膝盖动力学主要由植入物对齐决定,但膝盖动力学主要受到肌肉协调策略的影响
Míriam Febrer-Nafría1, Michael J Dreyer2, Allan Maas3
1Institute for Biomechanics, ETH Zürich, Switzerland; Department of Mechanical Engineering, Universitat Politècnica de Catalunya, Spain.
Journal of biomechanics
|October 31, 2023
概括
在全膝关节整形术 (TKA) 后,植入物对齐显著影响膝关节运动,而肌肉活动主要影响关节负荷. 了解这些因素可以改善TKA的结果和植入器的寿命.
科学领域:
- 生物力学 生物力学
- 整形外科手术 整形外科手术
- 肌肉骨系统建模
背景情况:
- 植入物错位是修复全膝关节整形术 (TKA) 的关键原因之一.
- 在TKA患者中肌肉协调发生变化会影响膝盖接触负荷.
- 了解手术对关节力学的影响和肌肉招募对于改善TKA结果至关重要.
研究的目的:
- 研究植入物对齐和肌肉激活策略在TKA行走期间对膝盖接触力学的影响.
- 开发和验证一个肌肉骨模型来模拟TKA关节力学.
- 为改善外科手术技术,植入物寿命和康复提供见解.
主要方法:
- 开发了一个详细的12度自由度肌肉骨膝盖模型.
- 使用运动捕捉和地面反应力数据进行模拟.
- 执行了超过12,000次蒙特卡洛模拟,以评估各种对齐和肌肉激活场景.
主要成果:
- 基线模拟显示与体内数据的良好一致.
- 植入物对齐显著影响关节动力学.
- 肌肉激活策略主要影响膝盖接触负荷.
- 高膝盖力和极端动力学并不总是相关的.
结论:
- 这项研究为TKA.中基于人口的建模提供了经过验证的框架.
- 揭示了负载,运动,手术植入和肌肉协调之间的复杂相互作用.
- 提供了更好的理解,以指导TKA手术和康复策略.
相关概念视频
Bones of the Lower Limb: Femur and Patella
2.5K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.5K
Knee Joint
1.9K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.9K
Muscles that Move the Leg
1.9K
The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
1.9K
Muscle Coordination and Action
1.5K
Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
1.5K


