胫股半月板关节接触行为对膝关节运动学变化的敏感性。

Sensitivity of tibio-menisco-femoral joint contact behavior to variations in knee kinematics.

作者信息

Yao Jiang, Salo Arthur D, Lee Jordan, Lerner Amy L

机构信息

Department of Biomedical Engineering, University of Rochester, 307 Goergen Hall, P.O. Box 270168, Rochester, NY 14627-0168, USA.

出版信息

J Biomech. 2008;41(2):390-8. doi: 10.1016/j.jbiomech.2007.08.015. Epub 2007 Oct 24.

Abstract

Use of computational models with kinematic boundary conditions to study the knee joint contact behavior for normal and pathologic knee joints depends on an understanding of the impacts of kinematic uncertainty. We studied the sensitivities of tibio-menisco-femoral joint contact behavior to variations in knee kinematics using a finite element model (FEM) with geometry and kinematic boundary conditions derived from sequences of magnetic resonance (MR) images. The MR images were taken before and after axial compression was applied to the knee joint of a healthy subject. A design of experiments approach was used to study the impact of the variation in knee kinematics on the contact outputs. We also explored the feasibility of using supplementary hip images to improve the accuracy of knee kinematics. Variations in knee kinematics (0.25mm in medial-lateral, 0.1mm in anterior-posterior and superior-inferior translations, and 0.1 degrees in flexion-extension and varus-valgus, 0.25 degrees in external-internal rotations) caused large variations in joint contact behavior. When kinematic boundary conditions resulted in close approximations of the model-predicted joint contact force to the applied force, variations in predictions of contact parameters were also reduced. The combination of inferior-superior and medial-lateral translations accounted for over 70% of variations for all the contact parameters examined. The inclusion of hip images in kinematic calculations improved knee kinematics by matching the femoral head position. Our findings demonstrate the importance of improving the accuracy and precision of knee kinematic measurements, especially when utilized as an input for finite element models.

摘要

使用具有运动学边界条件的计算模型来研究正常和病理膝关节的膝关节接触行为,取决于对运动学不确定性影响的理解。我们使用有限元模型(FEM),通过从磁共振(MR)图像序列中导出的几何和运动学边界条件,研究了胫-半月板-股骨关节接触行为对膝关节运动学变化的敏感性。MR图像是在对一名健康受试者的膝关节施加轴向压缩之前和之后拍摄的。采用实验设计方法来研究膝关节运动学变化对接触输出的影响。我们还探讨了使用补充性髋关节图像来提高膝关节运动学准确性的可行性。膝关节运动学的变化(内外侧0.25mm、前后和上下平移0.1mm、屈伸和内翻-外翻0.1度、内外旋转0.25度)导致关节接触行为出现很大变化。当运动学边界条件使模型预测的关节接触力与施加力非常接近时,接触参数预测的变化也会减少。上下和内外平移的组合占所有检查接触参数变化的70%以上。在运动学计算中纳入髋关节图像,通过匹配股骨头位置提高了膝关节运动学。我们的研究结果表明,提高膝关节运动学测量的准确性和精确性非常重要,尤其是在将其用作有限元模型的输入时。

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