A new method to investigate in vivo knee behavior using a finite element model of the lower limb

Beillas, Philippe; Papaioannou, George; Tashman, Scott; Yang, King H.

doi:10.1016/j.jbiomech.2003.11.022

Cited by 98 publications

(37 citation statements)

References 55 publications

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“…5,6), the main observation is that the swept contact area during the stance phase of walking and stair climbing is globally reduced for the patient presenting coxarthrosis. It is in correlation with the limited movements observed for the patient, in particular at the end of the stance phases when a lost of extension clearly appears.…”

Section: Discussionmentioning

confidence: 99%

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Normal and osteoarthritic hip joint mechanical behaviour: a comparison study

Pustoc'h

Chèze

2009

Med Biol Eng Comput

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The assessment of contact areas within the hip joint during activities of daily living is of critical importance to understand why degeneration mechanisms are sometimes initiated. A generic finite element model is developed and constrained with experimental personalized conditions to locate contact areas and determine pressure distribution, both during walking and stair climbing. Bony structures are positioned in relation to each other by using experimental kinematical data. Implemented loading conditions are computed from an inverse dynamic approach coupled with an optimization method. The mechanical behaviour of a healthy hip joint is first simulated. This model is then used as a reference for the evaluation of a pathological mechanical behaviour. Thus, experimental data are collected for a patient presenting a coxarthrosis. The comparison of the pathological and normal behaviours emphasizes that the contact area swept within the osteoarthritic hip joint is limited both during walking and stair climbing.

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Section: Discussionmentioning

confidence: 99%

“…To adapt our generic finite element model to our patient and healthy subject morphologies, all dimensions of the model were scaled using a same scaling factor calculated by dividing the height of our subject by the height of the subject used for the model development [6].…”

Section: Model Developmentmentioning

confidence: 99%

Normal and osteoarthritic hip joint mechanical behaviour: a comparison study

Pustoc'h

Chèze

2009

Med Biol Eng Comput

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“…However, most models adopt rather crude simplifications of plane of movement, internal structures and joint surfaces (Shelburne and Pandy 1997;Abdel-Rahman and Hefzy 1998;Koehle and Hull 2008), and are designed for quasi-static conditions (Bei and Fregly 2004). Quite detailed analysis of internal structures can be performed by integrating multibody models with finite element methods (Bendjaballah et al 1995;Beillas et al 2004;Papaioannou et al 2008). However, difficult definition of the constitutive equation parameters for soft tissue under dynamic large deformations represents a limit to this approach.…”

Section: Introductionmentioning

confidence: 99%

A dynamic multibody model of the physiological knee to predict internal loads during movement in gravitational field

Bersini

Sansone

Frigo

2015

Computer Methods in Biomechanics and Biomedical Engineering

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Obtaining tibio-femoral (TF) contact forces, ligament deformations and loads during daily life motor tasks would be useful to better understand the aetiopathogenesis of knee joint diseases or the effects of ligament reconstruction and knee arthroplasty. However, methods to obtain this information are either too simplified or too computationally demanding to be used for clinical application. A multibody dynamic model of the lower limb reproducing knee joint contact surfaces and ligaments was developed on the basis of magnetic resonance imaging. Several clinically relevant conditions were simulated, including resistance to hyperextension, varus-valgus stability, anterior -posterior drawer, loaded squat movement. Quadriceps force, ligament deformations and loads, and TF contact forces were computed. During anterior drawer test the anterior cruciate ligament (ACL) was maximally loaded when the knee was extended (392 N) while the posterior cruciate ligament (PCL) was much more stressed during posterior drawer when the knee was flexed (319 N). The simulated loaded squat revealed that the anterior fibres of ACL become inactive after 608 of flexion in conjunction with PCL anterior bundle activation, while most components of the collateral ligaments exhibit limited length changes. Maximum quadriceps and TF forces achieved 3.2 and 4.2 body weight, respectively. The possibility to easily manage model parameters and the low computational cost of each simulation represent key points of the present project. The obtained results are consistent with in vivo measurements, suggesting that the model can be used to simulate complex and clinically relevant exercises.

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“…Following assembly, proper material properties taken from literature were assigned to each segment [1,2,5,13–20]. Bones were modeled as linear elastic [21–25] with different moduli assigned to cortical and trabecular regions consistent with earlier FE studies of the human knee joint [2,13]. Tibiofemoral and patellofemoral articular cartilage were modeled as isotropic linear elastic [16].…”

Section: Methodsmentioning

confidence: 99%

“…In order to study the effects of soft tissue material models, 3D reconstructed cruciate and collateral ligaments were substituted with multiple uniaxial representations (truss elements) with isotropic non-linear elastic material properties [2], while maintaining the same origins, insertions and initial orientation as the 3D model. Finally, the quasi-static simulations were repeated using uniaxial ligaments.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Ligament Modeling Technique on Knee Joint Kinematics: A Finite Element Study

Kiapour¹,

Kaul²,

Kiapour³

et al. 2013

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Finite element (FE) analysis has become an increasingly popular technique in the study of human joint biomechanics, as it allows for detailed analysis of the joint/tissue behavior under complex, clinically relevant loading conditions. A wide variety of modeling techniques have been utilized to model knee joint ligaments. However, the effect of a selected constitutive model to simulate the ligaments on knee kinematics remains unclear. The purpose of the current study was to determine the effect of two most common techniques utilized to model knee ligaments on joint kinematics under functional loading conditions. We hypothesized that anatomic representations of the knee ligaments with anisotropic hyperelastic properties will result in more realistic kinematics. A previously developed, extensively validated anatomic FE model of the knee developed from a healthy, young female athlete was used. FE models with 3D anatomic and simplified uniaxial representations of main knee ligaments were used to simulate four functional loading conditions. Model predictions of tibiofemoral joint kinematics were compared to experimental measures. Results demonstrated the ability of the anatomic representation of the knee ligaments (3D geometry along with anisotropic hyperelastic material) in more physiologic prediction of the human knee motion with strong correlation (r ≥ 0.9 for all comparisons) and minimum deviation (0.9º ≤ RMSE ≤ 2.29°) from experimental findings. In contrast, non-physiologic uniaxial elastic representation of the ligaments resulted in lower correlations (r ≤ 0.6 for all comparisons) and substantially higher deviation (2.6° ≤ RMSE ≤ 4.2°) from experimental results. Findings of the current study support our hypothesis and highlight the critical role of soft tissue modeling technique on the resultant FE predicted joint kinematics.

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A new method to investigate in vivo knee behavior using a finite element model of the lower limb

Cited by 98 publications

References 55 publications

Normal and osteoarthritic hip joint mechanical behaviour: a comparison study

Normal and osteoarthritic hip joint mechanical behaviour: a comparison study

A dynamic multibody model of the physiological knee to predict internal loads during movement in gravitational field

The Effect of Ligament Modeling Technique on Knee Joint Kinematics: A Finite Element Study

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