Parametric finite element model of medial patellofemoral ligament reconstruction model development and clinical validation

Vicente Sanchis-Alfonso, Diego Alastruey-López, Gerad Ginovart, Erik Montesinos-Berry, Fabio García-Castro, Cristina Ramírez-Fuentes, Joan Carles Monllau, Angel Alberich-Bayarri, María Angeles Pérez

Sortida de recercaRecerca

2 Cites (Scopus)

Resum

© 2019, The Author(s). Background: Currently, there is uncertainty regarding the long-term outcome of medial patellofemoral ligament reconstructions (MPFLr). Our objectives were: (1) to develop a parametric model of the patellofemoral joint (PFJ) enabling us to simulate different surgical techniques for MPFLr; (2) to determine the negative effects on the PFJ associated with each technique, which could be related to long-term deterioration of the PFJ. Methods: A finite element model of the PFJ was created based on CT data from 24 knees with chronic lateral patellar instability. Patella contact pressure and maximum MPFL-graft stress at five angles of knee flexion (0, 30, 60, 90 and 120°) were analysed in three types of MPFLr: anatomic, non-anatomic with physiometric behaviour, and non-anatomic with non-physiometric behaviour. Results: An increase in patella contact pressure was observed at 0 and 30° of knee flexion after both anatomic and non-anatomic MPFLr with physiometric behaviour. In both reconstructions, the ligament was tense between 0 and 30° of knee flexion, but at 60, 90 and 120°, it had no tension. In the third reconstruction, the behaviour was completely the opposite. Conclusion: A parametric model of the PFJ enables us to evaluate different types of MPFLr throughout the full range of motion of the knee, regarding the effect on the patellofemoral contact pressure, as well as the kinematic behaviour of the MPFL-graft and the maximum MPFL-graft stress.
Idioma originalEnglish
Número d’article32
RevistaJournal of Experimental Orthopaedics
Volum6
DOIs
Estat de la publicacióPublicada - 1 de des. 2019

Empremta digital Navegar pels temes de recerca de 'Parametric finite element model of medial patellofemoral ligament reconstruction model development and clinical validation'. Junts formen una empremta única.

Citeu això