This paper describes simulated analytical results on the femoropatella joint disease and operation in the knee, using the previously reported three-dimensional kinematic model.
The primary cause of the cartilage degeneration on the retropatella surface is predominantly considered as abnormal joint contact stress.
However, in spite of many experiments, not only its aetiology but also the exact stress pattern have not been clarified yet.
In the present study, by the altemation of the physiological parameters in the normal knee, the following three clinical cases were simulated, and the trajectry pattern of contact points and the load bearing capacity in each case were quantitatively obtained.
The parameters for simulation-experiment were selected by clinical and pathological significance, as following;
1)
Q-angle (a position of the quadriceps muscle's origin)
2) A length of patellar ligament
3) A position of the tibial tuberosity
Besides, by connecting the articular surface geometry and the Hertzian elastic contact theory, the contact stress between the normal and the tibial tubercle elevating knees were compared and examined.
The simulation results indicated that variations in
Q-angle have little effect on the joint contact force, a patella alta case is injurious to the cartilage showing an undulating pattern of contact force, and the elevating of the tibial tuberosity reduces the contact stress by 20-30%.
Furthermore, the sliding pattern on the mediolateral contact points, which is closely related to cartilage wear, was examined.
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