Novel approach to dynamic knee laxity measurement using capacitive strain gauges

Verfasser / Beitragende:
[Martin Zens, Philipp Niemeyer, Anke Bernstein, Matthias Feucht, Jan Kühle, Norbert Südkamp, Peter Woias, Herrmann Mayr]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2868-2875
Format:
Artikel (online)
ID: 605458170
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024 7 0 |a 10.1007/s00167-015-3771-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3771-9 
245 0 0 |a Novel approach to dynamic knee laxity measurement using capacitive strain gauges  |h [Elektronische Daten]  |c [Martin Zens, Philipp Niemeyer, Anke Bernstein, Matthias Feucht, Jan Kühle, Norbert Südkamp, Peter Woias, Herrmann Mayr] 
520 3 |a Purpose: Knee joint laxities are observed in patients after severe trauma to the joint, resulting in ligament tears. Specifically, injuries to the anterior cruciate ligament may cause a significant instability. The degree of these laxities is essential in diagnostics and may affect which treatment option is suggested. Methods: Polydimethylsiloxane (PDMS) strain gauges are proposed as a non-invasive, highly accurate and easy-to-use measurement method to quantify anterolateral and rotational laxities of the knee joint during active and passive motion. In this work, proof-of-concept measurements and a prototype of the proposed device are displayed. The measurements were taken using a knee test rig, which has specifically been designed for this purpose. This apparatus allows the simulation of isolated knee joint instabilities with a motor-controlled model of a human knee. Results: The absolute sensitivity $$\frac{{\Delta C}}{{\Delta l}}$$ Δ C Δ l of an exemplary sensor was determined to be 2.038 $$\frac{\text{pF}}{\text{mm}}$$ pF mm ; the relative sensitivity $$\frac{{\Delta C}}{\varepsilon }$$ Δ C ε was 1.121 $$\frac{\text{pF}}{\% }$$ pF % . Optimal positions of sensors to capture bone-to-bone displacement as projected displacement on the skin were identified. Conclusion: PDMS strain gauges are capable of measuring bone-to-bone displacements on the skin. We present an experimental in vitro study using an artificial knee test rig to simulate knee joint laxities and display the feasibility of our novel measurement approach. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Knee joint  |2 nationallicence 
690 7 |a Laxities  |2 nationallicence 
690 7 |a Strain gauges  |2 nationallicence 
690 7 |a ACL ruptures  |2 nationallicence 
690 7 |a Joint displacement measurement  |2 nationallicence 
690 7 |a Pivot shift  |2 nationallicence 
700 1 |a Zens  |D Martin  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Niemeyer  |D Philipp  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Bernstein  |D Anke  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Feucht  |D Matthias  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Kühle  |D Jan  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Südkamp  |D Norbert  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
700 1 |a Woias  |D Peter  |u Department of Microsystems Engineering (IMTEK), Albert-Ludwigs-Universität Freiburg, Georges-Koehler-Allee 102, 79110, Freiburg, Germany  |4 aut 
700 1 |a Mayr  |D Herrmann  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2868-2875  |x 0942-2056  |q 23:10<2868  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3771-9  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3771-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zens  |D Martin  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Niemeyer  |D Philipp  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bernstein  |D Anke  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Feucht  |D Matthias  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kühle  |D Jan  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Südkamp  |D Norbert  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Woias  |D Peter  |u Department of Microsystems Engineering (IMTEK), Albert-Ludwigs-Universität Freiburg, Georges-Koehler-Allee 102, 79110, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mayr  |D Herrmann  |u Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, 79106, Freiburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2868-2875  |x 0942-2056  |q 23:10<2868  |1 2015  |2 23  |o 167