EI、Scopus 收录
中文核心期刊
Quick Search Issue Search Advanced Search
Volume 44 Issue 3
Turn off MathJax
Article Contents
Abstract
References
Xu Qiang, Huang Rongying, Xu Yonggang, Guo Yunfei, Zheng Hongguang. THE EFFECT OF THE ACL SINGLE-BUNDLE/DOUBLE-BUNDLE RECONSTRUCTION ON THE BIOMECHANICS OF TIBIO-FEMORAL JOINT AT DIFFERENT FLEXION ANGLES[J]. Chinese Journal of Theoretical and Applied Mechanics, 2012, (3): 631-637. DOI: 10.6052/0459-1879-2012-3-20120321
Citation: Xu Qiang, Huang Rongying, Xu Yonggang, Guo Yunfei, Zheng Hongguang. THE EFFECT OF THE ACL SINGLE-BUNDLE/DOUBLE-BUNDLE RECONSTRUCTION ON THE BIOMECHANICS OF TIBIO-FEMORAL JOINT AT DIFFERENT FLEXION ANGLES[J]. Chinese Journal of Theoretical and Applied Mechanics, 2012, (3): 631-637. DOI: 10.6052/0459-1879-2012-3-20120321
shu

THE EFFECT OF THE ACL SINGLE-BUNDLE/DOUBLE-BUNDLE RECONSTRUCTION ON THE BIOMECHANICS OF TIBIO-FEMORAL JOINT AT DIFFERENT FLEXION ANGLES

  • School of Mechanical Engineering and Automation, Beihang University, Beijing 100191, China

