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Matt Oaks, JR101, Week 2

Matt Oaks, JR101, Week 2

AB
FlexionExtension Rotation
InternalExternal Rotation
VarusValgus Rotation
AnteriorPosterior Translation
MedialLateral Translation
PosteriorAnterior Translation
FIVAMP6 Degrees of Freedom
Mechanical AxisStraight line from Femoral Head to center of Ankle
Anatomical AxisTrue center line of the body bone structure, 2 mutually exclusive lines in lower extremities.
Functional Arc of Knee(Active), Average range of motion between 10-120 degrees
2 combined Axes for knee's Functional AxesTransepicondylar Axis in Femur and Longitudianl axed of Tibia
Relationship of insertion points of collateral liagements in the TEAthey are synonymous, imaginary line that connects the two ligaments
What is the “Clinical” TEA?connects the most prominent point of Medal (Volcano Rim) / Lateral epicondyles
Which Distal Femoral epicondyle has the SulcusMedial
Relationship of Whiteside's Line have to the TEAPerpendicular to the Surgical TEA
How do you draw Whiteside’s Line on the distal femur?Interior to Posterior, the deepest part of the trochanter grove to the center of the intercondylar notch.
T/F, the human knee has a natural medial pivot pointTrue
Does the normal human knee pivot medially or laterallyMedially
The Tibia rotate internally or externally as the knee extendsExternally
Tin-FlexTibia Flexion, Internal Rotation
Tex-ExTibai Extension, External Rotaion
Arcs of motion in the KneeScrew Home Arc, Deep Flexion Arc, Functional Arc
"Arc" Motion that is activeFunctional Arch
"Arc" Motion that are passiveScrew Home, Deep Flexion
Muscle group creates the extensor mechanism?Quadriceps
T/F, the patella decreases the lever arm of the extensor mechanism in knee joint?False
How does the tibial tubercle affect the extensor mechanism?Anchors the patella ligament if it was broken you wouldn’t be able to extend your leg
Moment ArmIn the sagittal plane, the distance between the quadriceps force in the knee joint and the flexion extension axis (TEA) can be referred to as being a *****.
Surgical "TEA"Only seen on C-T scan, Sulcus (low spot-on medial side only)
How many degrees of freedom are there in the Knee?6 (FIVAMP)
Single RadiusAllows less force on liagments
CircularLooking along the Functional Flexion Axis (Epicondylar Axis) posterior condyles from 10-120 degrees the condyles appear?
T/F,* Total stabilized (Bearing/Insert)- requires cement?True*
Triathlons full periphery locking, locking wire, and anti-rotation have demonstrated less ****** than other designs.Micromotion
Transepicondylar ligament insertions points?MCL & LCL
Extension GapSpace at distal femur and proximal tibia
T/F,** Posterior Condyle line is drawn in when the knee is flexed?True**
7 degree offset in Femur component allows for ***** and avoids ***** .Downsizing Notching
T/F,*** Tibial augments are size-specific and come in left medial/right lateral or right medial/left lateral configurations?True***
T/F,**** Screw Home position is the last 20 degrees of extension?True****
T/F,* There is 6 CR component inserts that match the CS sizes?False*
T/F,** Baseplate, Peg diameter is 7, all lengths are 1.6?False**
T/F,*** Baseplate Titanium foam thickness is 1.8mm thick?False***
T/F,***** For size 1-7, size incremental on Femoral components they are all less than or equal to 3?True*****
T/F,****** Triathlon TS augments can be used with Triathlon primary PS femur?True******
T/F,******* Size matching: one up, one down, e.g. size 5 femur with size 4 or 6 insert/baseplate?True*******


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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