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Influence of Meniscal Attachments Placement on Articular Stress Deterioration |
YAO Jie1, NIU Wen-xin1, Cheung Jason Tak-Man2, ZHANG Ming3, FAN Yu-bo1,4 |
1. Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering,Beihang University, Beijing 100191, China; 2. Li Ning Sports Science Research Center, Beijing 101100, China; 3. Department of Health Technology and Informatics, Hong Kong Polytechnic University, Hong Kong; 4. State Key Laboratory of Virtual Reality Technology and Systems, Beihang University, Beijing 100191, China |
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Abstract Meniscal attachments provide constraint for meniscus and contribute to knee stability. However, the influence of attachments placement on articular mechanical environment remains unclear. The present study aims to characterize the stress deterioration caused by abnormal attachment locations. Different placement of medial meniscal attachments were analyzed with a three-dimensional(3D) finite element (FE) model of knee joint. The articular stress distribution under compressive loadings indicates that abnormal placement of medial meniscal attachments could cause stress deterioration in meniscus and tibia plateau, which may increase the risk of OA. The influence of PMMA relocation was more severe than that of AMMA. The anterior displacement of both AMMA and PMMA could decrease the tibial contact area and therefore weakening the meniscal function of loading transmission. The present study provides an insight into the biomechanical character of meniscal attachments and may help improving the meniscal transplantation in the future.
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Received: 05 October 2018
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Fund:National Natural Science Foundation of China; grant number: 10925208, 1120101001; grant sponsor: National Basic Research Program of China; grant number: 2011CB710901 |
Corresponding Authors:
FAN Yu-bo. E-mail: yubofan@buaa.edu.cn
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[1] Au AG, Raso VJ.A three-dimensional finiteelement stress analysis for tunnel placement and buttons in anteriorcruciate ligament reconstructions[J]. Journal of Biomechics, 2005, 38(4): 827-832. [2] Blankevoort L, Kuiper JH.Articular contact in a three-dimensional model of the knee[J]. Journal of Biomechics, 1991, 24(11): 1019-1031. [3] Boyd SK, Muller R.Mechanical and architectural bone adaptation in early stage experimental osteoarthritis[J]. Journal of Bone and Mineral Research, 2002, 17(4): 687-694. [4] Fukubayashi T, Kurosawa H.The contact area and pressure distribution pattern of the knee. A study of normal and os- teoarthrotic knee joints[J]. Acta Orthopaedica Scandinavica, 1980, 51(6): 871-879. [5] Haut Donahue TL, Rashid MM, Jacobs CR.How the stiffness of meniscal attachments and meniscal material properties affect tibio-femoral contact pressure computed using a validated finite element model of the human knee joint[J]. Journal of Biomechics, 2003, 36(1):15. [6] Hoser C, Fink C.Long-term results of arthroscopic partial lateral meniscectomy in knees without associated damage[J]. Journal of Bone and Joint Surgery-British Volume, 2001, 83(4): 513-516. [7] Johnson DL, Swenson TM.Insertionsite anatomy of the human menisci: gross, arthroscopic, and topographical anatomy as a basis for meniscal transplantation[J]. Arthroscopy, 1995, 11(4): 386-394. [8] Kamekura S, Hoshi K.Osteoarthritis development innovel experimental mouse models induced by knee joint in stability[J]. Osteoarthritis Cartilage,2005, 13(7): 632-641. [9] Kohn D.Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study[J]. Arthroscopy, 1995, 11(1): 7. [10] Suggs GJ.The effect of anterior cruciate ligament injury on knee joint function under a simulated muscle load: a three-dimensional computational simulation[J]. Annals of Biomedical Engineering, 2002, 30(5): 713-720. [11] McNicholas MJ, Rowley DL. Total meniscectomy in adolescence. A thirty-year follow-up[J]. Journal of Bone and Joint Surgery-British Volume, 2000, 82(2): 217-221. [12] Netravali NA, Koo S.The effect of kinematic and kinetic changes on meniscal strains during gait[J]. Journal of Biomechanical Engineering, 2011, 133(1): 011006. [13] Radin EL, Abernethy PJ.The role ofbone changes in the degeneration of articular cartilage in osteoarthrosis[J]. Acta Orthopaedica Belgica, 1978, 44(1): 55-63. [14] Milz S.Quantitative morphology of the subchondral plateof the tibia plateau[J]. Journal of Anatomy, 1994, 185: 7. [15] Taylor M, Tanner KE.Finite element analysis of theimplanted proximal tibia: a relationship between the initial cancellous bone stresses and implant migration[J]. Journal of Biomechics, 1998, 31(4): 303-310. [16] Waller C, Hayes D.Unload it: the key to the treatment of knee osteoarthritis[J]. Knee Surgery, Sports Traumatology, Arthroscopy,2011, 19(11): 1823-1829. [17] Wolf JH.Julis Wolff and his law of bone remodeling[J]. Orthopade, 1995, 24(5): 378-386. [18] Yao J, Funkenbusch PD.Sensitivities of medial meniscal motion and deformation to material properties of articularcartilage, meniscus and meniscal attachments using design of experiments methods[J]. Journal of Biomechanical Engineering, 2006, 128(3): 399-408. [19] Yao J, Snibbe J.Stresses and strains in the medial meniscus of an ACL deficient knee under anterior loading: a finite element analysis with image-based experimental validation[J]. Journal of Biomechanical Engineering, 2006, 128(1): 135-141. |
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