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Braun BJ, Histing T, Herath SC, Rollmann MFR, Reumann M, Menger MM, Springer F, Andres A, Diebels S, Roland M. [Movement analysis and musculoskeletal simulation in non-union treatment-Experiences and first clinical results]. UNFALLCHIRURGIE (HEIDELBERG, GERMANY) 2022; 125:619-627. [PMID: 35737004 DOI: 10.1007/s00113-022-01208-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 06/08/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND The mechanical boundary conditions of the non-union and osteosynthetic construct are a key determinant of fracture healing after revision surgery. Aim of this study was to introduce a movement analysis and simulation workflow to determine the mechanical conditions during non-union healing in vivo. MATERIAL AND METHODS On an individual case basis after non-union revision surgery we performed an accelerometry-based movement analysis. The results were then used as input for a musculoskeletal simulation of the non-union, osteosynthetic construct as well as adjacent joints mechanical boundary conditions. RESULTS A total of 13 patients were analyzed with our new workflow. The introduced protocol allows an in vivo determination of the mechanical boundary conditions. On clinical follow-up all patients showed radiographic consolidation of the non-union. CONCLUSION The introduced workflow allows a clinically applicable determination of the mechanical boundary conditions of fracture and non-union healing. Further studies can now determine the effect of the introduced technique for mechanically optimized postoperative aftercare regimes as well as biomechanically adapted surgical treatment.
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Affiliation(s)
- Benedikt J Braun
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland.
| | - Tina Histing
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland
| | - Steven C Herath
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland
| | - Mika F R Rollmann
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland
| | - Marie Reumann
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland
| | - Maximilian M Menger
- Klinik für Unfall- und Wiederherstellungschirurgie, Eberhard Karls Universität Tübingen, BG Klinik Tübingen, Schnarrenbergstr. 95, 72072, Tübingen, Deutschland
| | - Fabian Springer
- Klinik für Diagnostische und Interventionelle Radiologie, Eberhard Karls Universität Tübingen, Tübingen, Deutschland
| | - Annchristin Andres
- Lehrstuhl für Technische Mechanik, Universität des Saarlandes, Saarbrücken, Deutschland
| | - Stefan Diebels
- Lehrstuhl für Technische Mechanik, Universität des Saarlandes, Saarbrücken, Deutschland
| | - Michael Roland
- Lehrstuhl für Technische Mechanik, Universität des Saarlandes, Saarbrücken, Deutschland
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Dupré T, Dietzsch M, Komnik I, Potthast W, David S. Agreement of measured and calculated muscle activity during highly dynamic movements modelled with a spherical knee joint. J Biomech 2018; 84:73-80. [PMID: 30587376 DOI: 10.1016/j.jbiomech.2018.12.013] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Revised: 12/07/2018] [Accepted: 12/10/2018] [Indexed: 11/24/2022]
Abstract
The inclusion of muscle forces into the analysis of joint contact forces has improved their accuracy. But it has not been validated if such force and activity calculations are valid during highly dynamic multidirectional movements. The purpose of this study was to validate calculated muscle activation of a lower extremity model with a spherical knee joint for running, sprinting and 90°-cutting. Kinematics, kinetics and lower limb muscle activation of ten participants were investigated in a 3D motion capture setup including EMG. A lower extremity rigid body model was used to calculate the activation of these muscles with an inverse dynamics approach and a cubic cost function. Correlation coefficients were calculated to compare measured and calculated activation. The results showed good correlation of the modelled and calculated data with a few exceptions. The highest average correlations were found during walking (r = 0.81) and the lowest during cutting (r = 0.57). Tibialis anterior had the lowest average correlation (r = 0.33) over all movements while gastrocnemius medius had the highest correlation (r = 0.9). The implementation of a spherical knee joint increased the agreement between measured and modelled activation compared to studies using a hinge joint knee. Although some stabilizing muscles showed low correlations during dynamic movements, the investigated model calculates muscle activity sufficiently.
