Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (12): 1829-1836.doi: 10.12307/2024.017
Previous Articles Next Articles
Wang Li, Wang Bo
Received:2022-12-06
Accepted:2023-03-02
Online:2024-04-28
Published:2023-08-22
Contact:
Wang Bo, PhD, Lecturer, Beijing Sport University, Beijing 100084, China
About author:Wang Li, Master, Beijing Sport University, Beijing 100084, China
Supported by:CLC Number:
Wang Li, Wang Bo. Mechanical analysis and finite element modeling of rabbit patellar tendon and tendon insertion under different mechanical conditions[J]. Chinese Journal of Tissue Engineering Research, 2024, 28(12): 1829-1836.
Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks
从应力上看,整个变化过程中股四头肌腱止点承受的应力最大,髌腱次之,髌骨上与各部位接触区域的应力则远小于股四头肌腱止点和髌腱腱止点。且随着角度增加,股四头肌腱止点和髌腱腱止点两部分应力差距逐渐增大。与0°位置相比,股四头肌腱止点在70°,80°时有显著性差异,髌腱腱止点无显著性差异,髌骨下端面在60°,70°,80°时差异有显著性意义,髌骨上端面在40°时差异有显著性意义,髌骨股骨面无显著性差异(图11,表2)。 从应变来看,髌腱腱止点承受的应变最小,髌骨上与股骨接触的区域应变最大。与0°位置相比,股四头肌腱止点在50°,60°,70°,80°时差异有显著性意义,髌腱腱止点无显著性差异,髌骨下端面在70°,80°时差异有显著性意义,髌骨上端面无显著性差异,髌骨股骨面50°,60°,70°时差异有显著性意义(图11,表2)。 2.3 相同方向不同载荷下的比较结果 从分布趋势来看,载荷大小的改变在位移、应力、应变方面对髌骨、股四头肌腱止点、髌腱腱止点等部位均无影响(图12)。"
从应力来看,载荷变化过程中股四头肌腱止点的应力始终大于髌腱腱止点,髌骨上各区域承受的应力小于两端腱止点。与2.82 N相比,股四头肌腱止点在3种不同载荷下差异均有显著性意义,髌腱腱止点、髌骨上端面、髌骨下端面、髌骨股骨面均在23.53 N和25.14 N时差异有显著性意义(图13,表3)。 从应变来看,髌腱腱止点始终是最低的应变区域,且始终低于股四头肌腱止点,髌骨上与股骨接触的区域应变最高。与2.82 N相比,髌骨上端面在3种不同载荷下差异均有显著性意义,髌腱腱止点、股四头肌腱止点、髌骨下端面、髌骨股骨面均在23.53 N和25.14 N时差异有显著性意义(图13,表3)。 2.4 膝内外翻与内外旋模式下的结果 从图像趋势分布来看,在内外翻模式下髌腱腱止点处有应力集中,同时股四腱止点处也存在少许的应力集中现象,外翻模式下髌腱腱止点应力集中的区域更集中于髌腱插入髌骨的部分。在内外旋的模式下,股四头肌腱止点和髌腱腱止点都有应力集中的现象,且髌腱腱止点产生应力集中的面积、程度大于股四头肌腱止点。内旋与外旋从图示直观比较可发现内旋模式下髌腱腱止点应力集中区域较大,而外旋模式下应力集中范围较小(图14)。"
| [1] GOMEZ-FLORIT M, LABRADOR-RACHED CJ, DOMINGUES RMA, et al. The tendon microenvironment: Engineered in vitro models to study cellular crosstalk. Adv Drug Deliv Rev. 2022;185:114299. [2] ANDARAWIS-PURI N, FLATOW EL, SOSLOWSKY LJ. Tendon basic science: Development, repair, regeneration, and healing. J Orthop Res. 2015;33(6):780-784. [3] SCHWARTZ A, WATSON JN, HUTCHINSON MR. Patellar Tendinopathy. Sports Health. 2015;7(5):415-420. [4] FAIRLEY J, TOPPI J, CICUTTINI FM, et al. Association between obesity and magnetic resonance imaging defined patellar tendinopathy in community-based adults: a cross-sectional study. BMC Musculoskelet Disord. 2014;15:266. [5] TOPPI J, FAIRLEY J, CICUTTINI FM, et al. Factors associated with magnetic resonance imaging defined patellar tendinopathy in community-based middle-aged women: a prospective cohort study. BMC Musculoskelet Disord. 2015;16:184. [6] LIAN OB, ENGEBRETSEN L, BAHR R. Prevalence of jumper’s knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005; 33(4):561-567. [7] HäGGLUND M, ZWERVER J, EKSTRAND J. Epidemiology of patellar tendinopathy in elite male soccer players. Am J Sports Med. 2011;39(9):1906-1911. [8] HEMS T, TILLMANN B. Tendon entheses of the human masticatory muscles. Anat Embryol (Berl). 2000;202(3):201-208. [9] ALMEKINDERS LC, VELLEMA JH, WEINHOLD PS. Strain patterns in the patellar tendon and the implications for patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2002;10(1):2-5. [10] 李海伟,刘志宇,陈振,等. 过度使用性肌腱病在体动物模型及诊断标准研究进展[J]. 中国运动医学杂志,2017,36(12):1105-1111. [11] WANG L, XIONG K, WANG B, et al. Effects of Time to Start Training After Acute Patellar Tendon Enthesis Injuries on Healing of the Injury in a Rabbit Model. Am J Sports Med. 2017;45(10):2405-2410. [12] 王博, 白胜超, 李文博, 等. 高强度跳跃肌腱损伤即刻冷水浸没干预模型兔髌腱组织内的炎症反应和胶原重塑[J]. 中国组织工程研究,2021,25(29): 4619-4625. [13] WILLIAMSON PM, FREEDMAN BR, KWOK N, et al. Tendinopathy and tendon material response to load: What we can learn from small animal studies. Acta Biomater. 