The effects of different repair methods for a posterior root tear of the lateral meniscus on the biomechanics of the knee: a finite element analysis

被引:20
作者
Wang, Jian-Yu [1 ,2 ]
Qi, Yan-Song [1 ]
Bao, Hu-Ri-Cha [1 ]
Xu, Yong-Sheng [1 ]
Wei, Bao-Gang [1 ]
Wang, Yong-Xiang [1 ]
Ma, Bing-Xian [1 ]
Zhou, Hui-Wen [1 ]
Lv, Fei [1 ]
机构
[1] Inner Mongolia Peoples Hosp, Dept Orthoped, 20 Zhao Wu Da St, Hohhot 010017, Inner Mongolia, Peoples R China
[2] Inner Mongolia Med Univ, Grad Sch, Hohhot, Inner Mongolia, Peoples R China
基金
中国国家自然科学基金;
关键词
Finite element analysis; Knee joint; Posterior root tear of lateral meniscus; Biomechanics; CONTACT AREA;
D O I
10.1186/s13018-021-02435-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose To explore the impact of different repair methods for a lateral meniscus posterior root tear on the biomechanics of the knee joint using finite element analysis. Methods Finite element models of a healthy knee were established on the basis of MRI data from a volunteer using Mimics software, and the validity of the models was tested. The changes in the contact mechanics and kinematics of these finite element models under different repair approaches were then analyzed and compared. Results The normal meniscus had the maximum joint contact area, the minimum contact pressure, and the minimum contact stress. When total meniscectomy of the lateral meniscus was performed, the lateral compartment had the minimum joint contact area, the maximum contact pressure and the maximum contact stress. When complete avulsions of the posterior root of the lateral meniscus occurred, the maximum values of contact pressure and contact stress were between those of an intact meniscus and those of a meniscus treated with total meniscectomy. Lateral meniscal root attachment reconstruction by the single-stitch and double-stitch techniques resulted in a significant decrease in joint contact pressure and contact stress, leading to values comparable to those of a normal knee joint, and the double-stitch technique performed better than the single-stitch technique. Conclusions Repair surgery for lateral meniscal posterior root avulsions can effectively restore the contact mechanics and kinematics of the knee joint, and the double-stitch technique can result in better clinical outcomes than the single-stitch technique.
引用
收藏
页数:8
相关论文
共 50 条
  • [31] A finite element analysis on comparing the stability of different posterior fixation methods for thoracic total en bloc spondylectomy
    Yun Liang
    Yuanwu Cao
    Zhiguo Gong
    Chang Jiang
    Lixia Jin
    Zheng Li
    Zixian Chen
    Chun Jiang
    Xiaoxing Jiang
    Journal of Orthopaedic Surgery and Research, 15
  • [32] A finite element analysis on comparing the stability of different posterior fixation methods for thoracic total en bloc spondylectomy
    Liang, Yun
    Cao, Yuanwu
    Gong, Zhiguo
    Jiang, Chang
    Jin, Lixia
    Li, Zheng
    Chen, Zixian
    Jiang, Chun
    Jiang, Xiaoxing
    JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2020, 15 (01)
  • [33] Three-dimensional finite-element analysis of aggravating medial meniscus tears on knee osteoarthritis
    Li, Lan
    Yang, Longfei
    Zhang, Kaijia
    Zhu, Liya
    Wang, Xingsong
    Jiang, Qing
    JOURNAL OF ORTHOPAEDIC TRANSLATION, 2020, 20 : 47 - 55
  • [34] Biomechanical role of posterior cruciate ligament in total knee arthroplasty: A finite element analysis
    Nikkhoo, Mohammad
    Hassani, Kamran
    Golpaygani, Ali Tavakoli
    Karimi, Alireza
    COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE, 2020, 183
  • [35] Effect of the volume of resected discoid lateral meniscus on the contact stress of the tibiofemoral joint: A finite element analysis
    Yokoe, Takuji
    Ouchi, Koki
    Matsumoto, Taisei
    Tajima, Takuya
    Chosa, Etsuo
    KNEE, 2023, 42 : 57 - 63
  • [36] Effects of pelvic fixation strategies and multi-rod constructs on biomechanics of the proximal junction in long thoracolumbar posterior instrumented fusions: a finite-element analysis
    Mumtaz, Muzammil
    Collins, Andrew P.
    Shekouhi, Niloufar
    Varier, Karthika
    Tripathi, Sudharshan
    Ames, Christopher P.
    Deviren, Vedat
    Clark, Aaron J.
    Goel, Vijay K.
    Theologis, Alekos A.
    SPINE DEFORMITY, 2024, 12 (06) : 1571 - 1582
  • [37] Biomechanical finite element analysis of various tibial plateau posterior tilt angles in medial unicondylar knee arthroplasty
    Zhang, Peng
    Wang, Yun-Lu
    Liu, Lun
    Yang, Hui-Qiang
    Han, Peng-Fei
    Li, Xiao-Dong
    EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2024, 28 (03)
  • [38] Computational study on the effect of malalignment of the tibial component on the biomechanics of total knee arthroplasty A FINITE ELEMENT ANALYSIS
    Suh, D-S.
    Kang, K-T.
    Son, J.
    Kwon, O-R.
    Baek, C.
    Koh, Y-G.
    BONE & JOINT RESEARCH, 2017, 6 (11): : 623 - 630
  • [39] Biomechanical assessment of disease outcome in surgical interventions for medial meniscal posterior root tears: a finite element analysis
    Xu, Zhi
    Li, Yuwan
    Rao, Jingcheng
    Jin, Ying
    Huang, Yushun
    Xu, Xing
    Liu, Yi
    Tian, Shoujin
    BMC MUSCULOSKELETAL DISORDERS, 2022, 23 (01)
  • [40] Biomechanical assessment of disease outcome in surgical interventions for medial meniscal posterior root tears: a finite element analysis
    Zhi Xu
    Yuwan Li
    Jingcheng Rao
    Ying Jin
    Yushun Huang
    Xing Xu
    Yi Liu
    Shoujin Tian
    BMC Musculoskeletal Disorders, 23