Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method

Abstract Background Medial compartment knee osteoarthritis (KOA) accounts for most KOA cases, and increased trabecular bone volume fraction (BV/TV) is one of the pathological changes in the tibial plateau of KOA. How BV/TV changes before and after the menopause and its effects on medial compartment...

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Main Authors: Liqin Zheng, Yuexing Dai, Yongze Zheng, Xingpeng He, Minhui Wu, Desheng Zheng, ChiHung Li, Yueguang Fan, Ziling Lin
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:https://doi.org/10.1186/s12938-022-01039-x
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author Liqin Zheng
Yuexing Dai
Yongze Zheng
Xingpeng He
Minhui Wu
Desheng Zheng
ChiHung Li
Yueguang Fan
Ziling Lin
author_facet Liqin Zheng
Yuexing Dai
Yongze Zheng
Xingpeng He
Minhui Wu
Desheng Zheng
ChiHung Li
Yueguang Fan
Ziling Lin
author_sort Liqin Zheng
collection DOAJ
description Abstract Background Medial compartment knee osteoarthritis (KOA) accounts for most KOA cases, and increased trabecular bone volume fraction (BV/TV) is one of the pathological changes in the tibial plateau of KOA. How BV/TV changes before and after the menopause and its effects on medial compartment KOA are yet to be clarified. Methods Twenty femurs from twenty 12-week-old rats were included. The operated group underwent ovariectomy (to represent the osteoporosis condition), called the O group, and the non-operated group was the normal control, called the N group. Micro-CT scans of the femoral condyles were acquired 12 weeks after the surgery, and the volume of interest (VOI) of medial-, inter-, and lateral-condyle trabeculae were three-dimensional (3D) printed for uniaxial compression mechanical test and simulated by the finite element (FE) method. Results The results demonstrated that the O group indicated poorer trabecular architecture than the N group in three parts of the femoral condyle, especially in the intercondyle. Within the group, the BV/TV, trabecular thickness (Tb.Th), and trabecular number (Tb.N) ratios between the medial and lateral condyles were greater than 1 in both N and O groups. The medial condyle trabeculae's mechanical properties were higher than those of the lateral condyle, and this superiority appears to be broadened under osteoporotic conditions. FE modelling well reproduced these mechanical differentiations. Conclusions According to Wolff's law, the higher BV/TV and mechanical properties of the medial femoral condyle may be due to inherent imbalanced loading on the knee component. Alterations in BV/TV and their corresponding mechanical properties may accompany KOA.
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spelling doaj.art-344071c05de9488a859da2fedb3085e22022-12-22T04:26:22ZengBMCBioMedical Engineering OnLine1475-925X2022-09-0121111810.1186/s12938-022-01039-xMedial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element methodLiqin Zheng0Yuexing Dai1Yongze Zheng2Xingpeng He3Minhui Wu4Desheng Zheng5ChiHung Li6Yueguang Fan7Ziling Lin8The First Clinical Medical College, Guangzhou University of Chinese MedicineThe First Clinical Medical College, Guangzhou University of Chinese MedicineDepartment of Orthopedics, Puning Hospital of Traditional Chinese MedicineThe First Clinical Medical College, Guangzhou University of Chinese MedicineThe First Clinical Medical College, Guangzhou University of Chinese MedicineThe First Clinical Medical College, Guangzhou University of Chinese MedicineInternational College, Guangzhou University of Chinese MedicineDepartment of Joint Surgery, First Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Orthopedic Trauma, First Affiliated Hospital of Guangzhou University of Chinese MedicineAbstract Background Medial compartment knee osteoarthritis (KOA) accounts for most KOA cases, and increased trabecular bone volume fraction (BV/TV) is one of the pathological changes in the tibial plateau of KOA. How BV/TV changes before and after the menopause and its effects on medial compartment KOA are yet to be clarified. Methods Twenty femurs from twenty 12-week-old rats were included. The operated group underwent ovariectomy (to represent the osteoporosis condition), called the O group, and the non-operated group was the normal control, called the N group. Micro-CT scans of the femoral condyles were acquired 12 weeks after the surgery, and the volume of interest (VOI) of medial-, inter-, and lateral-condyle trabeculae were three-dimensional (3D) printed for uniaxial compression mechanical test and simulated by the finite element (FE) method. Results The results demonstrated that the O group indicated poorer trabecular architecture than the N group in three parts of the femoral condyle, especially in the intercondyle. Within the group, the BV/TV, trabecular thickness (Tb.Th), and trabecular number (Tb.N) ratios between the medial and lateral condyles were greater than 1 in both N and O groups. The medial condyle trabeculae's mechanical properties were higher than those of the lateral condyle, and this superiority appears to be broadened under osteoporotic conditions. FE modelling well reproduced these mechanical differentiations. Conclusions According to Wolff's law, the higher BV/TV and mechanical properties of the medial femoral condyle may be due to inherent imbalanced loading on the knee component. Alterations in BV/TV and their corresponding mechanical properties may accompany KOA.https://doi.org/10.1186/s12938-022-01039-xKneeFemoral condyle trabeculae3D printingFinite element methodMechanical properties
spellingShingle Liqin Zheng
Yuexing Dai
Yongze Zheng
Xingpeng He
Minhui Wu
Desheng Zheng
ChiHung Li
Yueguang Fan
Ziling Lin
Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
BioMedical Engineering OnLine
Knee
Femoral condyle trabeculae
3D printing
Finite element method
Mechanical properties
title Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
title_full Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
title_fullStr Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
title_full_unstemmed Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
title_short Medial tibial plateau sustaining higher physiological stress than the lateral plateau: based on 3D printing and finite element method
title_sort medial tibial plateau sustaining higher physiological stress than the lateral plateau based on 3d printing and finite element method
topic Knee
Femoral condyle trabeculae
3D printing
Finite element method
Mechanical properties
url https://doi.org/10.1186/s12938-022-01039-x
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