Evaluating the Partial Fibulectomy on Stress Distribution in Tibiofemoral Joint Evaluating the Partial Fibulectomy on Stress Distribution in Tibiofemoral Joint
Journal of "Regeneration, Reconstruction & Restoration" (Triple R),
Vol. 5 (2020),
24 March 2020
,
Page e9
https://doi.org/10.22037/.v5i1.26885
Abstract
Introduction: Partial fibulectomy has been suggested for patients who encounter with severe varus/valgus or ununited fractures of the tibia. This study develops a finite element (FE) model of partial fibulectomy to study stress distribution in the tibiofemoral joint.
Materials and Methods: A 3D magnetic resonance imaging (MRI)-based of tibiofemoral joint and FE model was developed for study from a man volunteer with the normal left knee. Components consisted of the exact geometry of femur, tibia, fibula, meniscus, and articular cartilages. Firstly, geometries were constructed in Mimics and then exported to Rapid Forming XOR2 and finally, the Computer-aided design (CAD) model was analyzed in ABAQUS 6.10. Mechanical properties of the model for soft tissues were considered to be linear elastic, isotropic and homogenous and for bony parts were considered to be rigid.
Results: Model predictions were compared with normal one and used to derive stress distribution under physiological loading for standing in quasi- static condition. The results showed load transferring toward lateral condyle due to partial fibulectomy. The variation of stress distribution would increase the risk of osteoarthritis.
Conclusion: Our results have been predicted that partial fibulectomy could be an unknown risk factor for osteoarthritis and the model could be used for extended similar studies.
- Partial fibulectomy
- Tibiofemoral joint
- Stress distribution
- Finite element method
How to Cite
References
Lambert KL (1971) The weight bearing function of the fibula.A strain gauge study. J Bone Joint Surg 53-A:507–513
Babhulkar SS, Panda KC, Babhulkar S (1957) Ankle instability of the donor site following removal of vascularized fibula bone graft. J Bone Joint Surg 77-B:258–261
Pacelli LL, Gillard J, McLoughlin SW, Buehler MJ (2003) A biomechanical analysis of donor-site ankle instability following free fibular graft harvest. J Bone Joint Surg 85-A:597–603
Close JR (1956) Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg 38-A:761–781
Pacelli LL, Gillard J, McLoughlin SW, Buehler MJ (2003) A biomechanical analysis of donor-site ankle instability following free fibular graft harvest. J Bone Joint Surg 85-A:597–603
Goh JC, Mech AM, Lee EH, Ang EJ, Bayon P, Pho RW (1992)Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop 279:223–228
Murat Bozkurt, Günes Yavuzer, Ergin Tönük,Behzat Kentel(2005).Dynamic function of the fibula. Gait analysis evaluation of three different parts of the shank after fibulectomy: proximal, middle and distal. Arch Orthop Trauma Surg 125: 713–720
Goh JC,Mech AM, Lee EH, Ang EJ, Bayon P, Pho RW(1992). Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clinical Orthopaedics and Related Research279:223-8
Fukubayashi, T., Kurosawa, H., 1980. The contact area and pressure distribution pattern of the knee. Acta Orthopaedics Scandinavian 51, 871–879.
Bendjaballah, M.Z., Shirazi-adl, A., Zukor, D.J., 1995. Biomechanics of the human knee joint in compression: reconstruction, mesh generation and finite element analysis. Knee 2, 69–79.
Donahue, T.L.H., Hull, M.L., Rashid, M.M., Jacobs, R.C., 2002. A finite element model of the human knee joint for the study of tibiofemoral contact.ASME Journal of Biomechanical Engineering 124, 273–280.
Curtis MJ, Michelson JD, Urquhart MW, Byank RP, Jinnah RH (1992).Tibiotalar contact and fibular malunion in ankle fractures. Acta Orthop Scand 63(3):326–329
]Thordarson DB, Motamed S, Hedman T, Ebramzadeh E,Bakshian S (1997) The effect of fibular malreduction on contact pressures in an ankle fracture malunion model. J Bone Joint Surg 79-A:1809–1815
E. Penă , B. Calvo, M.A. Martínez, M. Doblaré.(2006) A three-dimensional finite element analysis of the combined behavior of ligaments and menisci in the healthy human knee joint. Journal of Biomechanics 39 (2006) 1686–1701
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