Computational stability of human knee joint at early stance in Gait: Effects of muscle coactivity and anterior cruciate ligament deficiency

2017 ◽  
Vol 63 ◽  
pp. 110-116 ◽  
Author(s):  
M. Sharifi ◽  
A. Shirazi-Adl ◽  
H. Marouane
2012 ◽  
Vol 64 (3) ◽  
pp. 696-704 ◽  
Author(s):  
Akihiko Hasegawa ◽  
Shuhei Otsuki ◽  
Chantal Pauli ◽  
Shigeru Miyaki ◽  
Shantanu Patil ◽  
...  

Author(s):  
Ariful I. Bhuiyan ◽  
Nabila Shamim ◽  
Stephen Ekwaro-Osire

Abstract A three-dimensional (3D) finite element (FE) human knee joint model developed from magnetic resonance images (MRIs) has been validated with the sets of experimental results in a normalized scale. The performance of the 3D FE knee joint model has been tested, simulating a physical experiment. The experiment provided the direct measurement of anterior cruciate ligament (ACL) strains due to the forces of quadriceps muscle force (QMF) followed by ground reaction force (GRF) at low knee flexion. Accurate and precise anatomy has been obtained from segmented MRI images. The ACL strain subject to the loading was calculated and analyzed compared with the measured data from the experimental tests. The study shows that the pre-activated ACL strain, which is measured before the application of GRF, increased nonlinearly with increasing QMF before landing. However, the total ACL strain, which is measured after both QMF and GRF applied, reaches out to the limited constant value (6%) instead of crossing the ACL failure value. These results suggest that the forces generated from QMF and GRF at low flexion may not bring ACL to a failure level as presented in the experimental tests. The results of the FE model fall into the standard deviations of the 22 cadaveric knees testing results, which represents the successful mechanical modeling of ACL and the surrounding structures of the human knee joint. The model may further be used to investigate the risks of the ACL injury.


2017 ◽  
Vol 22 (3) ◽  
pp. 488-494 ◽  
Author(s):  
Kazunori Tanaka ◽  
Munehiro Ogawa ◽  
Yusuke Inagaki ◽  
Yasuhito Tanaka ◽  
Hitoshi Nishikawa ◽  
...  

Author(s):  
P N Grimshaw ◽  
P Bowker

The Salford static knee instrument (SSKI) was developed to determine the quantitative assessment of the human knee joint in vivo by utilizing the technique of applied displacement and measurement of resistive load as proposed by Butler et al. (1). The instrument was used in parallel with the device developed by Al-Turaiki (2) which utilized the opposite method of assessment. The objective of the research was to examine which of the two techniques provided the more reliable and accurate method of knee assessment. Fourteen patients with suspected isolated rupture of the anterior cruciate ligament (ACL) were subjected to anterior-posterior drawer testing on both devices. The results showed that each instrument produced results which confirmed the clinical diagnosis by indicating a significant decrease in anterior stiffness when comparing the injured and uninjured knees. [SSKI device ( p = 0.000) and Al-Turaiki (2) device ( p = 0.002) statistical significant difference testing with Bonferonni Alpha correction p = 0.0125]. The results showed the Salford static knee instrument indicated a 58 per cent decrease in anterior stiffness and the Al-Turaiki (2) device a 35 per cent decrease when comparing the injured and uninjured knees. In conclusion it is suggested that the application of displacement and measurement of load as proposed by Butler et al. (1) may be the most appropriate technique for precise clinical diagnosis of pathological human knee joint instability. load, displacement, knee, anterior, stiffness


Author(s):  
Achilles Vairis ◽  
Markos Petousis ◽  
George Stefanoudakis ◽  
Nectarios Vidakis ◽  
Betina Kandyla ◽  
...  

The human knee joint has a three dimensional geometry with multiple body articulations that produce complex mechanical responses under loads that occur in everyday life and sports activities. Knowledge of the complex mechanical interactions of these load bearing structures is of help when the treatment of relevant diseases is evaluated and assisting devices are designed. The anterior cruciate ligament in the knee connects the femur to the tibia and is often torn during a sudden twisting motion, resulting in knee instability. The objective of this work is to study the mechanical behavior of the human knee joint in typical everyday activities and evaluate the differences in its response for three different states, intact, injured and reconstructed knee. Three equivalent finite element models were developed. For the reconstructed model a novel repair device developed and patented by the authors was employed. For the verification of the developed models, static load cases presented in a previous modeling work were used. Mechanical stresses calculated for the load cases studied, were very close to results presented in previous experimentally verified work, in both load distribution and maximum calculated load values.


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