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Effects of Meniscus Longitudinal Tear on Knee Biomechanics Based on Cross-Ligament Conditions

Year 2022, Issue: 37, 8 - 11, 15.07.2022
https://doi.org/10.31590/ejosat.1124473

Abstract

Knee meniscuses are fibrous cartilages that are present to disperse friction in the knee joint between the tibia and femur bones. They work to disperse body weight and reduce friction while moving. Because the condyles of the femur and the tibia converge at one point (which changes as they bend and stretch), the meniscus expand the weight of the body.
It is important to describe the mechanical behavior of the meniscus because of its significant role in bearing the load on the knee joint. Research shows Compressive stresses on the menisci have been shown to be a major factor in destructive joint injuries, including osteoarthritis. Anterior cruciate ligament tearcan also have a profound effect on the meniscus. Clinically, meniscus injury is common in patients with a tear cruciate ligament. The main purpose of this study is to determine the stress distribution diagram of internal and external menisci and to evaluate the comparison of healthy meniscus stress and meniscus tearwith the stability of the cruciate ligament and the instability of this ligament.
The bone structure of a healthy joint was designed and analyzed in ANSYS program package, and the forces applied to the meniscus under the presence or absence of ACL ligament were evaluated.
The results of biomechanical studies showed that tearof the meniscus and the anterior cruciate ligament play an important role in the stability of the meniscus. With the tearof the meniscus and ligament diagram, the distribution of stress and the amount of stress in the meniscus increases, which can be obtained by the interdependence of the meniscus and the surrounding ligaments for normal joint function.

References

  • Carter, T. E., Taylor, K. A., Spritzer, C. E., Utturkar, G. M., Taylor, D. C., Moorman III, C. T., ... & DeFrate, L. E. (2015). In vivo cartilage strain increases following medial meniscal tear and correlates with synovial fluid matrix metalloproteinase activity. Journal of biomechanics, 48(8), 1461-1468.
  • Athanasiou, K. A., & Sanchez-Adams, J. (2009). Engineering the knee meniscus. Synthesis lectures on tissue engineering, 1(1), 1-97.
  • András, T. Evaluating the Roles of Sporting Activity and Biomechanical Risk Factors of the Lower Extremity in the Etiology of the Patellofemoral Pain Syndrome.
  • Fan, H., Wang, J., Fu, Y., Dong, H., Wang, J., Tang, C., ... & Shi, Z. (2014). A security evaluation of the rigid-fix crosses pin system used for anterior cruciate ligament reconstruction in tibial fixation site. International Journal of Clinical and Experimental Medicine, 7(11), 4597.
  • Pena, E., Calvo, B., Martinez, M. A., Palanca, D., & Doblaré, M. (2005). Finite element analysis of the effect of meniscal tears and meniscectomies on human knee biomechanics. Clinical biomechanics, 20(5), 498-507.
  • Dong, Y., Hu, G., Dong, Y., Hu, Y., & Xu, Q. (2014). The effect of meniscal tears and resultant partial meniscectomies on the knee contact stresses: a finite element analysis. Computer methods in biomechanics and biomedical engineering, 17(13), 1452-1463.
  • Devaraj, A. K., Acharya, K. K. V., & Adhikari, R. (2021). Experimental and finite element investigations on the biomechanical effects of meniscal tears in the knee joint: a review. Journal of Biomimetics, Biomaterials and Biomedical Engineering, 50, 1-14.
  • Henry, S., Mascarenhas, R., Kowalchuk, D., Forsythe, B., Irrgang, J. J., & Harner, C. D. (2012). Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship?. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 28(8), 1124-1134.
  • Li, M., Li, Z., Li, Z., Jiang, H., Lee, S., Huang, W., & Zheng, Q. (2022). Transtibial pull-out repair of lateral meniscus posterior root is beneficial for graft maturation after anterior cruciate ligament reconstruction: a retrospective study. BMC Musculoskeletal Disorders, 23(1), 1-12.
  • Balta, O., Zengin, E. C., Eren, M. B., Citir, O. C., Altinayak, H., & Demir, O. (2022). Posterior root tear of the medial and lateral meniscus on magnetic resonance imaging of 10,980 knee. Medicine, 11(2), 656-65.
  • Jiang, P., Cui, J., Chen, Z., Dai, Z., Zhang, Y., & Yi, G. (2020). Biomechanical study of medial meniscus after posterior horn injury: a finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering, 23(4), 127-137.
  • Espejo-Baena, A., Espejo-Reina, A., Espejo-Reina, M. J., & Ruiz-Del Pino, J. (2020). The Finochietto sign as a pathognomonic finding of ramp lesion of the medial meniscus. Arthroscopy techniques, 9(4), e549-e552.
  • Devaraj, A. K., Acharya, K. K. V., & Adhikari, R. (2021). Numerical Investigation of the Effects of Bucket Handle Tears and Subtotal Medial Meniscectomies on the Biomechanical Response of Human Knee Joints. In Journal of Biomimetics, Biomaterials and Biomedical Engineering (Vol. 49, pp. 1-20). Trans Tech Publications Ltd.

