Chinese Journal of Tissue Engineering Research

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Finite element model of distal tibial articular surface defect: Biomechanical analysis

Yu Hua1, Li Shao-xing2, Zhao Chang-yi3, Yan Jin-cheng1   

  1. 1Department of Orthopedics, the Third Hospital of Hebei Medical University, Hebei Orthopaedic Biomechanics Laboratory, Shijiangzhuang  050051, Hebei Province, China; 2The Second Hospital of Hebei Medical University, Shijiangzhuang  050000, Hebei Province, China; 3Department of Anatomy, Hebei Medical University, Shijiazhuang  050017, Hebei Province, China
  • Received:2013-03-05 Revised:2013-05-27 Online:2013-10-22 Published:2013-11-02
  • Contact: Yan Jin-cheng, M.D., Chief physician, Department of Orthopedics, the Third Hospital of Hebei Medical University, Hebei Orthopaedic Biomechanics Laboratory, Shijiangzhuang 050051, Heibei Province, China yanjincheng163@163.com
  • About author:Yu Hua★, Master, Department of Orthopedics, the Third Hospital of Hebei Medical University, Hebei Orthopaedic Biomechanics Laboratory, Shijiangzhuang 050051, Heibei Province, China 1092230714@qq.com

Abstract:

BACKGROUND: Finite element analysis has been widely used for the research of bone and joint biomechanics, but the reports about finite element analysis of distal tibial articular surface defect are rare at home and abroad.
OBJECTIVE: To establish ankle three-dimensional finite element model, produce distal tibial articular surface defects with different areas, and to simulate the distal tibial articular surface deformation and displacement under the different phases, thus predict the maximum allowable degree of distal tibial articular surface defect and explore the mechanics pathogenesis of ankle traumatic arthritis.
METHODS: Continuous tomographic images were obtained by multi-slice spiral CT scan of a normal adult male ankle, and then the images were imported into the Mimics medicine modeling software to generate a entity model; the large general-purpose finite element analysis software ANSYS 13.0 was used for meshing, material property assignment and generating a finite element model. Restricted boundary conditions and simulated ankle distal end axial force, and then the stress distribution and displacement results of distal tibial articular surface in different phases were obtained. 
RESULTS AND CONCLUSION: The total number of units of the established finite element model of ankle joint was
157 990, and the total number of nodes was 193 801. On three phases, with the increase of the distal tibial defect area, the contact area was gradually decreased, especially in plantar flexion with the defect diameter of 13 mm, the change of the area was most obvious; The contact area of the neutral position was largest; with the increase of the distal tibial defect area in the neutral position and dorsiflexion, the peak stress was increased gradually, and significantly increased after the diameter changed into 11-13 mm; in the neutral position and 10° of dorsiflexion, the peak stress mainly concentrated in the posteromedial and posterolateral quadrant; in 10° of plantar flexion, the change was complex, and when the diameter was 11-13 mm, the peak stress was increased gradually with the increasing of defect area, when the diameter increased to 13 mm, the peak stress reached maximum. The maximum diameter of distal tibial articular surface defect was considered to be 11-13 mm. The joint function will be affected when the diameter of distal tibial articular cartilage and bone bed defects was more than 11-13 mm.

Key words: tibial fractures, ankle joint, finite element analysis, biomechanics, computer-assisted

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