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The effects of knee joint kinematics on anterior cruciate ligament injury and articular cartilage damage

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  • Alexander D. Orsi
  • Srinath Chakravarthy
  • Paul K. Canavan
  • Estefanía Peña
  • Ruben Goebel
  • Askhan Vaziri
  • Hamid Nayeb-Hashemi

Abstract

This study determined which knee joint motions lead to anterior cruciate ligament (ACL) rupture with the knee at 25° of flexion. The knee was subjected to internal and external rotations, as well as varus and valgus motions. A failure locus representing the relationship between these motions and ACL rupture was established using finite element simulations. This study also considered possible concomitant injuries to the tibial articular cartilage prior to ACL injury. The posterolateral bundle of the ACL demonstrated higher rupture susceptibility than the anteromedial bundle. The average varus angular displacement required for ACL failure was 46.6% lower compared to the average valgus angular displacement. Femoral external rotation decreased the frontal plane angle required for ACL failure by 27.5% compared to internal rotation. Tibial articular cartilage damage initiated prior to ACL failure in all valgus simulations. The results from this investigation agreed well with other experimental and analytical investigations. This study provides a greater understanding of the various knee joint motion combinations leading to ACL injury and articular cartilage damage.

Suggested Citation

  • Alexander D. Orsi & Srinath Chakravarthy & Paul K. Canavan & Estefanía Peña & Ruben Goebel & Askhan Vaziri & Hamid Nayeb-Hashemi, 2016. "The effects of knee joint kinematics on anterior cruciate ligament injury and articular cartilage damage," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 19(5), pages 493-506, April.
    • Handle: RePEc:taf:gcmbxx:v:19:y:2016:i:5:p:493-506
    DOI: 10.1080/10255842.2015.1043626
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    References listed on IDEAS

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    1. N.H. Yang & P.K. Canavan & H. Nayeb-Hashemi & B. Najafi & A. Vaziri, 2010. "Protocol for constructing subject-specific biomechanical models of knee joint," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 13(5), pages 589-603.
    2. Andrew Homyk & Alexander Orsi & Story Wibby & Nicholas Yang & Hamid Nayeb-Hashemi & Paul Canavan, 2012. "Failure locus of the anterior cruciate ligament: 3D finite element analysis," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 15(8), pages 865-874.
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