间传递负荷的机制。在考虑了所有力和力矩分量通过关节的传递,并注意到半月板的承重作用之后,推导出了一些可能指导膝关节假体设计的原则。结果表明,目前的设计违背了其中一些原则。随后描述了一种实验性假体,它包含了天然半月板的类似物。这一新颖原则在尸体人类关节和活体患者中的可能实际应用已经得到研究。