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Stress distribution comparisons of foot bones in patient with tibia vara : a finite element study

Treść / Zawartość
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Blount’s disease, or tibia vara, is the most common cause of pathologic genu varum in children and adolescents. Changes in the loading of knee structures such as tibial articular cartilage, menisci and subcondral bone are well documented in case of genu varum. But the mechanical effects of this condition on foot bones are still questionable. In this study, the authors hypothesized that stress distributions on foot bones might increase in patients with tibia vara when compared with patients who had normal lower extremity mechanical axis. Three-dimensional (3D) finite element analyses of human lower limb were used to investigate and compare the loading on foot bones in normal population and patient with tibia vara. The segmentation software, MIMICS was used to generate the 3D images of the bony structures of normal and varus malalignment lower extremity. Except the spaces between the adjacent surface of the phalanges fused, metatarsals, cuneiforms, cuboid, navicular, talus and calcaneus bones were independently developed to form foot and ankle complex. Also femur, tibia and fibula were modeled utilizing mechanical axis. ANSYS version 14 was used for mechanical tests and maximum equivalent stresses (MES) were examined. As a result of the loading conditions, in varus model MES on talus, calcaneus and cuboid were found higher than in normal model. And stress distributions changed through laterally on middle and fore foot in varus deformity model.
Rocznik
Strony
67--72
Opis fizyczny
Bibliogr. 18 poz., rys., tab., wykr.
Twórcy
autor
  • Faculty of Engineering, Department of Biomedical Engineering, Duzce University, Konuralp Campus Duzce, Turkey
autor
  • Department of Orthopaedics and Traumatology, Akdeniz University, Antalya, Turkey
autor
  • Department of Mechanical Education, Technical Education Faculty Kocaeli University, Umuttepe Campus, Kocaeli, Turkey
autor
  • Department of Mechanical Education, Technical Education Faculty Kocaeli University, Umuttepe Campus, Kocaeli, Turkey
autor
  • Department of Automotive, Vocational High School Amasya University, Amasya, Turkey
autor
  • Department of Mechanical Education, Technical Education Faculty Kocaeli University, Umuttepe Campus, Kocaeli, Turkey
Bibliografia
  • [1] AMER A.R., KHANFOUR A.A., Evaluation of treatment of late-onset tibia vara using gradual angulation translation high tibial osteotomy, Acta Orthop. Belg., 2010, Vol. 76(3), 360–366.
  • [2] CHEUNG J.T., ZHANG M., A 3D finite element model of the human foot and ankle for insole design, Arch. Phys. Med. Rehabil., 2005, Vol. 86, 353–358.
  • [3] BANDAK F.A, TANNOUS R.E., TORIDIS T., On the development of an osseo-ligamentous finite element model of the human ankle joint, Int. J. Solids Struct., 2001, Vol. 38(10–13), 1681–1697.
  • [4] BARANI Z., HAGHPANAHI M., KATOOZIAN H., Three-dimensional stress analysis of diabetic insole: a finite element approach, Technol. Health Care, 2005, Vol. 13, 185–192.
  • [5] CHEN W.P., JU C.W., TANG F.T., Effects of total contact insoles on the plantar stress redistribution: a finite element analysis, Clin. Biomech., 2003, Vol. 18, S17–24.
  • [6] ASHMAN R.B., COWIN S.C., VAN BUSKIRK W.C., RICE J.C., A continuous wave technique for the measurement of the elastic properties of cortical bone, J. Biomech., 1984, Vol. 17, 349–361.
  • [7] REILLY D.T., BURSTEIN A.H., The mechanical properties of cortical bone, J. Bone Joint Surg., 1974, Vol. 56A, 1001, 1022.
  • [8] MARTENS M., VAN AUDEKERCKE R., DEMEESTER P., MULIER J.C., The geometrical properties of human femur and tibia and their importance for the mechanical behaviour of these bone structures, Arch. Orthop. Trauma Sur., 1981, Vol. 98, 113–120.
  • [9] MARTENS R., VAN AUDEKERCKE R., DELPORT P., DEMEESTER P., MULIER J.C., The mechanical characteristics of cancellous bone at the upper femoral region, J. Biomech., 1983, Vol. 16, 971–983.
  • [10] YAMADA H., Mechanical Properties of Locomotor Organs And Tissues, Strength of Biological Materials, Williams & Wilkins, Baltimore, 210 p., 1970.
  • [11] SIMOES J.A., VAZ M.A., BLATCHER S., TAYLOR M., Influence of head constrains and muscle forces on the strain distribution within the intact femur, Med. Eng. Phys., 2000, Vol. 22, 453–459.
  • [12] MOREO P., PÉREZ M.A., GARCÍA-AZNAR J.M., Modelling the mechanical behaviour of living bony interface, Comp. Methods Appl. Mech. Engr., 2007, Vol. 196, 3300–3314.
  • [13] CHOTIGAVANICHAYA C., SALINAS G., GREEN T., MOSELEY C.F., OTSUKA N.Y., Recurrence of varus deformity after proximal tibial osteotomy in Blount disease: long-term follow-up, J. Pediatr. Orthop., 2002, Vol. 22, 638–641.
  • [14] KUROSAWA H., Doi T., Joint force analysis in degenerative varus or valgus knees during standing: importance of tibial tilt to the floor, Nippon Seikeigeka Gakkai Zasshi, 1981, Vol. 55, 509–518.
  • [15] COOK S.D., LAVERNIA C.J., BURKE S.W., A biomechanical analysis of the etiology of tibia vara, J. Pediatr. Orthop., 1983, Vol. 3(4), 449–454.
  • [16] VAN HUYSSTEEN A.L., HASTINGS C.J., OLESAK M., HOFFMAN E.B., Double-elevating osteotomy for latepresenting infantile Blount’s disease: the importance of concomitant lateral epiphysiodesis, J. Bone Joint Surg. Br., 2005, Vol. 87, 710–715.
  • [17] AOKI Y., YASUDA K., MIKAMI S., OHMOTO H., MAJIMA T., MINAMI A., Inverted V-shaped high tibial osteotomy compared with closing wedge high tibial osteotomy for osteoarthritis of the knee: 10 year follow-up result, J. Bone Joint Surg. Br., 2006, Vol. 88, 1336–1340.
  • [18] RAB G.T., Oblique tibial osteotomy for Blount’s disease (tibia vara), J. Pediatr. Orthop., 1988, Vol. 8, 715–720.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-bc734260-8f62-41a9-a5ff-8dba1d73a7b3
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