Computer modeling of biomechanical systems «femoral bone — endoprosthesis / transplant — tibia» in different methods of anterior cruciate ligament plastics in knee joint
Year: 2017, volume 13 Issue: №3 Pages: 764-768
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shormanov A.M., Ivanov D.V., Norkin A.l., Ulyanov V.Yu., Bakhteeva N.Kh., Klimov S.S., Chibrikova Yu.A.
Organization: Saratov State Medical University
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shormanov A.M., Ivanov D.V., Norkin A.l., Ulyanov V.Yu., Bakhteeva N.Kh., Klimov S.S., Chibrikova Yu.A.
Organization: Saratov State Medical University
Summary:
The aim: to specify the indices of dislocation (displacement) and effective stress in biomechanical systems «femoral bone — endoprosthesis / transplant — tibia» in different methods of anterior cruciate ligament by computer modeling of a knee joint geometrically, physically and mechanically similar to human. Material and Methods. Steady-state tasks of the stress given on a knee joint after anterior cruciate ligament plastics fulfilled by different methods were resolved numerically by the method of finite elements implemented in the system of finite element analysis. Results. Maximum dislocations comprised 3.45 mm. for the method of single-beam plastics of ACL, 0.35 mm. for two-beam plastics and 0.93 mm. for plastics with semi-tendinous and gracilis tendons. Maximum stress were 1190 MPa for single-beam plastics of ACL, 141 MPa for two-beam plastics and 150 MPa for plastics with semi-tendinous and gracilis tendons. Conclusion. Finite element modeling of different ways of ACL plastics indicates higher stability of synthetic endoprosthesis under rising stress in case of two-beam plastics and transplant of semi tendinous and gracilis tendons compared to the single-beam plastics.
Bibliography:
1. Shormanov AM, Bogatov VB, Sadykov RSh. Method of plastic surgery on anterior cruciate ligament of knee joint in adults: Patent RU 2506057 C1. Published 10.02.2014. Bull. 4
2. Shormanov AM, Sadchikov DD, Bakhteeva NKh, Ulyanov VJu. Clinical and experimental substantiation of the original method of plastic surgery on anterior cruciate ligament of knee joint. In: Technological Innovations in Traumatology, Orthopedics and Neurosurgery: Science and Practice Integration. 2017; p. 342-344
3. Shormanov AM, Bakhteeva NKh, Norkin Al, et al. The results of synthetic implants application in anterior cruciate ligament damage treatment. Modern problems of science and education 2015; (5): 345
4. Shormanov AM, Bakhteeva NKh, Sadykov RSh, etal. The results of application of anterior cruciate ligament two-bundle plastics by synthetic implant in its complete tears. Saratov Journal of Medical Scientific Research 2015; 11 (4): 566-569
5. Bilich GL, Kryzhanovskiy VA, Nikolenko VN. Human Anatomy: in 3 vol. Vol. 1: Atlas. Moscow: GEOTAR-Media, 2013; 696 p.
6. Kapandzhi Al. Lower limb: Functional. Moscow: Eksmo, 2014. Vol. 2; 368 p.
7. VoronovAV. Imitating biomechanical modeling as a method of study of human locomotive actions. Theory and Practice of
Physical Culture 2004; (2): 48-49
8. Johnson GD, Amendola A, Barber FA, et al. Surgical Arthroscopy. Moscow: Panfilov's Publishing House, 2015; 560 p.
9. Larsen MW, Garrett WEJr, Delee JC, et al. Surgical management of anterior cruciate ligament injuries in patients with open physes. J Am Acad Orthop Surg 2006; 14(13): 736-744
10. Steckel H, Starman JS, Baums MH, et al. Anatomy of the anterior cruciate ligament double bundle structure: a macroscopic evaluation. Scand J Med Sci Sports 2007; (17): 387-392.
| Attachment | Size |
|---|---|
| 2017_03-2_764-768.pdf | 2.11 MB |
Русский
English