학술논문

Subject‐specific biomechanical analysis to estimate locations susceptible to osteoarthritis—Finite element modeling and MRI follow‐up of ACL reconstructed patients
Document Type
article
Source
Journal of Orthopaedic Research®. 40(8)
Subject
Engineering
Biomedical Engineering
Arthritis
Aging
Osteoarthritis
Bioengineering
Aetiology
2.1 Biological and endogenous factors
Musculoskeletal
Anterior Cruciate Ligament Injuries
Cartilage
Articular
Case-Control Studies
Finite Element Analysis
Follow-Up Studies
Humans
Knee Joint
Magnetic Resonance Imaging
biomechanics
cartilage
finite eelement analysis
gait
osteoarthritis-posttraumatic
reconstruction
Clinical Sciences
Human Movement and Sports Sciences
Orthopedics
Biomedical engineering
Sports science and exercise
Language
Abstract
The aims of this case-control study were to: (1) Identify cartilage locations and volumes at risk of osteoarthritis (OA) using subject-specific finite element (FE) models; (2) Quantify the relationships between the simulated biomechanical parameters and T2 and T1ρ relaxation times of magnetic resonance imaging (MRI). We created subject-specific FE models for seven patients with anterior cruciate ligament (ACL) reconstruction and six controls based on a previous proof-of-concept study. We identified locations and cartilage volumes susceptible to OA, based on maximum principal stresses and absolute maximum shear strains in cartilage exceeding thresholds of 7 MPa and 32%, respectively. The locations and volumes susceptible to OA were compared qualitatively and quantitatively against 2-year longitudinal changes in T2 and T1ρ relaxation times. The degeneration volumes predicted by the FE models, based on excessive maximum principal stresses, were significantly correlated (r = 0.711, p