ANALOG RECONSTRUCTION OF POSTEROLATERAL COMPLEX BY THE FINITE ELEMENT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIU Xiaomin ¹ , WANG Xuefeng ¹ , LUuml ¹ , Jin ¹ , YUAN Jinbo ¹ , PU Yonghua ¹ , LIU Xiao ²

1Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou Hunan, 412012, P.R.China;;
2Department of Orthopaedics, the Third Xiangya Hospital, Central South University. Corresponding author: LIU Xiaomin, E-mail: Lxm108ban@sina.com;

Corresponding author：

Keywords：

Knee joint; Posterolateral complex; Three-dimensional finite element model; Analog reconstruction

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Objective To establish the three-dimensional (3D) finite element model of the knee joint including posterolateral complex (PLC), and to simulate the reconstruction biomechanical analysis in this model. Methods The knee of a 26-year-old healthy man was scanned by MRI to obtain the image data of the knee in the coronal, sagittal, and axial position. First, Mimics10.01 and Hyperworks 8.0 softwares were used to extract each slice profile data of the knee joint in a two-dimensional image data respectively and to establish 3D geometric model of bone, meniscus, articular cartilage, and ligament. Second, Unigraphics software NX 4.0 was used to establish a 3D finite element model of knee joint, which had the functions of Mesh, material properties, component connection, and contact definition. Third, displacement measurement on the model and reconstructing biomechanical analysis for PLC simulation were performed. Results The 3D finite element model of the knee joint including PLC was established successfully. Under 134 N forward force, the tibia forward displacement was 4.83 mm. PLC simulation reconstruction biomechanical analysis of the 3D finite element model of the knee joint showed that under 10 N·m varus and external rotation torque conditions, the knee varus and external rotation angles of simulation reconstruction were greater than those of the intact knee, and less than those of PLC missing. Conclusion The 3D finite element model of the knee joint including PLC can be established by the reverse engineering, and it is valid and can be used as the basis for the biomechanical properties to analog reconstruction of PLC.

Citation： LIU Xiaomin,WANG Xuefeng,LUuml,Jin,YUAN Jinbo,PU Yonghua,LIU Xiao,WU Song. ANALOG RECONSTRUCTION OF POSTEROLATERAL COMPLEX BY THE FINITE ELEMENT. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(11): 1310-1314. doi: Copy

1.	吕厚山. 膝关节外科学. 北京: 人民卫生出版社, 2010: 156.
2.	Sekiya JK, Whiddon DR, Zehms CT, et al. A clinically relevant asseasment of posterior cruciate ligament and posterolateral corner injuries. Evaluation of isolated and combined deficiency. J Bone Joint Surg (Am), 2008, 90(8): 1621-1627.
3.	刘恒兴, 任同明. 全彩人体解剖学图谱. 北京: 军事医学科学出版社, 2007: 44-45.
4.	刘玉杰, 敖英芳, 陈世益. 膝关节韧带损伤修复与重建. 北京: 人民卫生出版社, 2008: 203-204.
5.	Cohen ZA, Henry JH, McCarthy DM, et al. Computer simulations of patellofemoral joint surgery. Patient-specific models for tuberosity transfer. Am J Sports Med, 2003, 31(1): 87-98.
6.	Donzelli PS, Spilker RL, Ateshian GA, et al. Contact analysis of biphasic transversely isotropic cartilage layers and correlation with tissue failure. J Biomech, 1999, 32(10): 1037-1047.
7.	Suggs JF, Hanson GR, Park SE, et al. Patient function after a posterior stabilizing total knee arthroplasty: cam-post engagement and knee kinematics. Knee Surg Sports Traumatol, Arthrosc, 2008, 16(3): 290-296.
8.	Peña E, Calvo B, Martinez M, et al. A three-dimensional finite element analysis of the combined behavior of ligaments and menisci in the healthy human knee joint. J Biomech, 2006, 39(9): 1686-1701.
9.	Gabriel MT, Wong EK, Woo SL, et al. Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res, 2004, 22(1): 85-89.
10.	Song Y, Debski RE, Musahl V, et al. A three-dimensional ﬁnite element model of the human anterior cruciate ligament: a computational analysis with experimental validation. J Biomech, 2004, 37(3): 383-390.
11.	LaPrade RF, Johansen S, Wentorf FA, et al. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med, 2004, 32(6): 1405-1414.
12.	赵金忠. 膝关节重建外科学. 郑州: 河南科学技术出版社, 2007: 155.
13.	杨茜. 后交叉韧带完全断裂对外侧副韧带继发损伤影响的生物力学三维有限元分析. 湖南: 中南大学, 2010.
14.	黄河, 王黎明, 桂鉴超, 等. 解剖重建治疗膝关节后外侧角损伤. 中国修复重建外科杂志, 2007, 21(3): 251-254.
15.	张焱, 杨滨, 杨柳. 自体半腱肌肌腱重建膝关节后外侧角的生物力学研究. 重庆医学, 2011, 40(10): 961-963.
16.	张焱. 膝关节后外侧角两种重建术生物力学对比研究. 重庆: 第三军医大学, 2009.
17.	陈鸿, 鲁宁, 张颖, 等. 自体中1/3股二头肌腱和股薄肌重建膝关节后外侧角韧带复合体损伤. 中华创伤杂志, 2008, 24(4): 256-259.
18.	曾蜀雄, 伍国胜, 汪方, 等. 膝关节后外侧结构的形态学及生物力学研究. 解剖科学进展, 2010, 16(3): 281-284.
19.	王锋, 赵金忠, 皇甫小桥, 等. 后十字韧带合并后外侧韧带结构损伤的关节镜下重建. 中华骨科杂志, 2009, 29(6): 534-538.
20.	王齐超, 王海蛟, 王玉记, 等. 关节镜辅助下应用自体半腱肌腱微创重建膝交叉韧带和加强重建后外侧角韧带. 中国微创外科杂志, 2010, 10(7): 639-641.