2021;134:43-56. [14] 王琳. 髌骨骨腱结合部损伤延迟愈合模型建立及冲击波治疗效果的研究[D]. 北京:北京体育大学,2007. [15] 王博. 显微CT在骨腱结合部损伤中的应用与低强度循环载荷对损伤的影响[D]. 北京:北京体育大学,2012. [16] 刘波. 不同性别的兔髌腱、跟腱及屈趾肌腱生物力学特性测试[J]. 生物医学工程学杂志,1996,13(2):113-118+122. [17] ERDEMIR A, GUESS TM, HALLORAN J, et al. Considerations for reporting finite element analysis studies in biomechanics. J Biomech. 2012;45(4):625-633. [18] BURKHART TA, ANDREWS DM, DUNNING CE. Finite element modeling mesh quality, energy balance and validation methods: a review with recommendations associated with the modeling of bone tissue. J Biomech. 2013;46(9):1477-1488. [19] 张太良. 兔膝关节有限元模型的建立及前交叉韧带重建后力学分析[D]. 乌鲁木齐:新疆医科大学,2017. [20] KOT BC, ZHANG ZJ, LEE AW, et al. Elastic modulus of muscle and tendon with shear wave ultrasound elastography: variations with different technical settings. PLoS One. 2012;7(8):e44348. [21] LIU H, GAO F, LIANG X, et al. Pathogenesis and Development of Patellar Tendon Fibrosis in a Rabbit Overuse Model. Am J Sports Med. 2020;48(5):1141-1150. [22] 赵怡淇, 黄桂武, 李文昌, 等. 中国南方人股骨干形态特征及其对股骨外翻角的影响[J]. 中国临床解剖学杂志,2022,40(1):4-9. [23] SPRAGUE AL, SMITH AH, KNOX P, et al. Modifiable risk factors for patellar tendinopathy in athletes: a systematic review and meta-analysis. Br J Sports Med. 2018;52(24):1575-1585. [24] MAGANARIS CN, NARICI MV, ALMEKINDERS LC, et al. Biomechanics and pathophysiology of overuse tendon injuries: ideas on insertional tendinopathy. Sports Med. 2004;34(14):1005-1017. [25] IKOMA K, KIDO M, NAGAE M, et al. Effects of stress-shielding on the dynamic viscoelasticity and ordering of the collagen fibers in rabbit Achilles tendon. J Orthop Res. 2013;31(11):1708-1712. [26] SU W, QI W, LI X, et al. Effect of Suture Absorbability on Rotator Cuff Healing in a Rabbit Rotator Cuff Repair Model. Am J Sports Med. 2018;46(11):2743-2754. [27] UNSAL SS, YILDIRIM T, KAYALAR M. Comparison of two coracoid process transfer techniques on stress shielding using three-dimensional finite-element model. J Orthop Surg Res. 2022;17(1):371. [28] KAGE T, SANADA T, IWASO H, et al. Morphology of Acute Achilles Tendon Rupture by Intraoperative Evaluation. J Foot Ankle Surg. 2021;60(6):1198-1203. [29] PASSINI FS, JAEGER PK, SAAB AS, et al. Shear-stress sensing by PIEZO1 regulates tendon stiffness in rodents and influences jumping performance in humans. Nat Biomed Eng. 2021;5(12):1457-1471. [30] YIN NH, MCCARTHY I, BIRCH HL. An equine tendon model for studying intra-tendinous shear in tendons that have more than one muscle contribution. Acta Biomater. 2021;127:205-212. [31] LINDERMAN SW, GOLMAN M, GARDNER TR, et al. Enhanced tendon-to-bone repair through adhesive films. Acta Biomater. 2018;70:165-176. [32] BEKENY JC, ZOLPER EG, DEKKER PK, et al. Long Term Follow-up of Composite Flaps for Single-stage Reconstruction of Concomitant Tendon and Soft Tissue Defects. Plast Reconstr Surg Glob Open. 2022;10(1):e4023. |
| [1] | Liu Wenlong, Dong Lei, Xiao Zhengzheng, Nie Yu. Finite element analysis of tibial prosthesis loosening after fixed-bearing unicompartmental knee arthroplasty for osteoporosis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2191-2198. |
| [2] | Zheng Wangyang, Fei Ji, Yang Di, Zhao Lang, Wang Lingli, Liu Peng, Li Haiyang. Finite element analysis of the force changes of the supraspinatus tendon and glenohumeral joint during the abduction and flexion of the humerus [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2199-2207. |
