Load distribution at the patellofemoral joint during walking

Journal article


Thomeer, Lucas T., Lin, Yi-Chung and Pandy, Marcus G.. (2020). Load distribution at the patellofemoral joint during walking. Annals of Biomedical Engineering. 48(12), pp. 2821-2835. https://doi.org/10.1007/s10439-020-02672-0
AuthorsThomeer, Lucas T., Lin, Yi-Chung and Pandy, Marcus G.
Abstract

We combined computational modelling with experimental gait data to describe and explain load distribution across the medial and lateral facets of the patella during normal walking. The body was modelled as a 13-segment, 32-degree-of-freedom (DOF) skeleton actuated by 80 muscles. The knee was represented as a 3-body, 12-DOF mechanical system with deformable articular cartilage surfaces at the tibiofemoral (TF) and patellofemoral (PF) joints. Passive responses of the knee model to 100 N anterior-posterior drawer and 5 Nm axial torque tests were consistent with cadaver data reported in the literature. Trajectories of 6-DOF TF and PF joint motion and articular joint contact calculated for walking were also consistent with measurements obtained from biplane X-ray imaging. The force acting on the lateral patellar facet was considerably higher than that on the medial facet throughout the gait cycle. The vastus medialis, vastus lateralis and patellar tendon forces contributed substantially to the first peak in the PF contact force during stance whereas all three portions of the vasti and rectus femoris were responsible for the second peak during swing. A higher lateral patellar contact force was caused mainly by the laterally-directed shear force applied by the quadriceps muscles, especially the vastus lateralis, intermedius and rectus femoris. A better understanding of the contributions of the individual knee muscles to load distribution in the PF compartment may lead to improved surgical and physiotherapy methods to treat PF disorders.

Keywordsknee contact force; Q-angle; vastus lateralis; vastus medialis; patellar tendon
Year2020
JournalAnnals of Biomedical Engineering
Journal citation48 (12), pp. 2821-2835
PublisherSpringer
ISSN0090-6964
Digital Object Identifier (DOI)https://doi.org/10.1007/s10439-020-02672-0
Scopus EID2-s2.0-85096074322
Research or scholarlyResearch
Page range2821-2835
FunderAustralian Research Council (ARC)
University of Melbourne
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online16 Nov 2020
Publication process dates
Accepted21 Oct 2020
Deposited25 Aug 2022
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDDP120101973
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