1. 吕厚山. 膝关节外科学. 北京: 人民卫生出版社, 2010: 156.
2. Sekiya JK, Whiddon DR, Zehms CT, et al. A clinically relevant asseasment of posterior cruciate ligament and posterolateral corner injuries. Evaluation of isolated and combined deficiency. J Bone Joint Surg (Am), 2008, 90(8): 1621-1627.
3. 刘恒兴, 任同明. 全彩人体解剖学图谱. 北京: 军事医学科学出版社, 2007: 44-45.
4. 刘玉杰, 敖英芳, 陈世益. 膝关节韧带损伤修复与重建. 北京: 人民卫生出版社, 2008: 203-204.
5. Cohen ZA, Henry JH, McCarthy DM, et al. Computer simulations of patellofemoral joint surgery. Patient-specific models for tuberosity transfer. Am J Sports Med, 2003, 31(1): 87-98.
6. Donzelli PS, Spilker RL, Ateshian GA, et al. Contact analysis of biphasic transversely isotropic cartilage layers and correlation with tissue failure. J Biomech, 1999, 32(10): 1037-1047.
7. Suggs JF, Hanson GR, Park SE, et al. Patient function after a posterior stabilizing total knee arthroplasty: cam-post engagement and knee kinematics. Knee Surg Sports Traumatol, Arthrosc, 2008, 16(3): 290-296.
8. Peña E, Calvo B, Martinez M, et al. A three-dimensional finite element analysis of the combined behavior of ligaments and menisci in the healthy human knee joint. J Biomech, 2006, 39(9): 1686-1701.
9. Gabriel MT, Wong EK, Woo SL, et al. Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res, 2004, 22(1): 85-89.
10. Song Y, Debski RE, Musahl V, et al. A three-dimensional ﬁnite element model of the human anterior cruciate ligament: a computational analysis with experimental validation. J Biomech, 2004, 37(3): 383-390.
11. LaPrade RF, Johansen S, Wentorf FA, et al. An analysis of an anatomical posterolateral knee reconstruction: an in vitro biomechanical study and development of a surgical technique. Am J Sports Med, 2004, 32(6): 1405-1414.
12. 赵金忠. 膝关节重建外科学. 郑州: 河南科学技术出版社, 2007: 155.
13. 杨茜. 后交叉韧带完全断裂对外侧副韧带继发损伤影响的生物力学三维有限元分析. 湖南: 中南大学, 2010.
14. 黄河, 王黎明, 桂鉴超, 等. 解剖重建治疗膝关节后外侧角损伤. 中国修复重建外科杂志, 2007, 21(3): 251-254.
15. 张焱, 杨滨, 杨柳. 自体半腱肌肌腱重建膝关节后外侧角的生物力学研究. 重庆医学, 2011, 40(10): 961-963.
16. 张焱. 膝关节后外侧角两种重建术生物力学对比研究. 重庆: 第三军医大学, 2009.
17. 陈鸿, 鲁宁, 张颖, 等. 自体中1/3股二头肌腱和股薄肌重建膝关节后外侧角韧带复合体损伤. 中华创伤杂志, 2008, 24(4): 256-259.
18. 曾蜀雄, 伍国胜, 汪方, 等. 膝关节后外侧结构的形态学及生物力学研究. 解剖科学进展, 2010, 16(3): 281-284.
19. 王锋, 赵金忠, 皇甫小桥, 等. 后十字韧带合并后外侧韧带结构损伤的关节镜下重建. 中华骨科杂志, 2009, 29(6): 534-538.
20. 王齐超, 王海蛟, 王玉记, 等. 关节镜辅助下应用自体半腱肌腱微创重建膝交叉韧带和加强重建后外侧角韧带. 中国微创外科杂志, 2010, 10(7): 639-641.

Chinese Journal of Reparative and Reconstructive Surgery

ANALOG RECONSTRUCTION OF POSTEROLATERAL COMPLEX BY THE FINITE ELEMENT

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