CAS - Knee Replacement
The largest joint in the body, the knee is also one of
the most complex.
The knee may be described as a modified hinge joint, similar to the
hinge
on a door. However, the knee not only bends back and forth like a hinge,
it has a complex rotational component that occurs with flexion and
extension of the knee.
The knee is a major weight-bearing joint that is held together by
muscles, ligaments, and other important soft tissue. Cartilage is the
material inside
the joint that provides shock absorption to the knee during
weight-bearing activities such as walking or stair climbing.
Bones
The bones of the knee are the femur (thigh bone), tibia (shin bone) and
patella (kneecap). The femur and tibia meet to form a hinge with the
patella in front of these two bones protecting the joint. The patella
slides up and down in a groove in the femur (the femoral groove) as the
knee is bent and straightened.
Ligaments
Ligaments hold the knee together and give it stability. The medial
(inner) collateral ligament (MCL) and outer (lateral) collateral
ligament (LCL) limit sideways motion of the knee. The posterior and
anterior cruciate ligaments (PCL and ACL) limit forward motion of the
knee bones, keeping them stable.
Cartilage
Two structures known as menisci sit between the femur and the tibia and
act as cushions or shock absorbers for the knee. A torn meniscus is
often referred to as “torn cartilage.” Menisci are one of two types of
cartilage in the knee. The other type, articular cartilage, is a smooth
and very slick material that covers the end of the femur, the femoral
groove, the top of the tibia and the underside of the patella. This
articular cartilage allows the bones to move smoothly.
Tendons
Tendons connect muscle to knee. The quadriceps muscles on the front of
the thigh are connected to the top of the patella by the quadriceps
tendon, which covers the patella and becomes the patellar tendon. The
patellar tendon then attaches to the front of the tibia. The hamstring
muscles in the back of the leg attach to the tibia at the back of the
knee. The quadriceps muscles straighten the knee and the hamstring
muscles bend the knee.
Bones, ligaments, cartilage
and tendons all work together to build a healthy knee.
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3/24/2007
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