A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: O. M. Herve et al.
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| Title: | A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: O. M. Herve et al. |
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| Authors: | Herve, Ophelie M.1 (AUTHOR), Flanagan, Will1 (AUTHOR), Kanetis, Jake1 (AUTHOR), Mooney, Bailey2 (AUTHOR), Kremen, Thomas J.2 (AUTHOR), McAllister, David R.2 (AUTHOR), Clites, Tyler R.1,2,3 (AUTHOR) clites@ucla.edu |
| Source: | Annals of Biomedical Engineering. Jan2025, Vol. 53 Issue 1, p193-206. 14p. |
| Subjects: | Knee joint, Anterior cruciate ligament injuries, Ligament injuries, Sports injuries, Knee injuries, Knee |
| Abstract: | Knee ligament injury is among the most common sports injuries and is associated with long recovery periods and low return-to-sport rates. Unfortunately, the mechanics of ligament injury are difficult to study in vivo, and computational studies provide limited insight. The objective of this study was to implement and validate a robotic system capable of reproducing natural six degree-of-freedom clamped-kinematic trajectories on human cadaver knees (meaning that positions and orientations are rigidly controlled and resultant loads are measured). To accomplish this, we leveraged the field's recent access to high-fidelity bone kinematics from dynamic biplanar radiography (DBR), and implemented these kinematics in a coordinate frame built around the knee's natural flexion–extension axis. We assessed our system's capabilities in the context of ACL injury, by moving seven cadaveric knee specimens through kinematics derived from walking, running, drop jump, and ACL injury. We then used robotically simulated clinical stability tests to evaluate the hypothesis that knee stability would be only reduced by the motions intended to injure the knee. Our results show that the structural integrity of the knee was not compromised by non-injurious motions, while the injury motion produced a clinically relevant ACL injury with characteristic anterior and valgus instability. We also demonstrated that our robotic system can provide direct measurements of reaction loads during a variety of motions, and facilitate gross evaluation of ligament failure mechanisms. Clamped-kinematic robotic evaluation of cadaver knees has the potential to deepen understanding of the mechanics of knee ligament injury. [ABSTRACT FROM AUTHOR] |
| Copyright of Annals of Biomedical Engineering is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
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| Header | DbId: egs DbLabel: Engineering Source An: 182565047 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: O. M. Herve et al. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Herve%2C+Ophelie+M%2E%22">Herve, Ophelie M.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Flanagan%2C+Will%22">Flanagan, Will</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kanetis%2C+Jake%22">Kanetis, Jake</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mooney%2C+Bailey%22">Mooney, Bailey</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kremen%2C+Thomas+J%2E%22">Kremen, Thomas J.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAllister%2C+David+R%2E%22">McAllister, David R.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clites%2C+Tyler+R%2E%22">Clites, Tyler R.</searchLink><relatesTo>1,2,3</relatesTo> (AUTHOR)<i> clites@ucla.edu</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Annals+of+Biomedical+Engineering%22">Annals of Biomedical Engineering</searchLink>. Jan2025, Vol. 53 Issue 1, p193-206. 14p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Knee+joint%22">Knee joint</searchLink><br /><searchLink fieldCode="DE" term="%22Anterior+cruciate+ligament+injuries%22">Anterior cruciate ligament injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Ligament+injuries%22">Ligament injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Sports+injuries%22">Sports injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Knee+injuries%22">Knee injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Knee%22">Knee</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Knee ligament injury is among the most common sports injuries and is associated with long recovery periods and low return-to-sport rates. Unfortunately, the mechanics of ligament injury are difficult to study in vivo, and computational studies provide limited insight. The objective of this study was to implement and validate a robotic system capable of reproducing natural six degree-of-freedom clamped-kinematic trajectories on human cadaver knees (meaning that positions and orientations are rigidly controlled and resultant loads are measured). To accomplish this, we leveraged the field's recent access to high-fidelity bone kinematics from dynamic biplanar radiography (DBR), and implemented these kinematics in a coordinate frame built around the knee's natural flexion–extension axis. We assessed our system's capabilities in the context of ACL injury, by moving seven cadaveric knee specimens through kinematics derived from walking, running, drop jump, and ACL injury. We then used robotically simulated clinical stability tests to evaluate the hypothesis that knee stability would be only reduced by the motions intended to injure the knee. Our results show that the structural integrity of the knee was not compromised by non-injurious motions, while the injury motion produced a clinically relevant ACL injury with characteristic anterior and valgus instability. We also demonstrated that our robotic system can provide direct measurements of reaction loads during a variety of motions, and facilitate gross evaluation of ligament failure mechanisms. Clamped-kinematic robotic evaluation of cadaver knees has the potential to deepen understanding of the mechanics of knee ligament injury. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Annals of Biomedical Engineering is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10439-024-03624-8 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 14 StartPage: 193 Subjects: – SubjectFull: Knee joint Type: general – SubjectFull: Anterior cruciate ligament injuries Type: general – SubjectFull: Ligament injuries Type: general – SubjectFull: Sports injuries Type: general – SubjectFull: Knee injuries Type: general – SubjectFull: Knee Type: general Titles: – TitleFull: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: A Robotic Clamped-Kinematic System to Study Knee Ligament Injury: O. M. Herve et al. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Herve, Ophelie M. – PersonEntity: Name: NameFull: Flanagan, Will – PersonEntity: Name: NameFull: Kanetis, Jake – PersonEntity: Name: NameFull: Mooney, Bailey – PersonEntity: Name: NameFull: Kremen, Thomas J. – PersonEntity: Name: NameFull: McAllister, David R. – PersonEntity: Name: NameFull: Clites, Tyler R. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00906964 Numbering: – Type: volume Value: 53 – Type: issue Value: 1 Titles: – TitleFull: Annals of Biomedical Engineering Type: main |
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