| [3] | Cai Qirui, Dai Xiaowei, Zheng Xiaobin, Jian Sili, Lu Shaoping, Liu Texi, Liu Guoke, Lin Yuanfang. Mechanical effects of Long’s traction orthopedic method on cervical functional units: quantitative analysis of biomechanical model of head and neck [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2208-2216. |
| [4] | Rao Jingcheng, Li Yuwan, Zheng Hongbing, Xu Zhi, Zhu Aixiang, Shi Ce, Wang Bing, Yang Chun, Kong Xiangru, Zhu Dawei. Biomechanical differences between the new proximal femoral stable intramedullary nail and traditional intramedullary nail#br# [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2217-2225. |
| [5] | Chen Long, Wang Xiaozhen, Xi Jintao, Lu Qilin. Biomechanical performance of short-segment screw fixation combined with expandable polyetheretherketone vertebral body replacement in osteoporotic vertebrae [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2226-2235. |
| [6] | Chen Huiting, Zeng Weiquan, Zhou Jianhong, Wang Jie, Zhuang Congying, Chen Peiyou, Liang Zeqian, Deng Weiming. Tail anchoring technique of vertebroplasty in treatment of osteoporotic vertebral compression fractures with intravertebral cleft: a finite element analysis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2145-2152. |
| [7] | Cheng Qisheng, Julaiti·Maitirouzi, Xiao Yang, Zhang Chenwei, Paerhati·Rexiti. Finite element analysis of novel variable-diameter screws in modified cortical bone trajectory of lumbar vertebrae [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2162-2171. |
| [8] | Liu Jiafu, Ren Ruxia, Liao Zhouwei, Zhou Xiali, Wu Yihong, Zhang Shaoqun. Three-dimensional finite element analysis of cervical spine biomechanical characteristics in a rat model of cervical vertigo [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2182-2190. |
| [9] | Zhang Zizheng, Luo Wang, Liu Changlu. Application value of finite element analysis on unicompartmental knee arthroplasty for medial knee compartmental osteoarthritis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(9): 2313-2322. |
| [10] | Zheng Xuying, Hu Hongcheng, Xu Libing, Han Jianmin, Di Ping. Stress magnitude and distribution in two-piece cement-retained zirconia implants under different loading conditions and with varying internal connection shapes [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(8): 1979-1987. |
| [11] |
Dong Chunyang, Zhou Tianen, Mo Mengxue, Lyu Wenquan, Gao Ming, Zhu Ruikai, Gao Zhiwei.
Action mechanism of metformin combined with Eomecon chionantha Hance dressing in treatment of deep second-degree burn wounds#br#
#br#
[J]. Chinese Journal of Tissue Engineering Research, 2026, 30(8): 2001-2013.
|
| [12] | Yang Xuetao, Zhu Menghan, Zhang Chenxi, Sun Yimin, Ye Ling. Applications and limitations of antioxidant nanomaterials in oral cavity [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(8): 2044-2053. |
| [13] | Liu Anting, Lu Jiangtao, Zhang Wenjie, He Ling, Tang Zongsheng, Chen Xiaoling. Regulation of AMP-activated protein kinase by platelet lysate inhibits cadmium-induced neuronal apoptosis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(7): 1800-1807. |
| [14] | Xu Hao, Ding Lu, Li Xiao. Mechanical effect of mechanical wear of abutment screws on the Morse taper connection implant system: a three-dimensional finite element analysis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(6): 1375-1383. |
| [15] | Zhong Caihong, Xiao Xiaoge, Li Ming, Lin Jianhong, Hong Jing. Biomechanical mechanism of sports-related patellar tendinitis [J]. Chinese Journal of Tissue Engineering Research, 2026, 30(6): 1417-1423. |
| Viewed | ||||||
|
Full text |
|
|||||
|
Abstract |
|
|||||