Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty

Jiaxuan Ren; Zhenxian Chen; Jing Zhang; Yongchang Gao; Feng Qiao; Zhongmin Jin

doi:10.7507/1001-5515.202209001

Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty

Jiaxuan Ren
, Zhenxian Chen
, Jing Zhang
, Yongchang Gao
, Feng Qiao
, Zhongmin Jin

School of Mechanical Engineering

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

单髁膝关节置换术（UKA）中假体的手术安装精度是影响术后膝关节功能和假体寿命的重要因素。本文以UKA股骨部件相对胫骨衬垫内外侧位置的比值（a/A）为参数，分别考虑了9种不同股骨部件安装情况，建立UKA置换的骨肌多体动力学模型并模拟患者术后行走步态，研究UKA手术中股骨部件内外侧安装位置对术后膝关节接触力、关节运动和韧带力的影响。结果表明，随着a/A比值的增大，膝关节内侧假体接触力减小，外侧软骨接触力增大；膝关节内翻运动、外旋运动和关节后移运动增大；前交叉韧带力、后交叉韧带力和内侧副韧带力减小。UKA股骨部件内外侧安装位置对膝关节屈曲伸展运动、外侧副韧带力影响不大。而当a/A≤0.375时，股骨部件与胫骨会产生接触。为了避免内侧假体和外侧软骨承受过高的载荷、产生过高的韧带力以及内侧假体与胫骨碰撞等问题，本文建议医生UKA手术中安装股骨部件时a/A比值控制在0.427~0.688范围内，为UKA手术中股骨部件内外侧安装提供了参考依据。.

Original language	English
Pages (from-to)	508-514
Number of pages	7
Journal	Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi
Volume	40
Issue number	3
DOIs	https://doi.org/10.7507/1001-5515.202209001
State	Published - 25 Jun 2023

Keywords

Joint contact force
Joint movement
Ligament force
Medial-lateral installation position
Musculoskeletal multibody dynamics
Unicompartmental knee arthroplasty

Access to Document

10.7507/1001-5515.202209001

Cite this

Ren, J., Chen, Z., Zhang, J., Gao, Y., Qiao, F., & Jin, Z. (2023). Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty. Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi, 40(3), 508-514. https://doi.org/10.7507/1001-5515.202209001

Ren, Jiaxuan ; Chen, Zhenxian ; Zhang, Jing et al. / Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty. In: Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi. 2023 ; Vol. 40, No. 3. pp. 508-514.

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title = "Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty",

abstract = "单髁膝关节置换术（UKA）中假体的手术安装精度是影响术后膝关节功能和假体寿命的重要因素。本文以UKA股骨部件相对胫骨衬垫内外侧位置的比值（a/A）为参数，分别考虑了9种不同股骨部件安装情况，建立UKA置换的骨肌多体动力学模型并模拟患者术后行走步态，研究UKA手术中股骨部件内外侧安装位置对术后膝关节接触力、关节运动和韧带力的影响。结果表明，随着a/A比值的增大，膝关节内侧假体接触力减小，外侧软骨接触力增大；膝关节内翻运动、外旋运动和关节后移运动增大；前交叉韧带力、后交叉韧带力和内侧副韧带力减小。UKA股骨部件内外侧安装位置对膝关节屈曲伸展运动、外侧副韧带力影响不大。而当a/A≤0.375时，股骨部件与胫骨会产生接触。为了避免内侧假体和外侧软骨承受过高的载荷、产生过高的韧带力以及内侧假体与胫骨碰撞等问题，本文建议医生UKA手术中安装股骨部件时a/A比值控制在0.427\textasciitilde{}0.688范围内，为UKA手术中股骨部件内外侧安装提供了参考依据。.",

keywords = "Joint contact force, Joint movement, Ligament force, Medial-lateral installation position, Musculoskeletal multibody dynamics, Unicompartmental knee arthroplasty",

