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Theses/Dissertations

Clemson University

Total knee replacement

Articles 1 - 4 of 4

Full-Text Articles in Biomedical Engineering and Bioengineering

Variations In Surgeon-Applied Loads During Passive Range Of Motion Following Total Knee Replacement With Relevance To Computational Modeling, Cj Bakle Ii Jun 2022

Variations In Surgeon-Applied Loads During Passive Range Of Motion Following Total Knee Replacement With Relevance To Computational Modeling, Cj Bakle Ii

All Theses

Total knee replacement (TKR) is generally considered a successful treatment for musculoskeletal disorders of the knee. However, as many as 20% of patients report some dissatisfaction in their physical function after TKR. And approximately 50% of early revisions needed to address conditions related to component alignment and soft tissue tension to stabilize the knee. During TKR, surgeons manually perform passive range of motion (ROM) assessments to gain feedback perceived as tension in ligaments and other soft tissues. Such assessments are highly subjective and rely on the surgeon's perception of soft tissue tension rather than quantitative objective means. The variability in …


Post-Market Surveillance Of Total Knee Replacement Combining Clinical Outcomes And Quantitative Image Processing Techniques, Leah Nunez May 2013

Post-Market Surveillance Of Total Knee Replacement Combining Clinical Outcomes And Quantitative Image Processing Techniques, Leah Nunez

All Theses

Total knee replacement (TKR) is a successful procedure for the relief of pain, correction of deformity, and restoration of function in patients with knee arthritis.1-3 In the United States, the number of primary TKR surgeries performed in 2030 is projected to be between 2,938,000 to 4,136,000 and revision surgeries between 193,000 to 381,000.4 Osteolysis, pain, and aseptic loosening are the most common causes of revision TKR surgery.5 The purpose of this thesis is to complete assessments for post-market surveillance of total knee replacement (TKR) targeting areas for improving polymer bearings through evaluation of clinical outcomes and analysis of prosthesis retrieved …


Evaluation Of A Bisphosphonate Enriched Ultra-High Molecular Weight Polyethylene For Enhanced Total Joint Replacement Bearing Surface Functionality, Cassandra Wright-Walker May 2012

Evaluation Of A Bisphosphonate Enriched Ultra-High Molecular Weight Polyethylene For Enhanced Total Joint Replacement Bearing Surface Functionality, Cassandra Wright-Walker

All Dissertations

Each year in the United States there is an increasing trend of patients receiving total joint replacement (TJR) procedures. Approximately a half million total knee replacements (TKRs) are performed annually in the United States with increasing prevalence attributed to baby-boomers, obesity, older, and younger patients. This trend is also seen for total hip replacements (THRs) as well. The use of ultra high molecular weight polyethylene (UHMWPE) inserts in TJRs results in wear particle-induced osteolysis, which is the predominant cause for prosthesis failure and revision surgery. Sub-micron size particle generation is inevitable despite the numerous efforts in improving this bearing material. …


Surface Damage In Retrieved Total Knee Replacement Femoral Components, Estefania Alvarez May 2012

Surface Damage In Retrieved Total Knee Replacement Femoral Components, Estefania Alvarez

All Dissertations

The metallic femoral components of total knee replacements are subject to in vivo surface damage and roughening that can severely limit the service lifetime of the bearing system. To date, there are no national standards by which to characterize the severity and damage modes of these critical bearing surfaces, and therefore it remains difficult to accurately assess how femoral damage influences total joint replacement bearing longevity. In vitro and in vivo studies have shown that severe surface damage of the femoral component can occur, however, there is still no defined test methodology that can identify or replicate the types of …