Çapraz Bağ Koşullarına Dayalı Menisküsün Boyuna Yırtılmasının Diz Biyomekaniğine Etkileri

Year 2022, Issue: 37, 8 - 11, 15.07.2022
https://doi.org/10.31590/ejosat.1124473

Abstract

Diz menisküsleri, diz ekleminde tibia ve femur kemikleri arasındaki sürtünmeyi dağıtmak için mevcut olan lifli kıkırdaklardır. Hareket halindeyken vücut ağırlığını dağıtmak ve sürtünmeyi azaltmak için çalışırlar. Femur ve tibia kondilleri bir noktada birleştiğinden (ki bu büküldükçe ve esnedikçe değişir), menisküs vücudun ağırlığını dağıtır.
Diz eklemi üzerindeki yükü taşımadaki önemli rolü nedeniyle menisküsün mekanik davranışını tanımlamak önemlidir. Araştırmalar, menisküs üzerindeki baskı streslerinin osteoartrit dahil olmak üzere yıkıcı eklem yaralanmalarında önemli bir faktör olduğunu gösteriyor. Ön çapraz bağ yırtılması da menisküs üzerinde derin bir etkiye sahip olabilir. Klinik olarak menisküs yaralanması çapraz bağ yırtıklı hastalarda sık görülür. Bu çalışmanın temel amacı, iç ve dış menisküsün stres dağılım diyagramını belirlemek ve sağlıklı menisküs stresi ve menisküs rüptürünün çapraz bağın stabilitesi ve bu bağın instabilitesi ile karşılaştırmasını değerlendirmektir.
Sağlıklı bir eklemin kemik yapısı ANSYS program paketinde tasarlanarak analiz edilmiş ve ACL bağı varlığında veya yokluğunda menisküse uygulanan kuvvetler değerlendirilmiştir.
Biyomekanik çalışmaların sonuçları, menisküs ve ön çapraz bağın yırtılmasının menisküsün stabilitesinde önemli bir rol oynadığını göstermiştir. Menisküs ve bağ diyagramının yırtılması ile menisküs ve çevresindeki bağların normal eklem fonksiyonu için birbirine bağımlılığı ile elde edilebilecek olan menisküsteki stres dağılımı ve stres miktarı artar.

