Discrete element analysis for characterizing the patellofemoral pressure distribution: model evaluation.

作者: John J. Elias , Archana Saranathan

DOI: 10.1115/1.4024287

关键词: Spring (device)Deformation (mechanics)Materials scienceRotationFemurBiomedical engineeringLinear elasticityStress (mechanics)PatellaCompression (physics)Forensic engineering

摘要: The current study was performed to evaluate the accuracy of computational assessment influence orientation patellar tendon on patellofemoral pressure distribution. Computational models were created represent eight knees previously tested at 40 deg, 60 and 80 deg flexion hamstrings loading Hamstrings increased lateral posterior tendon, with change for each test determined from experimentally measured variations in tibiofemoral alignment. cartilage femur patella represented springs. After quadriceps, total potential energy minimized determine force within tendon. forces applied by quadriceps produced translation rotation. deformation spring overlap surfaces related using linear elastic theory. iteratively adjusted until extension moment, tilt compression, acting equilibrium. For maximum ratio compression paired t-tests angle if output varied significantly (p < 0.05) between two conditions. both experimental data, multiple angles. average approximately 0.04 0.3 MPa, respectively, compared increases 0.06 0.4 MPa, respectively. modeling technique accurately characterized distribution caused altering

参考文章(32)
John P. Fulkerson, Diagnosis and Treatment of Patients with Patellofemoral Pain American Journal of Sports Medicine. ,vol. 30, pp. 447- 456 ,(2002) , 10.1177/03635465020300032501
Zohara A. Cohen, Jack H. Henry, Denise M. McCarthy, C. Van Mow, Gerard A. Ateshian, Computer Simulations of Patellofemoral Joint Surgery: Patient-Specific Models for Tuberosity Transfer American Journal of Sports Medicine. ,vol. 31, pp. 87- 98 ,(2003) , 10.1177/03635465030310012701
Zohara A. Cohen, Hrvoje Roglic, Ronald P. Grelsamer, Jack H. Henry, William N. Levine, C. Van Mow, Gerard A. Ateshian, Patellofemoral stresses during open and closed kinetic chain exercises : An analysis using computer simulation American Journal of Sports Medicine. ,vol. 29, pp. 480- 487 ,(2001) , 10.1177/03635465010290041701
Archana Saranathan, Marcus S. Kirkpatrick, Saandeep Mani, Laura G. Smith, Andrew J. Cosgarea, Juay Seng Tan, John J. Elias, The effect of tibial tuberosity realignment procedures on the patellofemoral pressure distribution Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 20, pp. 2054- 2061 ,(2012) , 10.1007/S00167-011-1802-8
Thor F. Besier, Garry E. Gold, Scott L. Delp, Michael Fredericson, Gary S. Beaupré, The influence of femoral internal and external rotation on cartilage stresses within the patellofemoral joint. Journal of Orthopaedic Research. ,vol. 26, pp. 1627- 1635 ,(2008) , 10.1002/JOR.20663
John J. Elias, Srianjana Kilambi, Andrew J. Cosgarea, Computational assessment of the influence of vastus medialis obliquus function on patellofemoral pressures: Model evaluation Journal of Biomechanics. ,vol. 43, pp. 612- 617 ,(2010) , 10.1016/J.JBIOMECH.2009.10.039
Saandeep Mani, Marcus S. Kirkpatrick, Archana Saranathan, Laura G. Smith, Andrew J. Cosgarea, John J. Elias, Tibial Tuberosity Osteotomy for Patellofemoral Realignment Alters Tibiofemoral Kinematics American Journal of Sports Medicine. ,vol. 39, pp. 1024- 1031 ,(2011) , 10.1177/0363546510390188
John J. Elias, David R. Wilson, Robert Adamson, Andrew J. Cosgarea, Evaluation of a computational model used to predict the patellofemoral contact pressure distribution. Journal of Biomechanics. ,vol. 37, pp. 295- 302 ,(2004) , 10.1016/S0021-9290(03)00306-3
Mark A. Baldwin, Chadd Clary, Lorin P. Maletsky, Paul J. Rullkoetter, Verification of predicted specimen-specific natural and implanted patellofemoral kinematics during simulated deep knee bend Journal of Biomechanics. ,vol. 42, pp. 2341- 2348 ,(2009) , 10.1016/J.JBIOMECH.2009.06.028