Kinematics of hip,knee,ankle of the young and elderly Chinese people during kneeling activity

Objective:The purpose of this study was to measure the kinematics of the lower limbs of Chinese people during normal kneeling activity,as such data could be valuable in designing joint prosthesis and arthroplasty that meet the needs of Chinese citizens' daily activities.Methods:Thirty young and twenty elderly Chinese participants with no personal history of joint diseases were recruited,and matched by age(average age:23.8 years for the young group,60.8 years for the elderly group).Each participant performed six trials during which three-dimensional(3D) kinematics data were collected and the means of the 3D angles of the ankle,knee,and hip joints of two groups were calculated.Results:There were no obvious differences between the two groups in the knee and ankle joints.The mean range of knee flexion was 139.6° for the young group and 140.9° for the elderly group.The mean range of ankle flexion was 35.7° for the young group and 37.6° for the elderly group.The maximal eccentric flexion at the hip joint was 67.5° for the young group compared to 100.5° for the elderly group.Conclusions:The elderly uses more hip flexion angles than the young when assuming the kneeling posture.The ranges of motion obtained during kneeling activity are greater than the reported mean ranges of motion achieved following joint arthroplasty.The data could be valuable in establishing criteria for lower limb prosthetics and rehabilitation protocol for the Chinese population.

Motion performance and impingement risk of total hip arthroplasty with a simulation module

The present study introduced a new motion analysis method for total hip arthroplasty (THA). A motion simulation module of THA was designed and developed, which can simulate the THA’s implantation condition and motion and detect the theoretic range of motion (ROM) before the prosthetic component impingement happens.

Kinematics of hip,knee,ankle of the young and elderly Chinese people during kneeling activity

Objective:The purpose of this study was to measure the kinematics of the lower limbs of Chinese people during normal kneeling activity,as such data could be valuable in designing joint prosthesis and arthroplasty that meet the needs of Chinese citizens' daily activities.Methods:Thirty young and twenty elderly Chinese participants with no personal history of joint diseases were recruited,and matched by age(average age:23.8 years for the young group,60.8 years for the elderly group).Each participant performed six trials during which three-dimensional(3D) kinematics data were collected and the means of the 3D angles of the ankle,knee,and hip joints of two groups were calculated.Results:There were no obvious differences between the two groups in the knee and ankle joints.The mean range of knee flexion was 139.6° for the young group and 140.9° for the elderly group.The mean range of ankle flexion was 35.7° for the young group and 37.6° for the elderly group.The maximal eccentric flexion at the hip joint was 67.5° for the young group compared to 100.5° for the elderly group.Conclusions:The elderly uses more hip flexion angles than the young when assuming the kneeling posture.The ranges of motion obtained during kneeling activity are greater than the reported mean ranges of motion achieved following joint arthroplasty.The data could be valuable in establishing criteria for lower limb prosthetics and rehabilitation protocol for the Chinese population.

Value of transrectal ultrasonography for tumor node metastasis restaging in patients with locally advanced rectal cancer after neoadjuvant chemoradiotherapy

Objective:To explore the value of transrectal ultrasonography(TRUS)for tumor node metastasis(TNM)restaging for patients with locally advanced rectal cancer after neoadjuvant chemoradiotherapy(neo-CRT).Methods:One hundred and forty-nine patients with locally advanced rectal cancer(cT3-4 or cN+)who underwent TRUS after neo-CRT were retrospectively reviewed.TRUS restaging was compared with the results of post-operative pathological TNM findings.Results:After neo-CRT,the accuracy of TRUS for diagnosing T-staging was 30.9%,with 60.4%(90/149)of cases overestimated.The sensitivity of TRUS for T-staging(T0 vs T1 vs T2 vs T3 vs T4)were 16.3%,0%,12.5%,42.6%and 75.0%,respectively.The accuracy of TRUS for diagnosing N-staging after neo-CRT was 81.2%,with the sensitivities of N0 and N+were 93.3%and 31.0%,respectively.After neo-CRT,27.5%(41/149)of patients achieved pathologically complete response(pCR).The sensitivity,specificity,positive predictive value and negative predictive values of TRUS for pCR were 17.1%,99.1%,87.5%and 75.9%,respectively.Conclusions:TRUS can be applied for restaging T4 and N0,and has potential for screening out patients with pCR in those with locally advanced rectal cancer after neo-CRT,although some stages are overestimated for T-staging and its sensitivity for predicting pCR is low.