Finite element modeling following partial meniscectomy: Effect of various size of resection

Abstract

Meniscal tears are a common occurrence in the human knee joint. Orthopaedic surgeons routinely perform surgery to remove a portion of the torn meniscus. This surgery is referred to as a partial meniscectomy. It has been shown that individuals who have decreased amount of meniscus are likely to develop knee osteoarthritis. This research presents the analysis of the stresses in the knee joint upon various amounts of partial meniscectomy. To analyse the stresses in the knee joint using finite element method an axisymmetric model was developed. Articular cartilage was considered as three layers, which were modelled as a poroelastic transversely isotropic superficial layer, a poroelastic isotropic middle and deep layers and an elastic isotropic calcified cartilage layer. Eight cases were modelled including a knee joint with an intact meniscus, 10%, 20%, 30%, 40%, 50%, 60% and 65% medial meniscotomy. Under the axial load of human weight on the femoral articular cartilage with 40% removal of meniscus high contact stresses took place on cartilage surface. Further, with 30%, 40%, 50% of meniscectomy significant amount of contact area noticed between femoral and tibial articular cartilage. After 65% of meniscectomy the maximal shear stress in the cartilage increased up to 225% compared to knee with intact meniscus. It appears that meniscectomies greater than 20% drastically increases the stresses in the knee joint.