The Influence of Frontal and Axial Plane Deformities on Contact Mechanics during Squatting: A Finite Element Study
Knee Osteoarthritis (KOA) is a degenerative joint disease and a leading cause of disability worldwide. Lower limb malalignment was a risky factor leading to KOA, altering the load distributions. This study aimed to study the influence of knee deformities on knee contact mechanics and knee kinematics during squatting. A full-leg squat FE model was developed based on general open-source models and validated with in vivo studies to investigate the outputs under frontal malalignment (valgus 8° to varus 8°) and axial malalignment (miserable malalignment 30°). As a result, Varus-aligned and miserable aligned models increased medial tibiofemoral force and lateral patellar contact pressures, while the valgus-aligned model increased lateral tibiofemoral force medial patellar contact pressures with no effects on total contact loads. The Model with a higher medial force ratio (medial force/total force) induced a higher internal tibial rotation. In conclusion, we recommended that patients with knee malalignment be taken care of alignments in both frontal and axial planes.
knee malalignment, finite element, knee joint, contact mechanics, knee kinematics, knee osteoarthritis, stress distribution, squatting
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