Funds: The project was supported by the National Natural Science Foundation of China (50975013)
  • Received Date: October 08, 2010
  • Revised Date: April 08, 2012
    Graphical Abstract
    • Abstract
  • In this paper, through the simulation of the clinical pivot test at knee flexion angle of 0? for the models A and B, the accuracy and validity of the pairs of models for healthy adult A were proved. After that, MRI images of the normal human knee at different flexion angles of 0?/25?/60?/80? were obtained through SONATA MAESTRO 1.5T Scanning. Then, the corresponding 3D tibio-femoral joint models of normal/ACL single bundle/double bundle reconstruction were established. In the experiment, axial force and combined loads (axial force and torque) were applied to these models to analyze and compare the changes of the stress distribution of cartilages/meniscus/ligaments and the tension characteristic of ligaments before and after the ACL reconstruction. The results show that: (1) The stresses on cartilages and meniscus after ACL single bundle/double bundle reconstruction change with the flexion angles, and especially the stress distributions on the cartilages change significantly at some angle. (2) Single-bundle reconstruction can lead to the obvious increment of the equivalent stresses on cartilages and meniscus, and the maximum increment is to 40%. However, the corresponding values after double bundle reconstruction at different flexion angles are closer than that after single-bundle reconstruction. (3) Although ACL single-bundle reconstruction will reduce the equivalent stress on PCL, stress on medial/lateral collateral ligament will significantly increase at high-flexion angle. The maximum stress on MCL changes obviously with the flexion angles after double-bundle reconstruction, but the maximum stress on LCL and PCL show the corresponding trend to normal joint. (4) The average tension of MCL is higher than that of the other two after single or double bundle reconstruction. Besides, the tension characteristic of ligaments after the double-bundle reconstruction is closer to the normal joint than that after single-bundle. In short, considering the stress and tension of cartilages, meniscus and ligaments after ACL reconstruction, the tibio-femoral joint mechanical contact characteristic after ACL double-bundle reconstruction is closer to the normal joint than that after single-bundle reconstruction. And whether ACL single-bundle or double bundle reconstruction, the change of stress distribution and the increase of peak stress on cartilages, meniscus and ligaments would induce chronic degeneration of joints and be the main reason for the disease knee.
    • FullText(HTML)
    • References (16)
  • Shelbourne KD, Heinrich J. The long-term evaluation of lateral meniscus tears left in situ at the time of anterior cruciate ligament reconstruction. Arthroscopy, 2004, 20(4): 346-351  
    Li G, Suggs J, Gill T. The effect of anterior cruciate ligament injury on knee joint function under a simulated muscle load: a three-dimensional computational simulation. Annals of Biomedical Engineering, 2002, 30(5): 713-720  
    Yao J, Snibbe J, Maloney M, et al. Stresses and strains in the medial meniscus of an ACL deficient knee under anterior loading: a finite element analysis with image-based experimental validation. Journal of Biomedical Engineering, 2006, 128(1): 135-141
    Au G, James R, Adrian B, et al. A three-dimensional finite element stress analysis for tunnel placement and buttons in anterior cruciate ligament reconstructions. Journal of Biomechanics, 2005, 38: 827-832  
    Pena E, Martinez M A, Calvo B, et al. A finite element simulation of the effect of graft stiffness and graft tensioning in ACL reconstruction. Clinical Biomechanics, 2005, 20: 636-644  
    Muneta T, Koga H, Mochizuki T. A prospective randomized study of 42-strand semitendinosus tendon anterior cruciate ligament reconstruction comparing single-bundle and double-bundle techniques. Arthroscopy, 2007, 23(6): 618-628  
    黄荣瑛, 徐强, 许勇刚等. ACL单束/双束重建对胫股关节应力分布影响. 工程力学, 2010, 28(8): 240-247 (Huang Rongying, Xu Qiang, Xu Yonggang, et al. Effects of the anterior cruciate ligament reconstructions on the stress distribution of the tibio-femoral joint. Engineering Mechanics, 2010, 28(8): 240-247 (in Chinese))
    Armstrong C, Lai W. An analysis of the unconfined compression of articular cartilage. Journal of Biomechanical Engineering, 1984, 106: 165-173  
    Weiss J. Finite element implementation of incompressible, transversely isotropic hyperelasticity. Computer Methods and Applications in Mechanical Engineering, 1996, 135: 107-128  
    王亦璁. 膝关节外科的基础和临床. 北京: 人民卫生出版社, 1999 (Wang Yicong. Basis and Clinical of Knee Joint Surgery. Beijing: People Sanitation Press, 1999 (in Chinese))
    Tammy L, Haut D, Hull ML, et al. A finite element modal of the human knee joint for the study of tibia-femoral contact. Journal of Biomechanical Engineering, 2002, 124: 273-279  
    徐强,黄荣瑛,许勇刚等. ACL 移植物初始力对胫股关节接触性能影响. 工程力学, 2012, 29(2): 205-211 (Xu Qiang, Huang Rongying, Xu Yonggang, et al. Effects of the initial force of grafts on the contact characteristic of the tibio-femoral joint after ACL reconstruction. Engineering Mechanics, 2010, 29 (2): 205-211 (in Chinese))
    Moglo K E, Shirazi A. Cruciate coupling and screw-home mechanism in passive knee joint during extension-flexion. Journal of Biomechanics, 2005, 38: 1075-1083  
    Simmons R, Howell S, Hull M. Effect of angle of the femoral and tibial tunnels in the coronal plane and incremental excision of the posterior cruciate ligament on tension of an anterior cruciate ligament graft: an in vitro study. J Bone Joint Surg, 2003, 85(6): 1018-1029
    Changfu Wu, Sabrina Noorani, Fabio Vercillo, et al. Tension patterns of the anteromedial and posterolateral grafts in a double-bundle anterior cruciate ligament reconstruction. J Orthop Res, 2009, 27(7): 879-884  
    Harner CD, Giffin R, et al. Evaluation and treatment of recurrent instability after anterior cruciate ligament reconstruction. J Bone Joint Surg, 2000, 82: 1652-1663
    • Related Articles

Catalog

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1555) PDF downloads (689) Cited by()
    Related

    Download Center

    Author Center

    Copyright © Editorial Office of the Chinese Journal of Mechanics   京ICP备05039218号-1

    Address：15 Beishihuan Xi Lu, Haidian District, Beijing, China   China Pos：100190

    Tel：010-62536271

    Email：lxxb@cstam.org.cn

    微信公众号
    RSS

    Supported by: Beijing Renhe Information Technology Co., Ltd.  Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return