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Wheeless' Textbook of Orthopaedics
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Knee Joint





- See:
      - Rolling and Gluiding Mechanism:
      - Gait:
- Discussion:
    - bones forming joint are femur, tibia, & patella;
    - two femurs converge toward the knee and each tibia is nearly vertical,
          femur & tibia meet angle of some 5-12 deg;
          - greater angle results in genu valgum;
          - lesser angle results in genu varum;
    - condyles:
          - femur ends in two rounded condyles joined anteriorly to from
              patellar articular surface and separated posteriorly by a deep
              intercondylar fossa;
          - condyles are almost in line w/ front of shaft, but they project
              backward well beyond shaft, as in letter J, circumstance of
              significance in movement of the joint;
          - medial condyle is larger, more curved, & projects further than
              lateral condyle, accounting for angle between femur & tibia;
          - sides of condyles are roughened and project somewhat as medial
              and lateral epicondyles;
    - tibial plateua:
          - on its expanded upper end, tibia has 2 slightly concave condyles
              separated by an intercondylar eminence and the sloping areas
              in front and behind it;
          - low elevation, tibial tuberosity, for insertion of quadriceps,
              is situated at the junction of anterior border of shaft with
              expanded upper end of the tibia;
    - patella:

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An evolutionary perspective of the knee

Limits of movement in the human knee. Effect of sectioning the posterior
  cruciate ligament and posterolateral structures.

Physeal arrest about the knee associated with non-physeal fractures in
  the lower extremity.

Reflex sympathetic dystrophy of the knee. Treatment using continuous
    epidural anesthesia

Clinical assessment of Maquet tibial tuberosity advancement.

Knee dysfunction secondary to dislocation of the fabella.

Isolated chondral fractures of the knee.

Degenerative arthritis of the knee secondary to fracture malunion

The role of arthroscopy in the treatment of postoperative fibroarthrosis
      of the knee joint.

Spontaneous osteonecrosis of the knee.

Knee ligament injuries in children.

Triple tenodesis of the knee. A soft-tissue operation for the
    correction of paralytic genu recurvatum.

Arthroscopic lavage and debridement for osteoarthritis of the knee.

Comparison of tibiofemoral joint forces during open-kinetic-chain and
      closed-kinetic-chain exercises.

The axes of rotation of the knee.





Original Text by Clifford R. Wheeless, III, MD.