Advancements in health informatics: finite element insights into medial open-wedge high tibial osteotomy and lateral meniscal tears

Lin Chen; Mingjun Wang; Zhanyu Wu; Jinbo Sun; Jianglong Li; Chun Chen; Chuan Ye; Lin Chen; Mingjun Wang; Zhanyu Wu; Jinbo Sun; Jianglong Li; Chun Chen; Chuan Ye

doi:10.3934/mbe.2024237

Mathematical Biosciences and Engineering

2024, Volume 21, Issue 4: 5394-5410. doi: 10.3934/mbe.2024237

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Advancements in health informatics: finite element insights into medial open-wedge high tibial osteotomy and lateral meniscal tears

1.
Department of Orthopedics, The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China
2.
Center for Tissue Engineering and Stem Cells, Guizhou Medical University, Guiyang 550004, China
3.
Department of Orthopedics, People's Hospital of Xingyi City, Xingyi 562400, China
† The authors contributed equally to this work.

Received: 19 December 2023 Revised: 17 January 2024 Accepted: 26 January 2024 Published: 08 March 2024

Knee medial compartment osteoarthritis is effectively treated by a medial open-wedge high tibial osteotomy (MOWHTO). The feasibility and safety of MOWHTO for mild lateral meniscal tears are unknown. This study examined the feasibility and safety of knee joint weight-bearing line ratio (WBLr) adjustment during MOWHTO with lateral meniscal injuries. We used a healthy adult male's lower extremities computed tomography scans and knee joint magnetic resonance imaging images to create a normal fine element (FE) model. Based on this model, we generated nine FE models for the MOWHTO operation (WBLr: 40–80%) and 15 models for various lateral meniscal injuries. A compressive load of 650N was applied to all cases to calculate the von Mises stress (VMS), and the intact lateral meniscus' maximal VMS at 77.5% WBLr was accepted as the corrective upper limit stress. Our experimental results show that mild lateral meniscal tears can withstand MOWHTO, while severe tears cannot. Our findings expand the use of MOWHTO and provide a theoretical direction for practical decisions in patients with lateral meniscal injuries.
- knee osteoarthritis,
- medial open-wedge high tibial osteotomy,
- meniscal tears,
- biomechanics,
- finite element analysis
Citation: Lin Chen, Mingjun Wang, Zhanyu Wu, Jinbo Sun, Jianglong Li, Chun Chen, Chuan Ye. Advancements in health informatics: finite element insights into medial open-wedge high tibial osteotomy and lateral meniscal tears[J]. Mathematical Biosciences and Engineering, 2024, 21(4): 5394-5410. doi: 10.3934/mbe.2024237

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Abstract

Knee medial compartment osteoarthritis is effectively treated by a medial open-wedge high tibial osteotomy (MOWHTO). The feasibility and safety of MOWHTO for mild lateral meniscal tears are unknown. This study examined the feasibility and safety of knee joint weight-bearing line ratio (WBLr) adjustment during MOWHTO with lateral meniscal injuries. We used a healthy adult male's lower extremities computed tomography scans and knee joint magnetic resonance imaging images to create a normal fine element (FE) model. Based on this model, we generated nine FE models for the MOWHTO operation (WBLr: 40–80%) and 15 models for various lateral meniscal injuries. A compressive load of 650N was applied to all cases to calculate the von Mises stress (VMS), and the intact lateral meniscus' maximal VMS at 77.5% WBLr was accepted as the corrective upper limit stress. Our experimental results show that mild lateral meniscal tears can withstand MOWHTO, while severe tears cannot. Our findings expand the use of MOWHTO and provide a theoretical direction for practical decisions in patients with lateral meniscal injuries.

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