ArticleMaterials (Basel, Switzerland)2020
Musculoskeletal Multibody Simulation Analysis on the Impact of Patellar Component Design and Positioning on Joint Dynamics after Unconstrained Total Knee Arthroplasty.
Article in Materials (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 32 citations in OpenAlex.
- Predicting patellar kinematics and contact forces after TKA: a simulation study on quadriceps malalignment.Arthroplasty (London, England) · 2026Article
- Modeling of the native knee with kinematic data derived from experiments using the VIVO™ joint simulator: a feasibility study.Biomedical engineering online · 2024Article
- A Sensorized 3D-Printed Knee Test Rig for Preliminary Experimental Validation of Patellar Tracking and Contact Simulation.Sensors (Basel, Switzerland) · 2024Article
- Exploration of the Advanced VIVOBioengineering (Basel, Switzerland) · 2024Article
- Use of patellofemoral digital twins for patellar tracking and treatment prediction: comparison of 3D models and contact detection algorithms.Frontiers in bioengineering and biotechnology · 2024Article
- Femoral anterior condyle height decreases as the distal anteroposterior size increases in total knee arthroplasty: A comparative study.PloS one · 2024Article
- Can a Musculoskeletal Model Adapted to Knee Implant Geometry Improve Prediction of 3D Contact Forces and Moments?Annals of biomedical engineering · 2023Article
- [Musculoskeletal multibody dynamics investigation of posterior-stabilized total knee prosthesis].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2022Article
- Compensatory Responses During Slip-Induced Perturbation in Patients With Knee Osteoarthritis Compared With Healthy Older Adults: An Increased Risk of Falls?Frontiers in bioengineering and biotechnology · 2022Article
- The Influence of Mathematical Definitions on Patellar Kinematics Representations.Materials (Basel, Switzerland) · 2021Article
- Finite element analysis of bone remodelling with piezoelectric effects using an open-source framework.Biomechanics and modeling in mechanobiology · 2021Article
- Special Issue "Novel Research about Biomechanics and Biomaterials Used in Hip, Knee and Related Joints".Materials (Basel, Switzerland) · 2021Article
- A patient-specific 3D model of the knee to compare the femoral rollback before and after total knee arthroplasty (TKA).Journal of experimental orthopaedics · 2021Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patellofemoral (PF) disorders are considered a major clinical complication after total knee replacement (TKR). Malpositioning and design of the patellar component impacts knee joint dynamics, implant fixation and wear propagation. However, only a limited number of studies have addressed the biomechanical impact of the patellar component on PF dynamics and their results have been discussed controversially. To address these issues, we implemented a musculoskeletal multibody simulation (MMBS) study for the systematical analysis of the patellar component's thickness and positioning on PF contact forces and kinematics during dynamic squat motion with virtually implanted unconstrained cruciate-retaining (CR)-TKR. The patellar button thickness clearly increased the contact forces in the PF joint (up to 27%). Similarly, the PF contact forces were affected by superior-inferior positioning (up to 16%) and mediolateral positioning (up to 8%) of the patellar button. PF kinematics was mostly affected by the mediolateral positioning and the thickness of the patellar component. A medialization of 3 mm caused a lateral patellar shift by up to 2.7 mm and lateral patellar tilt by up to 1.6°. However, deviations in the rotational positioning of the patellar button had minor effects on PF dynamics. Aiming at an optimal intraoperative patellar component alignment, the orthopedic surgeon should pay close attention to the patellar component thickness in combination with its mediolateral and superior-inferior positioning on the retropatellar surface. Our generated MMBS model provides systematic and reproducible insight into the effects of patellar component positioning and design on PF dynamics and has the potential to serve as a preoperative analysis tool.
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