Suppr超能文献

胫骨高位截骨矫正角度对关节软骨负荷影响的有限元分析

Finite element analysis of the effect of high tibial osteotomy correction angle on articular cartilage loading.

作者信息

Trad Zahra, Barkaoui Abdelwahed, Chafra Moez, Tavares João Manuel Rs

机构信息

1 LR-11-ES19 Laboratoire de Mécanique Appliquée et Ingénierie (LR-MAI), Ecole Nationale d'Ingénieurs de Tunis, Université de Tunis El Manar, Tunis, Tunisie.

2 Laboratoire de Systèmes et de Mécanique Appliquée (LASMAP-EPT), Ecole Polytechnique de Tunisie, Université de Carthage, La Marsa, Tunisie.

出版信息

Proc Inst Mech Eng H. 2018 Jun;232(6):553-564. doi: 10.1177/0954411918770706. Epub 2018 Apr 23.

Abstract

Osteoarthritis is a globally common disease that imposes a considerable ongoing health and economic burden on the socioeconomic system. As more and more biomechanical factors have been explored, malalignment of the lower limb has been found to influence the load distribution across the articular surface of the knee joint substantially. In this work, a three-dimensional finite element analysis was carried out to investigate the effect of varying the high tibial osteotomy correction angle on the stress distribution in both compartments of the human knee joint. Thereafter, determine the optimal correction angle to achieve a balanced loading between these two compartments. The developed finite element model was validated against experimental and numerical results. The findings of this work suggest that by changing the correction angle from 0° to 10° valgus, high tibial osteotomy shifted the mechanical load from the affected medial compartment to the lateral compartment with intact cartilage. The Von Mises and the shear stresses decreased in the medial compartment and increased in the lateral compartment. Moreover, a balanced stress distribution between the two compartments as well as the desired alignment were achieved under a valgus hypercorrection of 4.5° that significantly unloads the medial compartment, loads the lateral compartment and arrests the progression of osteoarthritis. After comparing the achieved results against the ones of previous studies that explored the effects of the high tibial osteotomy correction angle on either clinical outcomes or biomechanical outcomes, one can conclude that the findings of this study agree well with the related clinical data and recommendations found in the literature.

摘要

骨关节炎是一种全球常见的疾病,给社会经济系统带来了持续且相当大的健康和经济负担。随着越来越多的生物力学因素被探索,人们发现下肢力线不正会极大地影响膝关节关节面的负荷分布。在这项研究中,进行了三维有限元分析,以研究改变胫骨高位截骨矫正角度对人体膝关节两腔室应力分布的影响。此后,确定实现这两个腔室之间负荷平衡的最佳矫正角度。所建立的有限元模型通过实验和数值结果进行了验证。这项研究的结果表明,通过将矫正角度从0°变为10°外翻,胫骨高位截骨将机械负荷从受影响的内侧腔室转移到软骨完好的外侧腔室。内侧腔室的冯·米塞斯应力和剪应力降低,外侧腔室的应力增加。此外,在4.5°外翻过度矫正的情况下,两腔室之间实现了平衡的应力分布以及理想的力线,这显著减轻了内侧腔室的负荷,增加了外侧腔室的负荷,并阻止了骨关节炎的进展。将所取得的结果与之前探索胫骨高位截骨矫正角度对临床结果或生物力学结果影响的研究结果进行比较后,可以得出结论,本研究的结果与文献中相关的临床数据和建议非常吻合。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验