Evidence map›Paper›PMID 31345248›Full record

ArticleJournal of orthopaedic surgery and research2019

The biomechanical changes of load distribution with longitudinal tears of meniscal horns on knee joint: a finite element analysis.

Kaijia Zhang, Lan Li, Longfei Yang, Jianping Shi, Liya Zhu, Huixin Liang, Xingsong Wang, Xianfeng Yang, Qing Jiang

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Outside-In Meniscal Repair: Contemporary Indications and Surgical Technique.Current reviews in musculoskeletal medicine · 2026
    Review
  7. Review
  8. Article
  9. [Finite element analysis of impact of bone mass and volume in low-density zone beneath tibial plateau on cartilage and meniscus in knee joint].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Collagen-Based Scaffolds for Meniscal Repair and Regeneration.Journal of tissue engineering and regenerative medicine · 2025
    Review
  16. Review
  17. A systematic comparison between FEBio and PolyFEM for biomechanical systems.Computer methods and programs in biomedicine · 2024
    Article
  18. Review
  19. Review of Meniscus Anatomy and Biomechanics.Current reviews in musculoskeletal medicine · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Kaijia ZhangState Key Laboratory of Pharmaceutical Biotechnology, Department of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, China.
Lan LiState Key Laboratory of Pharmaceutical Biotechnology, Department of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, China.
Longfei YangSchool of Mechanical Engineering, Southeast University, Nanjing, China.
Jianping ShiSchool of Electrical and Automation Engineering, Nanjing Normal University, Nanjing, China.
Liya ZhuSchool of Electrical and Automation Engineering, Nanjing Normal University, Nanjing, China.
Huixin LiangSchool of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, China.
Xingsong WangSchool of Mechanical Engineering, Southeast University, Nanjing, China.
Xianfeng YangDepartment of Radiology, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, China. xianfeng9807@163.com.
Qing JiangState Key Laboratory of Pharmaceutical Biotechnology, Department of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital affiliated to Medical School of Nanjing University, Nanjing, China. qingj@nju.edu.cn.ORCID http://orcid.org/0000-0002-2552-9686
Nanjing Drum Tower Hospital · CNNanjing Normal University · CNSoutheast University · CNNanjing University of Aeronautics and Astronautics · CN

Funding

National Natural Science Foundation of China-Yunnan Joint Fund 81420108021National Natural Science Foundation of China-Yunnan Joint Fund 81730067
6 · The paper itself

Abstract

backgroundMeniscal horns are important structures of meniscus, and longitudinal tears of these places could significantly change the load distribution among the knee joint. Few studies concerned the stress concentrated on bones, which may induce the osteonecrosis of subchondral bone. The goal of this study was to construct a finite element (FE) model with high fidelity of the knee joint and evaluate the biomechanical changes of load distribution of components after longitudinal tears of the horns of meniscus.

methodsComputed tomography and magnetic resonance images were used to develop the FE model, and two different kinds of simulations, the vertical and the anterior load, mimicking the static stance and slight flexion simulations, were applied after longitudinal tears of the horns of meniscus.

resultsSignificantly elevated peak compressive and shear stress was observed on the menisci, cartilages, and subchondral bones, and enlarged meniscus extrusion was noticed. Between all the four types of longitudinal tears investigated in this study, longitudinal tears at the posterior horn of the medial meniscus were found to be the most significant.

conclusionsThese findings showed that longitudinal tears of the meniscal horns lead to increased magnitude and changed distribution of stress and indicated the important role of posterior horn of medial meniscus. This may contribute to the mechanism between meniscal tears and spontaneous subchondral bone osteonecrosis.

Indexed as

Finite Element AnalysisAdultBiomechanical PhenomenaFemaleHumansImaging, Three-DimensionalKnee JointMaleMenisci, TibialMiddle AgedTibial Meniscus InjuriesWeight-BearingFinite element analysisLongitudinal tearMeniscusSubchondral bone osteonecrosis

Identifiers

PMID31345248
PMCPMC6659249
OpenAlexW2963489128

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.