References

  • Carter, T. E., Taylor, K. A., Spritzer, C. E., Utturkar, G. M., Taylor, D. C., Moorman III, C. T., ... & DeFrate, L. E. (2015). In vivo cartilage strain increases following medial meniscal tear and correlates with synovial fluid matrix metalloproteinase activity. Journal of biomechanics, 48(8), 1461-1468.
  • Athanasiou, K. A., & Sanchez-Adams, J. (2009). Engineering the knee meniscus. Synthesis lectures on tissue engineering, 1(1), 1-97.
  • András, T. Evaluating the Roles of Sporting Activity and Biomechanical Risk Factors of the Lower Extremity in the Etiology of the Patellofemoral Pain Syndrome.
  • Fan, H., Wang, J., Fu, Y., Dong, H., Wang, J., Tang, C., ... & Shi, Z. (2014). A security evaluation of the rigid-fix crosses pin system used for anterior cruciate ligament reconstruction in tibial fixation site. International Journal of Clinical and Experimental Medicine, 7(11), 4597.
  • Pena, E., Calvo, B., Martinez, M. A., Palanca, D., & Doblaré, M. (2005). Finite element analysis of the effect of meniscal tears and meniscectomies on human knee biomechanics. Clinical biomechanics, 20(5), 498-507.
  • Dong, Y., Hu, G., Dong, Y., Hu, Y., & Xu, Q. (2014). The effect of meniscal tears and resultant partial meniscectomies on the knee contact stresses: a finite element analysis. Computer methods in biomechanics and biomedical engineering, 17(13), 1452-1463.
  • Devaraj, A. K., Acharya, K. K. V., & Adhikari, R. (2021). Experimental and finite element investigations on the biomechanical effects of meniscal tears in the knee joint: a review. Journal of Biomimetics, Biomaterials and Biomedical Engineering, 50, 1-14.
  • Henry, S., Mascarenhas, R., Kowalchuk, D., Forsythe, B., Irrgang, J. J., & Harner, C. D. (2012). Medial meniscus tear morphology and chondral degeneration of the knee: is there a relationship?. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 28(8), 1124-1134.
  • Li, M., Li, Z., Li, Z., Jiang, H., Lee, S., Huang, W., & Zheng, Q. (2022). Transtibial pull-out repair of lateral meniscus posterior root is beneficial for graft maturation after anterior cruciate ligament reconstruction: a retrospective study. BMC Musculoskeletal Disorders, 23(1), 1-12.
  • Balta, O., Zengin, E. C., Eren, M. B., Citir, O. C., Altinayak, H., & Demir, O. (2022). Posterior root tear of the medial and lateral meniscus on magnetic resonance imaging of 10,980 knee. Medicine, 11(2), 656-65.
  • Jiang, P., Cui, J., Chen, Z., Dai, Z., Zhang, Y., & Yi, G. (2020). Biomechanical study of medial meniscus after posterior horn injury: a finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering, 23(4), 127-137.
  • Espejo-Baena, A., Espejo-Reina, A., Espejo-Reina, M. J., & Ruiz-Del Pino, J. (2020). The Finochietto sign as a pathognomonic finding of ramp lesion of the medial meniscus. Arthroscopy techniques, 9(4), e549-e552.
  • Devaraj, A. K., Acharya, K. K. V., & Adhikari, R. (2021). Numerical Investigation of the Effects of Bucket Handle Tears and Subtotal Medial Meniscectomies on the Biomechanical Response of Human Knee Joints. In Journal of Biomimetics, Biomaterials and Biomedical Engineering (Vol. 49, pp. 1-20). Trans Tech Publications Ltd.
There are 13 citations in total.

Details

Primary Language English
Subjects Engineering
Journal Section Articles
Authors

Hamid Zamanlou 0000-0002-9780-8924

Filiz Karabudak 0000-0002-7365-0333

Early Pub Date June 30, 2022
Publication Date July 15, 2022
Published in Issue Year 2022 Issue: 37

Cite

APA Zamanlou, H., & Karabudak, F. (2022). Effects of Meniscus Longitudinal Tear on Knee Biomechanics Based on Cross-Ligament Conditions. Avrupa Bilim Ve Teknoloji Dergisi(37), 8-11. https://doi.org/10.31590/ejosat.1124473