Zusammenfassung
Die Hauptfunktion der Menisken im Kniegelenk ist die Kontaktdruckreduktion zwischen den tibiofemoralen Gelenkflächen. Die meniskotibialen Verankerungsligamente spielen eine wichtige Rolle bei der Umwandlung der axial einwirkenden Gelenkkraft in zirkumferente Dehnungen in der Meniskusperipherie. Für die Konzeption von Meniskusersatzimplantaten sind deshalb die Verankerungskräfte von zentraler Bedeutung. Aus diesem Grund wurden in der vorliegenden Studie die Belastungen in den anterioren meniskotibialen Verankerungsligamenten unter verschiedenen Belastungssituationen gemessen.
Abstract
The main biomechanical function of the knee meniscus is to enlarge the contact area of the tibiofemoral joint leading to a reduction in articular cartilage contact stress. The meniscal attachments are essential for converting the axial load into circumferential tension in the meniscal periphery. Consequently, meniscal substitutes need sufficient anchorage to the tibial plateau to adequately restore the biomechanical function of a replaced meniscus. Therefore the aim of the present study was to investigate the loads acting on the anterior meniscotibial attachments under various joint loads.
Literatur
Abraham AC, Moyer JT, Villegas DF et al (2011) Hyperelastic properties of human meniscal attachments. J Biomech 44(3):413–418
Burgess KE, Graham-Smith P, Pearson SJ (2009) Effect of acute tensile loading on gender-specific tendon structural and mechanical properties. J Orthop Res 27(4):510–516
Chen MI, Branch TP, Hutton WC (1996) Is it important to secure the horns during lateral meniscal transplantation? A cadaveric study. Arthroscopy 12(2):174–181
Dürselen L, Hehl G, Simnacher M et al (2001) Augmentation of a ruptured posterior cruciate ligament provides normal knee joint stability during ligament healing. Clin Biomech (Bristol, Avon) 16(3):222–228
Dürselen L, Vögele S, Seitz AM et al (2011) Anterior knee laxity increases gapping of posterior horn medial meniscal tears. Am J Sports Med 39(8):1749–1755
Goertzen D, Gillquist J, Messner K (1996) Tensile strength of the tibial meniscal attachments in the rabbit. J Biomed Mater Res 30(1):125–128
Gomoll AH, Kang RW, Chen AL, Cole BJ (2009) Triad of cartilage restoration for unicompartmental arthritis treatment in young patients: meniscus allograft transplantation, cartilage repair and osteotomy. J Knee Surg 22(2):137–141
Hauch KN, Villegas DF, Haut Donahue TL (2010) Geometry, time-dependent and failure properties of human meniscal attachments. J Biomech 43(3):463–468
Haut Donahue TL, Hull ML, Rashid MM, Jacobs CR (2003) How the stiffness of meniscal attachments and meniscal material properties affect tibio-femoral contact pressure computed using a validated finite element model of the human knee joint. J Biomech 36(1):19–34
Hill PF, Vedi V, Williams A et al (2000) Tibiofemoral movement 2: the loaded and unloaded living knee studied by MRI. J Bone Joint Surg [Br] 82(8):1196–1198
Iwaki H, Pinskerova V, Freeman MA (2000) Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg [Br] 82(8):1189–1195
Kohn D, Moreno B (1995) Meniscus insertion anatomy as a basis for meniscus replacement: a morphological cadaveric study. Arthroscopy 11(1):96–103
Kubo K, Kanehisa H, Fukunaga T (2003) Gender differences in the viscoelastic properties of tendon structures. Eur J Appl Physiol 88(6):520–526
Kutzner I, Heinlein B, Graichen F et al (2010) Loading of the knee joint during activities of daily living measured in vivo in five subjects. J Biomech 43(11):2164–2173
Maes JA, Haut Donahue TL (2006) Time dependent properties of bovine meniscal attachments: stress relaxation and creep. J Biomech 39(16):3055–3061
Messner K, Verdonk R (1999) It is necessary to anchor the meniscal transplants with bone plugs? A mini-battle. Scand J Med Sci Sports 9(3):186–187
Navarro-Holgado P, Cuevas-Perez A, Aguayo-Galeote MA, Carpintero-Benitez P (2007) Anterior medial meniscus detachment and anterior cruciate ligament tear. Knee Surg Sports Traumatol Arthrosc 15(5):587–590
Onambele GN, Burgess K, Pearson SJ (2007) Gender-specific in vivo measurement of the structural and mechanical properties of the human patellar tendon. J Orthop Res 25(12):1635–1642
Paletta GA Jr, Manning T, Snell E et al (1997) The effect of allograft meniscal replacement on intraarticular contact area and pressures in the human knee. A biomechanical study. Am J Sports Med 25(5):692–698
Proctor CS, Schmidt MB, Whipple RR et al (1989) Material properties of the normal medial bovine meniscus. J Orthop Res 7(6):771–782
Seitz A, Kasisari R, Klaes L et al (2012) Forces acting on the anterior meniscotibial ligaments. Knee Surg Sports Traumatol Arthrosc [Epub ahead of print]. Doi: 10.1007/s00167-011-1708-5
Stärke C, Kopf S, Grobel KH, Becker R (2009) Tensile forces at the porcine anterior meniscal horn attachment. J Orthop Res 27(12):1619–1624
Sweigart MA, Zhu CF, Burt DM et al (2004) Intraspecies and interspecies comparison of the compressive properties of the medial meniscus. Ann Biomed Eng 32(11):1569–1579
Thompson WO, Thaete FL, Fu FH, Dye SF (1991) Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med 19(3):210–215 (discussion 215–216)
Villegas DF, Maes JA, Magee SD, Donahue TL (2007) Failure properties and strain distribution analysis of meniscal attachments. J Biomech 40(12):2655–2662
Wang YJ, Yu JK, Luo H et al (2009) An anatomical and histological study of human meniscal horn bony insertions and peri-meniscal attachments as a basis for meniscal transplantation. Chin Med J (Engl) 122(5):536–540
Yao J, Funkenbusch PD, Snibbe J et al (2006) Sensitivities of medial meniscal motion and deformation to material properties of articular cartilage, meniscus and meniscal attachments using design of experiments methods. J Biomech Eng 128(3):399–408
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Diese Studie wurde von der Deutschen Forschungsgemeinschaft gefördert (DFG: DU254/5–1).
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Dieser Beitrag ist bereits auf Englisch erschienen: Forces acting on the anterior meniscotibial ligaments. Knee Surg Sports Traumatol Arthrosc 2011 Oct 18 [Epub ahead of print]. DOI: 10.1007/s00167-011-1708-5
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Seitz, A., Kasisari, R., Lubomierski, A. et al. Die anterioren meniskotibialen Ligamente. Orthopäde 41, 288–297 (2012). https://doi.org/10.1007/s00132-011-1856-9
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DOI: https://doi.org/10.1007/s00132-011-1856-9