Beruflich Dokumente
Kultur Dokumente
PII: S13504533(96)00031-8
ELSEVIER
Analytical
behaviors
Department
Technological
Received
and dynamic
of Mechanical
Engineering
and Engineering
University,
Houghton,
MI 49931, USA
1 September
1995, accepted
10 May
Mechanics,
Michigan
1996
ABSTFUCT
A knee model in the sag&al plane is established
in this Jtudy. Specafically,
the model is used to study the e&s
of
inertia, articular
surfaces of the knee joint, and patella on the behaviors
of a knee joint.
These behaviors
includt
the
joint surfnce contact point, ligament f&-es,
instantaneous
center and slide/roll
ratio between the femur
and tibia.
Model results are compawd
to experimental
cadaver studie.5 available
in the literature,
as well as between the quasi.statir and dynamic
mod&.
We found
that inertia increases the sliding ten&ncy
in the latter part of pexion,,
and
lengthens the rruciate
ligaments.
Decreasing
the curvature
of the femur surface geometry tends to reduce the ligament
forcps and moves the contact points towards the anterior
positions.
The introduction
of the patellar
ligament
in the
model seems to stabilize the behaviors
of the knee joint as reflected by the behavior
the instant
centers and the
of the external
load
contact point pattern
on the tibia surface. Furthermore,
we ,found
that diff, Prent magnitudes
applied to the tibia do not alter the qualitative
behaviors
of the knee joint. 0 1997 Elsevim Science for IPEfiiB.
,411
right,\ re.seroed.
qf
Keywords:
Knee
Med.
Phys.,
Eng.
kinematics,
1997,
Vol.
knee
dynamics,
knee
A well-defined
analytical knee model can be an
effective tool for understanding
the functionality
of the largest musculoskeletal
joint in the human
body. Statistics show that over two million
cases ofknee injury occur in the United States each year.
This model can provide a scientific explanation
as
to the causes of these injuries. Therefore,
preventive measure can be taken to avoid them. Furthermore, a well-developed
analytical
model
could
also be used efficiently to determine
the effects of
system variables on the performance
of the knee
joint,
and to guide experimental
and clinical
investigations.
However, a comprehensive
knee
model does not exist in the literature.
Analytical knee models have generally adapted
a four bar linkage methodology,
by grounding
either the tibia or femurlm4. In these models, the
two cruciates are assumed rigid links with neutral
ligament
fibers staying constant lengths during
flexion or extension.
Furthermore,
the articular
surfaces of the femur and tibia are either simplified, or their effects are ignored
completely.
Although
these models
have provided
initial
understanding
of the knee kinematics,
they can-
to: Zhi-Kui
Ling.
geometric
modeling
19, ?9-36,January
1. INTRODUCTION
Correspondence
modeling,
Analytical
of a knee joint:
Zhi-Kui
Ling et al.
2. ANALYTICAL
30
A knee
+ 2.692)2
+ 0.0477~
(2)
(3)
Five major ligaments
are represented
in the
model. They are the medial collateral
(MCL) , lateral collateral (LCL) , anterior cruciate (ACL) , the
posterior
cruciate (PCL), and the patellar ligament. Both the ACL and the PCL are represented
by their anterior and posterior bundles. Their twodimensional
insertion
and origin
points
are
obtained from the literature5,
and listed in Table
1. These numbers have been adjusted to the coordinate systems discussed before.
In the following discussion, formulation
of the
analytical
model is divided
into two cases, the
quasi-static model and the dynamic model. Two
constraint
equations exist for both models. First,
the tibia surface must be in contact with the femur
surface at one point.
F3 = ACL (mhrior)
Force
F4 = PCL Qmaior)
Force
FS = ACUposterlar)
Force
F6 = PCL (~tcrtor) Force
F7 = htdlr
L@nent
Force
Fext = Externd Force
Mext = Extend
Moment
(1)
Pa:
Fii
= 21.34-0.2578x
- 0.0332
N = Normal Force
Fl = LCL Force
I -t
MODELS
i $-
model
Moving Tibia
in its sagittal
plane
Ligament
insertion
Ligament
Tibia
LCL
MCL
ACL (anterior)
ACL (posterior)
PCL (posterior)
PCL (anterior)
3.849
2.149
0.849
1.149
3.849
3.849
and origin
X
Tibia
17.579
16.079
21.079
21.079
20.579
20.579
coordinates
Y
Femur
-2.5
-2.3
-2.3
-1.9
-3.2
-1.2
(cm)
X
Femur
1.9
1.4
1.9
1.9
2.4
2.4
Analytical
Table
Ligament
k, (kg cm-
LCL
MCL
ACL
ACL
PCL
PCL
150
150
200
100
175
175
(anterior)
(posterior)
(anterior)
(posterior)
on t/w behaviors
of a knee joint:
Zhi-Kui
Ling
et al.
