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A study of quadriceps excursion, torque, and the effect of patellectomy on cadaver knees

The Journal of Bone & Joint Surgery.  1985; 67:726-732 
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Abstract

Ten cadaver legs were mounted on a loading frame, and normal values for quadriceps excursion and tibial force were established with a constant quadriceps tension. The mean excursion of the quadriceps was 66.2 +/- 5.51 millimeters from zero to 90 degrees of knee flexion. After examining each 10-degree increment of motion we found that the maximum excursion of the quadriceps (9.49 +/- 1.35 millimeters) occurred between 30 and 40 degrees. The minimum excursion of 5.40 +/- 0.67 millimeters was found between 80 and 90 degrees of knee flexion. Incremental excursion of the quadriceps during 10-degree increments of knee flexion showed a correlation coefficient of 0.94 when compared with mean tibial torque (p less than 0.001). Patellectomy decreased excursion of the quadriceps to 51.3 +/- 1.30 millimeters from zero to 90 degrees of knee flexion. Torque was decreased by roughly 40 per cent of maximum from zero to 40 degrees of knee flexion.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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