1.中山大学·深圳,广东 深圳 518107
2.中山大学生物医学工程学院,广东 深圳 518107
邵佳升,研究方向:生物力学,E-mail: 1923310068@qq.com
收稿:2022-03-30,
纸质出版:2022-09-20
移动端阅览
邵佳升,宋剑.有限元分析在膝关节植入物生物力学研究中的应用进展[J].中山大学学报(医学科学版),2022,43(05):861-870.
SHAO Jia-sheng,SONG Jian.The Research Progress of Finite Element Analysis on the Biomechanics of Knee Implants[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(05):861-870.
邵佳升,宋剑.有限元分析在膝关节植入物生物力学研究中的应用进展[J].中山大学学报(医学科学版),2022,43(05):861-870. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0521.
SHAO Jia-sheng,SONG Jian.The Research Progress of Finite Element Analysis on the Biomechanics of Knee Implants[J].Journal of Sun Yat-sen University(Medical Sciences),2022,43(05):861-870. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2022.0521.
膝关节植入物常被用来替换膝关节受损组织,恢复膝关节的正常功能和关节内正常的应力分布。有限元分析(FEA)可利用有限的、相互连接的单元对膝关节植入物植入后的膝关节应力进行精准、快捷的计算,直观的展现植入物植入后的膝关节应力分布情况。本研究通过中国知网、Web of Science、PubMed等数据库调研FEA在膝关节植入物生物力学研究中应用的相关文献,以人工膝关节、人工半月板和前交叉韧带移植物为主体,阐述了通过FEA分析植入物在不同材料结构设置和植入条件下对术后膝关节应力分布的影响,并分析了该领域现存的技术问题及未来的发展方向。
Knee joint implants are widely used to replace damaged tissue in the knee joint, restoring normal function and normal stress distribution within the joint. Finite element analysis (FEA) can use limited and interconnected elements to accurately and quickly calculate the knee joint stress , and intuitively display the knee joint stress distribution after implantation. In this paper, we review the literature of finite element method in the field of biomechanics of knee implants through databases such as CNKI, Web of Science and PubMed. We take artificial knee joint, artificial meniscus and anterior cruciate ligament graft as the main topics, and analyze the influence of implants on the stress distribution of postoperative knee joints under different materials, structural settings and implantation conditions. The current technical problems and future development directions in this field are presented.
Herregodts S , Verhaeghe M , Paridaens R , et al . Soft-tissue penetration of the oscillating saw during tibial resection in total knee arthroplasty: a cadaveric study [J]. Bone Joint J , 2020 , 102 ( 10 ): 1324 - 1330 .
Caro FD , Perdisa F , Dhollander A , et al . Meniscus scaffolds for partial meniscus defects [J]. Clin Sport Med , 2020 , 39 ( 1 ): 83 - 92 .
Wang J , Xu J , Wang X , et al . Magnesium-pretreated periosteum for promoting bone-tendon healing after anterior cruciate ligament reconstruction [J]. Biomaterials , 2021 , 268 : 120576 .
崔凤金 , 武明鑫 , 白印伟 , 等 . 三维CT在PSI辅助初次人工膝关节表面置换术前截骨计划中的应用 [J]. 中山大学学报(医学版) , 2018 , 39 ( 2 ): 245 - 251 .
Cui JF , Wu MX , Bai YW , aler . 3D Computed tomography assist in making the protocol for primary TKA using PSl [J]. J Sun Yat-sen Univ (Med Sci) , 2018 , 39 ( 2 ): 245 - 251 .
Madeti BK , Chalamalasetti SR , Bolla SK , et al . Biomechanics of knee joint-a review [J]. Front Mech Eng , 2015 , 10 ( 2 ): 176 - 186 .
Shen G , Zhang JF , Fang FZ . In vitro evaluation of artificial joints: a comprehensive review [J]. Adv Manuf , 2019 , 7 ( 1 ): 1 - 14 .
