ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Predicting meniscal tear stability across knee-joint flexion using finite-element analysis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Osteoarthritis Development Following Meniscectomy vs. Meniscal Repair for Posterior Medial Meniscus Injuries: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Review
- Risk Factors for Failure of Meniscal Repair.Current reviews in musculoskeletal medicine · 2026Review
- Spontaneous Healing of Meniscal Tears With ACL Injuries and Its Impact on Timing of ACL Surgery.Orthopaedic journal of sports medicine · 2026Article
- Biomechanical impact of discoid lateral meniscus and partial meniscectomy in the pediatric knee: a finite element study.Medical & biological engineering & computing · 2026Article
- Finite element analysis of medial meniscus tears and related surgical techniques with biomechanical validation.Frontiers in bioengineering and biotechnology · 2026Article
- The correlation between femoral trochlear dysplasia and meniscal tear in young individuals: a finite element analysis based on MRI.Quantitative imaging in medicine and surgery · 2025Article
- Stability characteristics of medial meniscus tear in mild varus knee: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Effects of running speed on the probability of meniscal failure in the knee joint: based on finite element analysis and the Weibull failure model.BMC musculoskeletal disorders · 2025Article
- Current Rehabilitation Principles Following Meniscus Repairs.Current reviews in musculoskeletal medicine · 2025Review
- Dynamic biomechanical effects of medial meniscus tears on the knee joint: a finite element analysis.Journal of orthopaedic surgery and research · 2025Article
- A review of finite element modeling and surgical simulation of meniscal tear in knee joint: progress and challenges.Frontiers in medicine · 2025Review
- Biomechanics of medial meniscus tears in the context of pain: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- Biomechanical characteristics of ligament injuries in the knee joint during impact in the upright position: a finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Functional meniscus reconstruction with biological and biomechanical heterogeneities through topological self-induction of stem cells.Bioactive materials · 2024Article
- Quantitative assessment of the knee joint from weight bearing computed tomography.Osteoarthritis imaging · 2024Article
- Evaluation of meniscal elasticity using shear wave elastography in obese children and adolescents: a preliminary cross-sectional study.Pediatric radiology · 2024Article
- Model Properties and Clinical Application in the Finite Element Analysis of Knee Joint: A Review.Orthopaedic surgery · 2024Review
- Validation of a Finite Element Simulation for Predicting Individual Knee Joint Kinematics.IEEE open journal of engineering in medicine and biology · 2024Article
- Finite element analysis of a healthy knee joint at deep squatting for the study of tibiofemoral and patellofemoral contact.Journal of orthopaedics · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyse the stress distribution through longitudinal and radial meniscal tears in three tear locations in weight-bearing conditions and use it to ascertain the impact of tear location and type on the potential for healing of meniscal tears.
methodsSubject-specific finite-element models of a healthy knee under static loading at 0°, 20°, and 30° knee flexion were developed from unloaded magnetic resonance images and weight-bearing, contrast-enhanced computed tomography images. Simulations were then run after introducing tears into the anterior, posterior, and midsections of the menisci.
resultsAbsolute differences between the displacements of anterior and posterior segments modelled in the intact state and those quantified from in vivo weight-bearing images were less than 0.5 mm. There were tear-location-dependent differences between hoop stress distributions along the inner and outer surfaces of longitudinal tears; the longitudinal tear surfaces were compressed together to the greatest degree in the lateral meniscus and were most consistently in compression on the midsections of both menisci. Radial tears resulted in an increase in stress at the tear apex and in a consistent small compression of the tear surfaces throughout the flexion range when in the posterior segment of the lateral meniscus.
conclusionsBoth the type of meniscal tear and its location within the meniscus influenced the stresses on the tear surfaces under weight bearing. Results agree with clinical observations and suggest reasons for the inverse correlation between longitudinal tear length and healing, the inferior healing ability of medial compared with lateral menisci, and the superior healing ability of radial tears in the posterior segment of the lateral meniscus compared with other radial tears. This study has shown that meniscal tear location in addition to type likely plays a crucial role in dictating the success of non-operative treatment of the menisci. This may be used in decision making regarding conservative or surgical management.
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