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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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THE EFFECT OF PARTIAL MENISCECTOMY ON KNEE JOINT<br />

CONTACT STRESS: A FINITE ELEMENT STUDY<br />

D. Carpanen 1 , R. Walker 1 , F. Reisse 1 , M.Koff 2 , K. Cheah 3 , H. Hillstrom 4 and R.<br />

1, 4<br />

Mootanah<br />

1. ABSTRACT<br />

A recognised consequence of partial meniscectomy is the premature degeneration of the<br />

articular cartilage in the knee joint. The aim of this study is to investigate the<br />

relationship between partial meniscectomy with corresponding knee joint contact<br />

pressure for different activities. A three-dimensional model of the knee was created<br />

from magnetic resonance images of a cadaveric limb, using Mimics v14 (Materialise,<br />

Belgium). The model was exported to Abaqus v6.11 (HKS, USA) where loading<br />

conditions, simulating weight acceptance during the stance phase of gait, were applied.<br />

Stress analyses show that peak compressive stress in a meniscectomised knee was twice<br />

that of the intact knee. This highlights the importance of the meniscus in reducing knee<br />

joint contact stress and is a first step towards understanding the safe location and<br />

proportion of partial meniscectomy.<br />

2. INTRODUCTION<br />

The meniscus and cartilage play an important role in the absorption and distribution of<br />

load in the knee joint [1]. It is therefore important to maintain as much intact menisci as<br />

possible for the prevention of osteoarthritis. Meniscal lesions, the most common intraarticular<br />

knee injury, are normally treated by partial meniscectomy. This has a dramatic<br />

adverse effect on load distribution in the knee joint and the development of knee OA<br />

[2]. Hence, it is important to know the safe proportions and locations of a partial<br />

meniscectomy and the corresponding joint contact stresses. The overarching aim of this<br />

study is to investigate the relationship between partial meniscectomy size and location<br />

with corresponding knee joint contact pressure during the different phases of gait. The<br />

work reported in this paper will focus on the stress distributions in (i) a simulated<br />

healthy intact knee and (ii) a simulated knee with (a) total meniscectomy, (b) total<br />

medial meniscectomy and (c) partial medial meniscectomy (50%) at 20° flexion angle<br />

in the sagittal plane to simulate weight acceptance.<br />

3. METHODS<br />

A subject-specific finite element (FE) model of a cadaveric knee joint was developed<br />

and verified by in vitro testing [3]. Total meniscectomy was then simulated, using the<br />

validated model. Results for 20° of flexion will be presented in this paper.<br />

1<br />

Medical Engineering Research Group, Department of Computing and Technology, Anglia Ruskin<br />

<strong>University</strong>, Chelmsford, Essex, UK<br />

2<br />

Department of Radiology and Imaging, Hospital for Special Surgery, New York, USA<br />

3<br />

Department of Orthopaedic, Springfield Ramsay Hospital, Essex, UK<br />

4<br />

Leon Root Motion Analysis Laboratory, Department of Rehabilitation, Hospital for Special Surgery,<br />

New York, USA

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