Shu L , Yamamoto K , Yoshizaki R , et al . Multiscale finite element musculoskeletal model for intact knee dynamics [J]. Comput Biol Med , 2022 , 141 : 105023 .
Rajendran K . Mechanism of locking at the knee joint [J]. J Anat , 1985 , 143 ( 2 ): 189 - 194 .
Kiapour AM , Kaul V , Kiapour A , et al . The Effect of ligament modeling technique on knee joint kinematics: a finite element study [J]. Appl Math , 2013 , 4 ( 5A ): 91 - 97 .
吴坤能 , 赵改平 , 刘冬青 , 等 . 膝关节单髁置换术胫骨假体不同后倾角对假体磨损和功能的影响 [J]. 医用生物力学 , 2021 , 36 ( 4 ): 618 - 624 .
Wu KN , Zhao GP , Liu DQ , et al . Effects of different retroversion angles of tibial prosthesis on prosthesis wear and function in knee unicondylar replacement [J]. Med Biomech , 2021 , 36 ( 4 ): 618 - 624 .
潘正晔 , 马勇 , 耿治中 , 等 . 预期条件下不同侧切角度膝关节应力状态的有限元分析 [J]. 医用生物力学 , 2021 , 36 ( 5 ): 762 - 768 .
Pan ZY , Ma Y , Geng ZZ , et al . Finite element analysis of stress state of knee joint with different lateral cut angles under expected conditions [J]. Med Biomech , 2021 , 36 ( 5 ): 762 - 768 .
马新硕 , 姚杰 , 王慧枝 , 等 . 单髁膝关节置换胫骨元件不同固定柱形状的有限元分析 [J]. 医用生物力学 , 2019 , 34 ( 2 ): 186 - 192 .
Ma XS , Yao J , Wang HZ , et al . Finite element analysis of different fixed column shapes of tibial elements in unicondylar knee replacement [J]. Med Biomech , 2019 , 34 ( 2 ): 186 - 192 .
Kedgley AE , Teng-Hui S , Segal NA , et al . Predicting meniscal tear stability across knee-joint flexion using finite-element analysis [J]. Knee Surg Sport TrA , 2020 , 27 ( 1 ): 206 - 214 .
Wan C , Hao Z , Li Z , Lin J . Finite element simulations of different hamstring tendon graft lengths and related fixations in anterior cruciate ligament reconstruction [J]. Med Biol Eng Comput , 2017 , 55 ( 6 ): 2097 - 2106 .
Bao H , Zhu D , Gong H , et al . The effect of complete radial lateral meniscus posterior root tear on the knee contact mechanics: a finite element analysis [J]. J Orthop Sci , 2013 , 18 ( 2 ): 256 - 263 .
Zhang K , Li L , Yang L , et al . The biomechanical changes of load distribution with longitudinal tears of meniscal horns on knee joint: a finite element analysis [J]. J Orthop Surg Res , 2019 , 14 ( 1 ): 237 .
Zhang M , Zhang KW , Gong H . Biomechanical effects of tibial stems with different structures on human knee joint after total knee arthroplasty: a finite element analysis [J]. J Bionic Eng , 2022 , 19 ( 1 ): 197 - 208 .
Abitha H , Kavitha V , Gomathi B , et al . A recent investigation on shape memory alloys and polymers based materials on bio artificial implants-hip and knee joint [J]. Mater Today: Proc , 2020 , 33 ( 3 ): 4458 - 4466 .
Zhang JY , Wang J , Tian DM , et al . Spherical center and rotating platform hinged knee prosthesis: Finite-element model establishment, verification and contact analysis [J]. Knee , 2020 , 27 ( 3 ): 731 - 739 .
贾巍 , 张满栋 , 陈维毅 , 等 . 股骨假体材料对人工膝关节置换性能的影响 [J]. 中国组织工程研究 , 2021 , 25 ( 10 ): 1477 - 1481 .
