Abstract
Experimental measurements of stresses and strains for lower extremity injuries (LEI) are invasive, and therefore, predictions require physiologically accurate 3D finite element (FE) models of the foot and ankle. In previous models, skin is typically neglected. However, experimental studies have shown that skin is much stiffer than soft tissue. In this study, the material sensitivity of skin on foot arch deformation is investigated. A finite element model of the foot is developed, incorporating bones, soft tissue, ligament, articulating surfaces, plantar aponeurosis, skin and plantar plate. Balanced standing is simulated without skin or with three different skin mechanical properties. By including different skin models, the foot static vertical stiffness, navicular displacement and plantar aponeurosis strain change significantly, when compared with the model without skin. The study shows that skin, showing a much stiffer behaviour than soft tissue, should not be neglected in the foot modelling. Further, the plantar plate considered in this model can give merit to modelling injuries such as plantar plate tearing.
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The authors thanks to Dr. WANG Dongmei from Mechanical Engineering School in Shanghai Jiao Tong University for providing genuine advice and the geometry files of the developed finite element model.
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Foundation item: the National Natural Science Foundation of China (Nos. 51550110233 and 51505282)
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Ou, H., Qaiser, Z., Kang, L. et al. Effect of Skin on Finite Element Modeling of Foot and Ankle During Balanced Standing. J. Shanghai Jiaotong Univ. (Sci.) 23, 132–137 (2018). https://doi.org/10.1007/s12204-018-1918-9
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DOI: https://doi.org/10.1007/s12204-018-1918-9