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利用肌肉用力、运动分析和地面反作用力数据建立膝关节CT-FEM模型以研究步行站立期的负荷响应

Development of a Knee Joint CT-FEM Model in Load Response of the Stance Phase During Walking Using Muscle Exertion, Motion Analysis, and Ground Reaction Force Data.

作者信息

Watanabe Kunihiro, Mutsuzaki Hirotaka, Fukaya Takashi, Aoyama Toshiyuki, Nakajima Syuichi, Sekine Norio, Mori Koichi

机构信息

Department of Radiology, Saitama Prefecture Saiseikai Kurihashi Hospital, Kuki, Saitama 349-1105, Japan.

Department of Radiological Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Arakawa, Tokyo 116-8551, Japan.

出版信息

Medicina (Kaunas). 2020 Jan 29;56(2):56. doi: 10.3390/medicina56020056.


DOI:10.3390/medicina56020056
PMID:32013100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7074273/
Abstract

There are no reports on articular stress distribution during walking based on any computed tomography (CT)-finite element model (CT-FEM). This study aimed to develop a calculation model of the load response (LR) phase, the most burdensome phase on the knee, during walking using the finite element method of quantitative CT images. The right knee of a 43-year-old man who had no history of osteoarthritis or surgeries of the knee was examined. An image of the knee was obtained using CT and the extension position image was converted to the flexion angle image in the LR phase. The bone was composed of heterogeneous materials. The ligaments were made of truss elements; therefore, they do not generate strain during expansion or contraction and do not affect the reaction force or pressure. The construction of the knee joint included material properties of the ligament, cartilage, and meniscus. The extensor and flexor muscles were calculated and set as the muscle exercise tension around the knee joint. Ground reaction force was vertically applied to suppress the rotation of the knee, and the thigh was restrained. An FEM was constructed using a motion analyzer, floor reaction force meter, and muscle tractive force calculation. In a normal knee, the equivalent stress and joint contact reaction force in the LR phase were distributed over a wide area on the inner upper surface of the femur and tibia. We developed a calculation model in the LR phase of the knee joint during walking using a CT-FEM. Methods to evaluate the heteromorphic risk, mechanisms of transformation, prevention of knee osteoarthritis, and treatment may be developed using this model.

摘要

目前尚无基于任何计算机断层扫描(CT)有限元模型(CT - FEM)的关于行走过程中关节应力分布的报告。本研究旨在使用定量CT图像的有限元方法,建立一个关于行走过程中膝关节负担最重阶段——负荷反应(LR)阶段的计算模型。对一名43岁无骨关节炎病史且无膝关节手术史的男性的右膝进行了检查。使用CT获取膝关节图像,并将伸展位图像转换为LR阶段的屈曲角度图像。骨骼由异质材料组成。韧带由桁架单元构成;因此,它们在伸展或收缩过程中不会产生应变,也不会影响反作用力或压力。膝关节的构建包括韧带、软骨和半月板的材料特性。计算并设定伸肌和屈肌为膝关节周围的肌肉运动张力。垂直施加地面反作用力以抑制膝关节的旋转,并对大腿进行约束。使用运动分析仪、地面反作用力计和肌肉牵引力计算构建有限元模型。在正常膝关节中,LR阶段的等效应力和关节接触反作用力分布在股骨和胫骨内上表面的广泛区域。我们使用CT - FEM建立了行走过程中膝关节LR阶段的计算模型。利用该模型可能会开发出评估异形风险、转化机制、预防膝关节骨关节炎及治疗的方法。

相似文献

[1]
Development of a Knee Joint CT-FEM Model in Load Response of the Stance Phase During Walking Using Muscle Exertion, Motion Analysis, and Ground Reaction Force Data.

Medicina (Kaunas). 2020-1-29

[2]
A Simulation Case Study of Knee Joint Compressive Stress during the Stance Phase in Severe Knee Osteoarthritis Using Finite Element Method.

Medicina (Kaunas). 2021-5-30

[3]
Contributions to the understanding of gait control.

Dan Med J. 2014-4

[4]
Finite element analysis of the femur during stance phase of gait based on musculoskeletal model simulation.

Biomed Mater Eng. 2014

[5]
A finite element model of the human knee joint for the study of tibio-femoral contact.

J Biomech Eng. 2002-6

[6]
An Integrated Musculoskeletal-Finite-Element Model to Evaluate Effects of Load Carriage on the Tibia During Walking.

J Biomech Eng. 2016-10-1

[7]
Implementation of a gait cycle loading into healthy and meniscectomised knee joint models with fibril-reinforced articular cartilage.

Comput Methods Biomech Biomed Engin. 2015

[8]
A finite element study of stress distributions in normal and osteoarthritic knee joints.

J Med Assoc Thai. 2009-12

[9]
Distribution of the Force in the Knee Joint during Daily Activities after Open Wedge High Tibial Osteotomy: A Rationale for the Proper Postoperative Management.

J Knee Surg. 2020-2

[10]
Sagittal plane joint loading is related to knee flexion in osteoarthritic gait.

Clin Biomech (Bristol). 2013-10

引用本文的文献

[1]
Toward a clear relationship between mechanical signals and bone adaptation.

Mechanobiol Med. 2025-2-1

[2]
Strain energy in human tibia during different exercises with adjustable leg weights: a subject-specific computational model analysis.

Med Biol Eng Comput. 2025-3-7

[3]
Case Report: Rehabilitation of a giant meniscus cyst with a mixed tear.

Front Rehabil Sci. 2025-1-17

[4]
Influence of build orientation and support structure on additive manufacturing of human knee replacements: a computational study.

Med Biol Eng Comput. 2024-7

[5]
Simulating Knee-Stress Distribution Using a Computed Tomography-Based Finite Element Model: A Case Study.

J Funct Morphol Kinesiol. 2023-1-27

[6]
A Simulation Case Study of Knee Joint Compressive Stress during the Stance Phase in Severe Knee Osteoarthritis Using Finite Element Method.

Medicina (Kaunas). 2021-5-30

本文引用的文献

[1]
Influence of Implant Length and Associated Parameters Upon Biomechanical Forces in Finite Element Analyses: A Systematic Review.

Implant Dent. 2019-6

[2]
The effect of different occlusal contact situations on peri-implant bone stress - A contact finite element analysis of indirect axial loading.

Mater Sci Eng C Mater Biol Appl. 2019-1-30

[3]
Cartilage defect location and stiffness predispose the tibiofemoral joint to aberrant loading conditions during stance phase of gait.

PLoS One. 2018-10-16

[4]
Prediction of incident vertebral fracture using CT-based finite element analysis.

Osteoporos Int. 2018-10-10

[5]
Prediction of fracture load and stiffness of the proximal femur by CT-based specimen specific finite element analysis: cadaveric validation study.

BMC Musculoskelet Disord. 2017-12-16

[6]
The risk assessment of pathological fracture in the proximal femur using a CT-based finite element method.

J Orthop Sci. 2017-9

[7]
Importance of Patella, Quadriceps Forces, and Depthwise Cartilage Structure on Knee Joint Motion and Cartilage Response During Gait.

J Biomech Eng. 2016-7-1

[8]
An integrative modeling approach for the efficient estimation of cross sectional tibial stresses during locomotion.

J Biomech. 2016-2-8

[9]
Knee adduction moment relates to medial femoral and tibial cartilage morphology in clinical knee osteoarthritis.

J Biomech. 2015-9-18

[10]
Quantification of the role of tibial posterior slope in knee joint mechanics and ACL force in simulated gait.

J Biomech. 2015-7-16

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