Jia W , Zhang MD , Chen WY , et al . Effects of femoral prosthesis materials on the performance of artificial knee replacement [J]. Chin J Tissue Eng Res , 2021 , 25 ( 10 ): 1477 - 1481 .
Koh YG , Lee JA , Chung PK , et al . Computational analysis of customized cruciate retaining total knee arthroplasty restoration of native knee joint biomechanics [J]. Artif Organs , 2019 , 43 ( 5 ): 504 - 514 .
Zhou F , Xue F , Zhang S . The application of 3D printing patient specific instrumentation model in total knee arthroplasty [J]. Saudi J Biol Sci , 2020 , 27 ( 5 ): 1217 - 1221 .
相昌鑫 , 纪斌平 , 陈维毅 , 等 . 不同偏移角度荷载下膝关节假体接触压力的有限元分析 [J]. 中国组织工程研究 , 2019 , 23 ( 28 ): 4522 - 4528 .
Xiang CX , Ji BP , Chen WY , et al . Finite element analysis of contact pressure of knee joint prosthesis under different offset angle loads [J]. Chin J Tissue Eng Res , 2019 , 23 ( 28 ): 4522 - 4528 .
Xie X , Rusly R , Desjardins JD , et al . Effect of rotational prosthetic alignment variation on tibiofemoral contact pressure distribution and joint kinematics in total knee replacement [J]. Proc Inst Mech Eng H , 2017 , 231 ( 11 ): 1034 - 1047 .
Su WL , You KD , Yang CC , et al . Stress analysis of improper femur cut in total knee arthroplasty by finite element method [J]. J Mech , 2019 , 36 ( 3 ): 315 - 322 .
Patrick W , Matthias W , Arnd S , et al . Increase in the tibial slope in unicondylar knee replacement: analysis of the effect on the kinematics and ligaments in a weight-bearing finite element model [J]. Biomed Res Int , 2018 , 2018 : 8743604 .
Kang KT , Park JH , Koh YG , et al . Biomechanical effects of posterior tibial slope on unicompartmental knee arthroplasty using finite element analysis [J]. Bio-Med Mater Eng , 2019 , 30 ( 2 ): 133 - 144 .
Ding G , Li X , Sun M , et al . Meniscal transplantation and regeneration using functionalized polyurethane bionic scaffold and digital light processing 3D printing [J]. Chem Eng J , 2022 , 431 : 133861 .
柳辛墨 , 章亚东 , 聂振国 , 等 . 聚己内酯半月板支架应力-应变特性的有限元分析 [J]. 吉林大学学报(医学版) , 2019 , 45 ( 2 ): 389 - 394 ; + 474 .
Liu ZM , Zhang YD , Nie ZG , et al . Finite element analysis of stress-strain properties of polycaprolactone meniscus stents [J]. J Jilin Univ (Med Edi) , 2019 , 45 ( 2 ): 389 - 394 ; + 474 .
Shriram D , Yamako G , Chosa E , et al . Biomechanical evaluation of isotropic and shell-core composite meniscal implants for total meniscus replacement: a nonlinear Finite element study [J]. IEEE Access , 2019 , 7 : 140084 - 140101 .
Vaziri A , Nayeb-Hashemi H , Singh A , et al . Influence of meniscectomy and meniscus replacement on the stress distribution in human knee joint [J]. Ann Biomed Eng , 2008 , 36 ( 8 ): 1335 - 1344 .
Shriram D , Yamako G , Chosa E , et al . Effects of a valgus unloader brace in the medial meniscectomized knee joint: a biomechanical study [J]. J Orthop Surg Res , 2019 , 14 ( 1 ): 44 .
Yoon KH , Kim YH , Ha JH , et al . Biomechanical evaluation of double bundle augmentation of posterior cruciate ligament using finite element analysis [J]. Clin Biomech , 2010 , 25 ( 10 ): 1042 - 1046 .
