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Effect of floor and chair sit-to-stand motions on determination of optimal surgical site for anterior cruciate ligament reconstruction surgery

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Abstract

There are insufficient studies on whether the shape of motion of the knee during anterior cruciate ligament reconstruction will affect the selection of the surgical site. The present study sought to identify the optimal surgical site for anterior cruciate ligament reconstruction by analyzing the biomechanical effects on the anterior cruciate ligament of both floor sit-to-stand and chair sit-to-stand motions. Human motion analysis and computed tomography were performed on four Korean males in their 20s without orthopedic disorders, and the von-Mises stress of the graft was calculated by performing computational analysis of two motions for each surgical site through multi-flexible body dynamics analysis. As a result, it was the smallest (floor sit-to-stand: 18.9±1.16 MPa, chair sit-to-stand: 17.9±1.2 MPa) at the proximal posterior 45° area with a radius of 15 mm from the lateral epicondyle in both motions. This study suggested that the type of motion does not affect the optimal surgical site during anterior cruciate ligament reconstruction surgery.

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Abbreviations

ACL :

Anterior cruciate ligament

ACLR :

Anterior cruciate ligament reconstruction

STS :

Sit-to-stand

FSTS :

Floor sit-to-stand

CSTS :

Chair sit-to-stand

MFBD :

Mult-flexible body dynamics

FTL :

Femoral tunnel length (mm)

GBA :

Graft bending angle (°)

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Acknowledgments

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2017R1D 1A3B04033410).

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Authors and Affiliations

  1. Dept. of Convergence Engineering, Jungwon University, Chungbuk, 28024, Korea

    Byeong Chan Cho

  2. Dept. of Medical Device Industry, Jungwon University, Chungbuk, 28024, Korea

    Jae Woong Han & Tae Soo Bae

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  1. Byeong Chan Cho
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  2. Jae Woong Han
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  3. Tae Soo Bae
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Corresponding author

Correspondence to Tae Soo Bae.

Additional information

Byeong Chan Cho is master candidate in the Department of Convergence Engineering, Jungwon University in Republic of Korea. His research interest is on the computational mechanics related to dynamic analysis.

Jae Woong Han is Assistant Professor in the Department of Medical Device Industry, Jungwon university in Republic of Korea. His research interests include development of instruments and equipment related to biomedical engineering, analysis of human body motion.

Tae Soo Bae is Associate Professor in the Department of Medical Device Industry, Jungwon university in Republic of Korea. His research interests include musculoskeletal dynamics on patient-specific models, optimal surgical techniques in orthopedic surgeries, P&O products in Rehabilitation Engineering.

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Cho, B.C., Han, J.W. & Bae, T.S. Effect of floor and chair sit-to-stand motions on determination of optimal surgical site for anterior cruciate ligament reconstruction surgery. J Mech Sci Technol 38, 1613–1623 (2024). https://doi.org/10.1007/s12206-024-0251-5

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  • DOI: https://doi.org/10.1007/s12206-024-0251-5

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