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Affiliation(s)
- Thomas Dupré
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany.
| | - Mareike Dietzsch
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany
| | - Igor Komnik
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany
| | - Wolfgang Potthast
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany
| | - Sina David
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany
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Abdollahi M, Nikkhoo M, Ashouri S, Asghari M, Parnianpour M, Khalaf K. A model for flexi-bar to evaluate intervertebral disc and muscle forces in exercises. Med Eng Phys 2016; 38:1076-82. [DOI: 10.1016/j.medengphy.2016.07.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2016] [Revised: 06/06/2016] [Accepted: 07/05/2016] [Indexed: 12/20/2022]
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David S, Funken J, Potthast W, Blanke A. Musculoskeletal modelling under an evolutionary perspective: deciphering the role of single muscle regions in closely related insects. J R Soc Interface 2016; 13:20160675. [PMID: 27707910 PMCID: PMC5095224 DOI: 10.1098/rsif.2016.0675] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 09/07/2016] [Indexed: 11/12/2022] Open
Abstract
Insects show a remarkable diversity of muscle configurations, yet the factors leading to this functional diversity are poorly understood. Here, we use musculoskeletal modelling to understand the spatio-temporal activity of an insect muscle in several dragonfly species and to reveal potential mechanical factors leading to a particular muscle configuration. Bite characteristics potentially show systematic signal, but absolute bite force is not correlated with size. Muscle configuration and inverse dynamics show that the wider relative area of muscle attachment and the higher activity of subapical muscle groups are responsible for this high bite force. This wider attachment area is, however, not an evolutionary trend within dragonflies. Our inverse dynamic data, furthermore, show that maximum bite forces most probably do not reflect maximal muscle force production capability in all studied species. The thin head capsule and the attachment areas of muscles most probably limit the maximum force output of the mandibular muscles.
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Affiliation(s)
- Sina David
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany
| | - Johannes Funken
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany
| | - Wolfgang Potthast
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany ARCUS Clinics Pforzheim, Rastatter Strasse 17-19, 75179 Pforzheim, Germany
| | - Alexander Blanke
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
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David S, Funken J, Potthast W, Blanke A. Musculoskeletal modeling of the dragonfly mandible system as an aid to understanding the role of single muscles in an evolutionary context. J Exp Biol 2016; 219:1041-9. [DOI: 10.1242/jeb.132399] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Accepted: 01/25/2016] [Indexed: 11/20/2022]
Abstract
Insects show a high variety of mouthpart and muscle configurations, however, their mouthpart kinematics and muscle activation patterns are known fragmentary. Understanding the role of muscle groups during movement and comparing them between insect groups could yield insights into evolutionary patterns and functional constraints. Here, we develop a mathematical inverse dynamic model including distinct muscles for an insect head-mandible-muscle complex based on micro computed tomography (µCT) data and bite force measurements. With the advent of µCT it is now possible to obtain precise spatial information about muscle attachment areas and head capsule construction in insects. Our model shows a distinct activation pattern for certain fiber groups potentially related to a geometry dependent optimization. Muscle activation patterns suggest that intramandibular muscles play a minor role for bite force generation which is a potential reason for their loss in several lineages of higher insects. Our model is in agreement with previous studies investigating fast and slow muscle fibers and is able to resolve the spatio-temporal activation patterns of these different muscle types in insects. The model used here has a high potential for comparative large scale analyses on the role of different muscle setups and head capsule designs in the megadiverse insects in order to aid our understanding of insect head capsule and mouthpart evolution under mechanical constraints.
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Affiliation(s)
- Sina David
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany
| | - Johannes Funken
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany
| | - Wolfgang Potthast
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne 50933, Germany
- ARCUS Clinics Pforzheim, Rastatter Strasse 17-19, 75179 Pforzheim, Germany
| | - Alexander Blanke
- Medical and Biological Engineering Research Group, School of Engineering, University of Hull, Hull HU6 7RX, UK
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