Wang H , Kang H , Yao J , et al . Evaluation of a magnesium ring device for mechanical augmentation of a ruptured ACL: Finite element analysis [J]. Clin Biomech , 2019 , 68 : 122 - 127 .
Alomar AZ , Nasser A , Kumar A , et al . Hamstring graft diameter above 7mm has a lower risk of failure following anterior cruciate ligament reconstruction [J]. Knee Surg Sport Tr A , 2021 , 30 : 288 - 297 .
Dhaher YY , Salehghaffari S , Adouni M . Biomechnical senstivity of the knee joint after ACL-reconstruction surgery [C]. Biomed Eng Conf , 2017 .
Parchi PD , Ciapini G , Paglialunga C , et al . Anterior cruciate ligament reconstruction with LARS artificial ligament-clinical results after a long-term follow-up [J]. Joints , 2018 , 23 ( 3 ): 75 - 79 .
卢俊 , 王富军 , 劳继红 , 等 . 复合载荷下不同结构编织人工韧带的有限元分析 [J]. 纺织学报 , 2021 , 42 ( 08 ): 84 - 89 .
Lu J , Wang FJ , Lao JH , et al . Finite element analysis of braided artificial ligaments with different structures under compound loading [J]. J Text Res , 2021 , 42 ( 8 ): 84 - 89 .
Halonen KS , Mononen ME , Töyräs J , et al . Optimal graft stiffness and pre-strain restore normal joint motion and cartilage responses in ACL reconstructed knee [J]. J Biomech , 2016 , 49 ( 13 ): 2566 - 2576 .
Pache S , Castillo JD , Moatshe G , et al . Anterior cruciate ligament reconstruction failure and revision surgery: current concepts [J]. J Isakos , 2020 , 5 ( 6 ): 1 - 8 .
吴艳 , 曾旭文 , 梁治平 , 等 . MR评价前交叉韧带重建术后膝关节稳定性 [J]. 中山大学学报(医学科学版) , 2015 , 36 ( 2 ): 257 - 263 .
Wu Y , Zeng XW , Liang ZP , et al . MRl diagnosis of knee stability after anterior cruciate ligament reconstruction [J]. J Sun Yat-sen Univ (Med Sci) , 2015 , 36 ( 2 ): 257 - 263 .
Cheng R , Wang H , Jiang Z , et al . The femoral tunnel drilling angle at 45° coronal and 45° sagittal provided the lowest peak stress and strain on the bone tunnels and anterior cruciate ligament graft [J]. Front Bioeng Biotechnol , 2021 , 9 : 797389 .
Yao J , Wen CY , Zhang M , et al . Effect of tibial drill-guide angle on the mechanical environment at bone tunnel aperture after anatomic single-bundle anterior cruciate ligament reconstruction [J]. Int Orthop , 2014 , 38 ( 5 ): 973 - 981 .
Wang H , Zhang M , Cheng CK . Changing the diameter of the bone tunnel is more effective than changing the tunnel shape for restoring joint functionality after ACL reconstruction [J]. Front Bioeng Biotechnol 2020 , 8 .
Robinson DL , Safai L , Harandi VJ , et al . Load response of an osseointegrated implant used in the treatment of unilateral transfemoral amputation: An early implant loosening case study [J]. Clin Biomech , 2020 , 73 : 201 - 212 .
Wan C , Hao Z . Does the graft-tunnel friction influence knee joint kinematics and biomechanics after anterior cruciate ligament reconstruction? A finite element study [J]. Comput Method Biomec , 2018 , 21 ( 3 ): 278 - 286 .
Mau JR , Hawkins KM , Woo LY , et al . Design of a new magnesium-based anterior cruciate ligament interference screw using finite element analysis [J]. J Orthop Translat , 2020 , 20 : 25 - 30 .
Zheng C , Ma HY , Du YQ , et al . Finite element assessment of the screw and cement technique in total knee arthroplasty [J]. BioMed Res Int , 2020 , 2020 : 3708705 .
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