Stress response of patellofemoral joint subjected to femoral retroversion with various patellar kinematics and flexions – An FEA study

• Autorzy: Louis M. J. , Malayalamurthi R.

Identyfikatory

DOI

10.1016/j.bbe.2016.12.006

• Języki publikacji: EN

Abstrakty

EN

The purpose of this study is to observe the stress response of the patellofemoral joint associated with three patellar kinematics: shift, spin and tilt under femoral retroversion conditions. By assigning various flexions and different loads, the stresses were quantified in the bones, tendons, cartilages and cartilage–bone interface. Four different loads of 600, 657, 706 and 753 N were applied on 12 models representing each of the various kinematics of shifts, spins and tilts of the patella with femoral flexions of 30º, 60º, 90º and 120º which gave results for 48 analyses. The 'Q' angle of the femur bone was maintained at 14º with femoral retroversion of 21º. Based on the patellar kinematics, three different cases were modeled as (a) 5 mm shift 10º spin 4º tilt, (b) 10 mm shift 13º spin 8º tilt, and (c) 15 mm shift 16º spin 12º tilt. Medial shift, spin and tilt with femoral retroversion were limited in this study. The femoral displacement for 30º flexion at 600 N was found to be same in all the (a), (b), and (c) cases. Similarly, respective same displacements were achieved in all three cases when subjected to 60º flex at 657 N, 90º flex at 706 N and 120º flex at 753 N. From the simulated results it is inferred that femoral retroversion with case (b) kinematics susceptibly dominated by the cartilages causes patellofemoral joint pain, arthritis and instability due to the larger contact areas between the patella and femur bone at flexions 60º and 90º.

Słowa kluczowe

EN

femoral retroversion; patellofemoral joint; finite element modeling; patellar kinematics

PL

kość udowa; staw rzepkowo udowy; metoda elementów skończonych

• Wydawca: Nałęcz Institute of Biocybernetics and Biomedical Engineering of the Polish Academy of Sciences ; Elsevier
• Czasopismo: Biocybernetics and Biomedical Engineering
• Rocznik: 2017
• Tom: Vol. 37, no. 2
• Strony: 316--325
• Opis fizyczny: Bibliogr. 14 poz., rys., tab., wykr.

Twórcy

autor

Louis M. J.

• Department of Mechanical Engineering, Government College of Engineering, Salem, Tamilnadu, India

autor

Malayalamurthi R.

• Department of Mechanical Engineering, Government College of Technology, Coimbatore, Tamilnadu, India

Bibliografia

• [1] Islama K, Dukeb K, Mustafya T, Adeeba SM, Ronskyc JL, El- Rich M. A geometric approach to study the contact mechanisms in the patellofemoral joint of normal versus patellofemoral pain syndrome subjects. Computer methods in biomechanics and biomedical engineering. Taylor and Francis; August 2013. p. 391–400.
• [2] Freedman BR, Sheehan FT, Lerner AL. MRI-based analysis of patellofemoral cartilage contact, thickness, and alignment in extension, and during moderate and deep flexion. Knee 2015;22(5):405–10.
• [3] Petersen W, Ellermann A, Gösele-Koppenburg A, Best R, Rembitzki IV, Brüggemann G-P, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc 2014;22 (10):2264–74.
• [4] Öhman C, Espino DM, Heinmann T, Baleani M, Delingette H, Viceconti M. Subject-specific knee joint model: design of an experiment to validate a multi-body finite element model. Vis Comput 2011;27:153–9.
• [5] Stäubli HU, Schatzmann L, Brunner P, Rincón L, Nolte LP. Quadriceps tendon and patellar ligament cryosectional anatomy and structural properties in young adults. Knee Surg Sports Traumatol Arthrosc 1996;4:100–10.
• [6] Guo Y, Zhang X, Chen W. Three-dimensional finite element simulation of total knee joint in gait cycle. Acta Mech Solida Sin 2009;22(August (4)).
• [7] Carter DR, Wong M. Modeling cartilage mechanobiology. Philos Trans R Soc B: Lond 2003;358:1461–71.
• [8] Akbarshahi M, Fernandez JW, Schache AG, Pandy MG. Subject-specific evaluation of patellofemoral joint biomechanics during functional activity. Med Eng Phys 2014;36:1122–33.
• [9] Mesfar W, Shirazi-Adl A. Biomechanics of the knee joint in flexion under various quadriceps forces. Knee 2005;12:424–34.
• [10] Maganaris CN, Narici MV, Reeves ND. In vivo human tendon mechanical properties: effect of resistance training in old age. J Musculoskelet Neuronal Interact 2004;4(2):204–8.
• [11] Reeves ND, Maganaris CN, Narici MV. Effect of strength training on human patella tendon mechanical properties of older individuals. J Physiol 2003;548(3):971–81.
• [12] Jafaril A, Farahmand F, Meghdari A. The effects of trochlear groove geometry on patellofemoral joint stability – a computer model study. Proc Inst Mech Eng Part H 2008;222:76–88.
• [13] Escamilla RF, Zheng N, MacLeod TD, Edwards WB, Hreljac A, Fleisig GS, et al. Patellofemoral compressive force and stress during the forward and side lunges with and without a stride. Clin Biomech 2008;23:1026–37.
• [14] Distefano MC, et al. Disorders of the patellofemoral joint. 4th ed. Lippincott Williams & Wilkins; 2004.

Uwagi

PL

Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę (zadania 2017).