Review Article

Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review

Table 12

Overview over the biomechanical effects of KOA.

StudyAnalysisEffects

Chao et al. [70]Medical radiologyHKAA: ~178.8 deg for normal knee; <178 deg for MKOA patients

Paley [71]Medical radiologymLDFA: 85-90 deg for normal knee; >90 deg for MKOA patients
MPTA: 85-90 deg for normal knee; <85 deg for MKOA patients
JLCA: 0-2 deg for normal knee; >2 deg for MKOA patients
MAD: ~8 mm for normal knee; >8 mm for MKOA patients

Russell [50]Medical radiologyHKAA: ~177.7 deg for normal knee; ~174.2 deg for MKOA patients
WBL ratio: ~41.4% for normal knee; ~24.2% for MKOA patients
Medial joint apace: ~4.5 mm for normal knee; ~2.8 mm for MKOA patients
Lateral joint apace: ~5.5 mm for normal knee; ~7.9 mm for MKOA patients
KinematicsA lower knee flexion angle for MKOA patients
KineticsA higher knee adduction moment for MKOA patients
MusclesA lower quadriceps strength for MKOA patients

Zhu et al. [72]KinematicsA longer gait time, a smaller stride length and ROM, a greater knee flexion angle at heel strike, and an unobvious fluctuation of knee flexion angle in stand phase of walking for MKOA patients

Alzahrani [73]KinematicsA slower walking speed, a shorter step length, a longer stance, and double support time, and smaller cadence, stride length, and knee ROM for MKOA patients
MusclesThe medial and lateral muscle cocontraction was increased for KOA patients

Astephen et al. [74]KineticsA greater knee adduction moment in mid-stance for MKOA patients

Guo et al. [75]KineticsA greater peak adduction moment during stair climbing for MKOA patients

Rudolph et al. [76] and Schmitt and Rudolph [77]KineticsA smaller peak knee flexion moment during early and late stance phases for MKOA patients

Fitzgerald [78]KineticsA 4-6 deg increase in varus alignment could increase around 70-90% medial compartment load during single limb bearing

Lim et al. [79]KineticsGenu varum exceeding 5 deg was associated with greater functional deterioration over 18 months than the value of 5 deg or less
MusclesNo significant relationship between the varus malalignment and the EMG ratio of VM and VL

Kemp et al. [80]KineticsA 20% increase in the peak adduction moment could increase the KOA progression risk

Slemenda et al. [81], Hurley et al. [82], and Oreilly et al. [83]MusclesA smaller quadriceps strength and muscle activation for KOA patients

Hubley-Kozey et al. [84]MusclesThe medial and lateral muscle cocontraction was increased for KOA patients