Stiffnesses
Ligament
study
SK*)
000
000
000
000
000
000
muss
= (F,.),
+ W + A(nm)
(9)
(%)y
(5)
smagi=
kj( how,-
Istart,) * if howi
&art,)
if< lnOWj5
hart,)
(6)
(7)
Ligament
strain
ratio
Ligament
Strain
LCL
MCL
ACL
ACL
PCL
PCL
1.02
1.02
1.05
1.035
1.05
1.05
(anterior)
(posterior)
(anterior)
(posterior)
ratio
X[fmq$+
fma&l
31
Analytical
2.1. Instant
of a knee joint:
Zki-Kui
Ling et al.
ratio
The instantaneous
centers of rotation for both the
quasi-static
and dynamic
models are found by
using the instantaneous
velocities of two points on
the moving tibia. They are the tibia contact point
and the tibia mass center. For the quasi-static
model, the line representing
the velocity at the
tibia contact point is approximated
by the line
connection
between the contact point, and the
same contact point at its next position. The same
technique
is used to determine
the velocity line
at the mass center of the tibia. The instant center
is then determined
by constructing
two perpendicular lines to the two velocity lines at the contact
point and the mass center. The intersection
point
of the two perpendicular
lines is the instant center
location at that particular
instance.
For the dynamic model, the velocity at the mass
center of the tibia is known from model simulation. However, the velocity at the contact point
is unknown. In this study, the x and y components
of the
contact
point
velocity,
(dXtitml/&
df2( tibxc,)/dt),
are found by using the contact
point and the same point at the next time step.
A first order forward difference
approximation
scheme is used in the determination
of the contact point velocity. The same two perpendicular
lines to the velocities at the mass center of the
tibia and the contact point are constructed
to
determine
the corresponding
instant centers.
To calculate the slide/roll
ratio, the arc lengths
travelled on the surfaces of the tibia and femur
between two consecutive
simulation
times are
determined
with the following
numerical
integration.
(11)
For either contour surface (fi or f2), the lower and
upper limits are the X components
of two adjacent contact points. The slide/roll
ratio is defined
as the difference. between the larger distance (D)
and the smaller distance (d) travelled
on the
femur and tibia over the smaller of the two arc
lengths travelled (d) .
3. RESULTS
AND
Profun -Pnnnoz.--Plww3 - . . .. . .
KiMllUllO.0
I
x
-3.5 -4-
Figure
Femur
contact
points
DISCUSSIONS
The already-established
analytical models are used
to provide a comparison
between the kinematic
and dynamic
results in terms of the following
characteristics:
the contact points on the femur
and tibia; the ligament
forces; the instant center
locations; the slide/roll
ratio, all with respect to
the flexion angle.
The effects of the articular surface geometry on
the dynamic behavior of a knee are also investigated. This is accomplished
with the reduction
of
the curvatures of the femur surface. Specifically,
the coefficient for the linear term, 0.4637, of the
first femur profile in equation
(1) is reduced to
0.4137 and 0.3637, respectively. The second profile of the femur is also changed. In this case, the
Figure
10
Tibia
contact
30
points
40
50
Flaxion Dqrn
60
70
30
so
Analytical
250
\
h \
I\
200
liint
=-
ligament
=.-.-.(
=
tiit
=+
1
T+
0
+++&
0
Figure4
collateral
10
h~fluence
ligaments
20
30
40
50
Ftexion Degree
of the patellar
ligament
M)
over
70
80
the forces
90
in the
Figure
antrrior
of a knee joint:
The behaviours
of the PCI. ligament
and posterior
bundles
%hi-Kui
force
Ling et al.
iu terms
of in
33
Analytical
on the behaviors
o?aknee joint:
Zhi-Kui
Ling et al.
350,
ACL(a)
Profile
ACL(a)
Profile
Profile
ACL(a)
250
ACL(a)
Kinematic
ACL(p)
Profile
ACL(p)
Profile
Profile
ACL(p)
.ACL(p)
it 1
Kinematic
20
30
40
Flexion
Figure
The behaviours
of the ACL
ligament
force
in terms
of its anterior
34
50
60
70
60
90
Degree
and posterior
bundle
x am
Figure
instant
7 Influence
centres
of the patellar
(al)
ligament
over
the loci
of the
Amlytiral
5
with patekr
ligament = -
liQa"Mt
= - - -
/
,
4-
3.5
,
!
1Slii<Rcdl
0.5
Or
0
Figure
ratio
10
20
Influenc?
34
of the
40
50
Flexion Degree
patellar
ligament
70
60
over
80
90
the Slide/Roll
on thr behavim
of n knee joint:
Zhi-Kui
Ling
et al.
different
magnitudes
of the loading
condition
specified here, we did perform such a study, and
found no significant
change in the patterns of
behavior as related to the above discussed characteristics. Other studiesg, have also come to a similar conclusion.
4. CONCLUSIONS
study
4.
5.
6.
7.
8.
9.
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11.
12.
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