author = "Jiaxuan Ren and Zhenxian Chen and Jing Zhang and Yongchang Gao and Feng Qiao and Zhongmin Jin",

year = "2023",

month = jun,

day = "25",

doi = "10.7507/1001-5515.202209001",

language = "英语",

volume = "40",

pages = "508--514",

journal = "Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi",

issn = "1001-5515",

publisher = "West China Hospital, Sichuan Institute of Biomedical Engineering",

number = "3",

}

Ren, J, Chen, Z, Zhang, J, Gao, Y, Qiao, F & Jin, Z 2023, 'Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty', Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi, vol. 40, no. 3, pp. 508-514. https://doi.org/10.7507/1001-5515.202209001

Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty. / Ren, Jiaxuan; Chen, Zhenxian; Zhang, Jing et al.
In: Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi, Vol. 40, No. 3, 25.06.2023, p. 508-514.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty

AU - Ren, Jiaxuan

AU - Chen, Zhenxian

AU - Zhang, Jing

AU - Gao, Yongchang

AU - Qiao, Feng

AU - Jin, Zhongmin

PY - 2023/6/25

Y1 - 2023/6/25

N2 - 单髁膝关节置换术（UKA）中假体的手术安装精度是影响术后膝关节功能和假体寿命的重要因素。本文以UKA股骨部件相对胫骨衬垫内外侧位置的比值（a/A）为参数，分别考虑了9种不同股骨部件安装情况，建立UKA置换的骨肌多体动力学模型并模拟患者术后行走步态，研究UKA手术中股骨部件内外侧安装位置对术后膝关节接触力、关节运动和韧带力的影响。结果表明，随着a/A比值的增大，膝关节内侧假体接触力减小，外侧软骨接触力增大；膝关节内翻运动、外旋运动和关节后移运动增大；前交叉韧带力、后交叉韧带力和内侧副韧带力减小。UKA股骨部件内外侧安装位置对膝关节屈曲伸展运动、外侧副韧带力影响不大。而当a/A≤0.375时，股骨部件与胫骨会产生接触。为了避免内侧假体和外侧软骨承受过高的载荷、产生过高的韧带力以及内侧假体与胫骨碰撞等问题，本文建议医生UKA手术中安装股骨部件时a/A比值控制在0.427~0.688范围内，为UKA手术中股骨部件内外侧安装提供了参考依据。.

AB - 单髁膝关节置换术（UKA）中假体的手术安装精度是影响术后膝关节功能和假体寿命的重要因素。本文以UKA股骨部件相对胫骨衬垫内外侧位置的比值（a/A）为参数，分别考虑了9种不同股骨部件安装情况，建立UKA置换的骨肌多体动力学模型并模拟患者术后行走步态，研究UKA手术中股骨部件内外侧安装位置对术后膝关节接触力、关节运动和韧带力的影响。结果表明，随着a/A比值的增大，膝关节内侧假体接触力减小，外侧软骨接触力增大；膝关节内翻运动、外旋运动和关节后移运动增大；前交叉韧带力、后交叉韧带力和内侧副韧带力减小。UKA股骨部件内外侧安装位置对膝关节屈曲伸展运动、外侧副韧带力影响不大。而当a/A≤0.375时，股骨部件与胫骨会产生接触。为了避免内侧假体和外侧软骨承受过高的载荷、产生过高的韧带力以及内侧假体与胫骨碰撞等问题，本文建议医生UKA手术中安装股骨部件时a/A比值控制在0.427~0.688范围内，为UKA手术中股骨部件内外侧安装提供了参考依据。.

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KW - Joint movement

KW - Ligament force

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DO - 10.7507/1001-5515.202209001

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JO - Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi

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Ren J, Chen Z, Zhang J, Gao Y, Qiao F, Jin Z. Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty. Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi. 2023 Jun 25;40(3):508-514. doi: 10.7507/1001-5515.202209001

Musculoskeletal multibody dynamics investigation for the different medial-lateral installation position of the femoral component in unicompartmental knee arthroplasty

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