Post-operative analysis of ACL tibial fixation

被引:12
作者
Chizari, Mahmoud [1 ]
Snow, Martyn [2 ]
Wang, Bin [1 ]
机构
[1] Univ Aberdeen, Sch Engn, Aberdeen, Scotland
[2] Royal Orthopaed Hosp, Dept Orthopaed, Birmingham B31 2AP, W Midlands, England
关键词
Finite element modelling; ACL reconstruction; 3D tibia model; MR scan; ANTERIOR CRUCIATE LIGAMENT; INTERFERENCE SCREW FIXATION; HAMSTRING TENDON GRAFT; BONE-MINERAL DENSITY; PATELLAR TENDON; FIT FIXATION; GOAT MODEL; PART I; RECONSTRUCTION; TUNNEL;
D O I
10.1007/s00167-008-0685-9
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
The main aims of the study were to describe the mechanical behaviour of the bone and tendon graft in ACL reconstruction. We also wanted to evaluate the stresses upon the tendon and try to relate these to modes of healing observed in animal studies. An MRI scan of a knee from a 22-year-old male patient, 3 months post ACL reconstruction, was used to generate a finite element model for assessing the stresses on the tendon and bone. A 200 N force, equivalent to the force during normal gait, was placed on the graft and the stress distribution recorded. The maximum stress was found on the tendon graft at the proximal end of the tibial tunnel. Direct tendon healing, which has been observed in animal studies, maybe as a result of the increased stress in this area.
引用
收藏
页码:730 / 736
页数:7
相关论文
共 38 条
[1]
*ABAQUS, 2007, AN US MAN VERS 6 7
[2]
ARNOCZKY SP, 1983, CLIN ORTHOP RELAT R, P19
[3]
Berg EE, 2001, ARTHROSCOPY, V17, P189, DOI 10.1053/jars.2001.20958
[4]
In vitro testing protocols for the cruciate ligaments and ligament reconstructions [J].
Beynnon B.D. ;
Amis A.A. .
Knee Surgery, Sports Traumatology, Arthroscopy, 1998, 6 (Suppl 1) :S70-S76
[5]
Effects of interference fit screw length on tibial tunnel fixation for anterior cruciate ligament reconstruction [J].
Black, KP ;
Saunders, MM ;
Stube, KC ;
Moulton, MJR ;
Jacobs, CR .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2000, 28 (06) :846-849
[6]
Interference screw fixation strength of a quadrupled hamstring tendon graft is directly related to bone mineral density and insertion torque [J].
Brand, JC ;
Pienkowski, D ;
Steenlage, E ;
Hamilton, D ;
Johnson, DL ;
Caborn, DNM .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2000, 28 (05) :705-710
[7]
Brown G A, 1996, Knee Surg Sports Traumatol Arthrosc, V3, P238, DOI 10.1007/BF01466626
[8]
MECHANICAL-PROPERTIES OF PRIMATE VASCULARIZED VS NONVASCULARIZED PATELLAR TENDON GRAFTS - CHANGES OVER TIME [J].
BUTLER, DL ;
GROOD, ES ;
NOYES, FR ;
OLMSTEAD, ML ;
HOHN, RB ;
ARNOCZKY, SP ;
SIEGEL, MG .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1989, 7 (01) :68-79
[9]
CHIZARI M, 2008, FIXATION ASSESSMENT
[10]
Chizari M, 2008, AIP CONF PROC, V1045, P61, DOI 10.1063/1.2991351