Evaluation of compressive and shear joint forces on medial and lateral compartments in knee joint during walking before and after medial open-wedge high tibial osteotomy
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The main principle of open-wedge high tibial osteotomy (HTO) is to shift the weight-bearing line of the knee joint in order to decompress the degenerated compartment and delay osteoarthritis (OA). In this study, the resultant contact forces on the medial compartment, lateral compartment, and total tibiofemoral joint were analyzed during gait for five OA patients before and after HTO in order to fully understand the effect and mechanism of HTO for the OA knee. The compressive, lateral-medial shear, and anteriorposterior shear force components of the joint force, as well as the ratio of the medial contact force to the lateral contact force, were investigated using inverse dynamic and multi-body dynamic models. Medial open-wedge HTO improved the balance of medial and lateral contact forces on the tibiofemoral joint, which demonstrated the purpose of HTO provided by clinical studies and the outcomes of a computational study. In addition to the compressive contact force, the lateral-medial shear force was also reduced during the stance phase of walking after HTO. The technology in this study provides a fundamental tool to evaluate the outcomes of HTO by considering daily and sports activities.
KeywordsHigh tibial osteotomy Contact force Tibiofemoral joint Inverse dynamic Multi-body simulation
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- 3.Dearborn, J. T., Eakin, C. L., and Skinner, H. B., “Medial Compartment Arthrosis of the Knee,” American Journal of Orthopedics, Vol. 25, No. 1, pp. 18–26, 1996.Google Scholar
- 9.Nha, K. W., Dorj, A., Feng, J., Shin, J. H., Kim, J. I., et al., “Application of Computational Lower Extremity Model to Investigate Different Muscle Activities and Joint Force Patterns in Knee Osteoarthritis Patients during Walking,” Computational and Mathematical Methods in Medicine, Vol. 2013, Article ID: 314280, 2013.MathSciNetCrossRefzbMATHGoogle Scholar
- 13.Hernigou, P., Medevielle, D., Debeyre, J., and Goutallier, D., “Proximal Tibial Osteotomy for Osteoarthritis with Varus Deformity. A Ten to Thirteen-Year Follow-up Study,” The Journal of Bone and Joint Surgery. American Volume, Vol. 69, No. 3, pp. 332–354, 1987.Google Scholar
- 15.Birmingham, T. B., Giffin, J. R., Chesworth, B. M., Bryant, D. M., Litchfield, R. B., et al., “Medial Opening Wedge High Tibial Osteotomy: A Prospective Cohort Study of Gait, Radiographic, and Patient-Reported Outcomes,” Arthritis Care & Research, Vol. 61, No. 5, pp. 648–657, 2009.CrossRefGoogle Scholar
- 17.Jung, W.-H., Takeuchi, R., Chun, C.-W., Lee, J.-S., Ha, J.-H., Kim, J.-H., and Jeong, J.-H., “Second-Look Arthroscopic Assessment of Cartilage Regeneration after Medial Opening-Wedge High Tibial Osteotomy,” Arthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 30, No. 1, pp. 72–79, 2014.CrossRefGoogle Scholar
- 18.Agneskirchner, J. D., Hurschler, C., Wrann, C. D., and Lobenhoffer, P., “The Effects of Valgus Medial Opening Wedge High Tibial Osteotomy on Articular Cartilage Pressure of the Knee: A Biomechanical Study,” Arthroscopy: The Journal of Arthroscopic & Related Surgery, Vol. 23, No. 8, pp. 852–861, 2007.CrossRefGoogle Scholar
- 22.Purevsuren, T., Dorj, A., Kim, K., and Kim, Y. H., “Prediction of Medial and Lateral Contact Force of the Knee Joint during Normal and Turning Gait after Total Knee Replacement,” Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, Vol. 230, No. 4, pp. 288–297, 2016.CrossRefGoogle Scholar
- 23.Kwon, O. S., Purevsuren, T., Kim, K., Park, W. M., Kwon, T.-K., and Kim, Y. H., “Influence of Bundle Diameter and Attachment Point on Kinematic Behavior in Double Bundle Anterior Cruciate Ligament Reconstruction using Computational Model,” Computational and Mathematical Methods in Medicine, Vol. 2014, Article ID: 948292, 2014.MathSciNetCrossRefGoogle Scholar
- 26.Wu, G., Siegler, S., Allard, P., Kirtley, C., Leardini, A., et al., “ISB Recommendation on Definitions of Joint Coordinate System of Various Joints for the Reporting of Human Joint Motion -Part I: Ankle, Hip, and Spine,” Journal of Biomechanics, Vol. 35, No. 4, pp. 543–548, 2002.CrossRefGoogle Scholar
- 34.Erhart, J. C., Dyrby, C. O., D’Lima, D. D., Colwell, C. W., and Andriacchi, T. P., “Changes in in vivo Knee Loading with a Variable-Stiffness Intervention Shoe Correlate with Changes in the Knee Adduction Moment,” Journal of Orthopaedic Research, Vol. 28, No. 12, pp. 1548–1553, 2010.CrossRefGoogle Scholar