{"title":"制作包含骨关节炎重要解剖细节的膝关节参数化有限元模型能否提高治疗方法的临床效果?","authors":"Fatemeh Abdollahpour , Goldis Darbemamieh , Mohammad Nikkhoo , Kamran Hassani , Sadegh Rahmati","doi":"10.1016/j.mehy.2025.111691","DOIUrl":null,"url":null,"abstract":"<div><div>Osteoarthritis (OA) is a degenerative condition that impacts synovial joints, particularly the knee joint, impairing patients’ capacity to engage in regular physical activity. Regrettably, there is no remedy for this musculoskeletal condition. Currently, numerous researchers focus on developing ways to model individualized risks for the initiation and progression of osteoarthritis and assess the impact of various conservative preventive measures. Finite element analysis (FEA) is now known as a potential technique for the management of knee osteoarthritis. The FEA pipeline comprises three recognized phases: pre-processing, processing, and post- This study aims to introduce an innovative concept in the customization of knee prosthesis, considering the anatomical characteristics influencing osteoarthritis, to enhance treatment efficacy. We posited that anatomical parameters in simplified knee models can be adjusted so that the estimation of the tissue mechanical response from a parametric model matches that of a model with precise geometry. Consequently, we want to integrate simpler models with individualized modeling to provide successful treatment solutions that will help clinicians identify individuals at high risk of knee OA and provide more conservative treatments for patients.</div></div>","PeriodicalId":18425,"journal":{"name":"Medical hypotheses","volume":"201 ","pages":"Article 111691"},"PeriodicalIF":0.8000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Can making parametric finite element models of the knee that include anatomical details important for osteoarthritis improve the clinical effectiveness of treatment methods?\",\"authors\":\"Fatemeh Abdollahpour , Goldis Darbemamieh , Mohammad Nikkhoo , Kamran Hassani , Sadegh Rahmati\",\"doi\":\"10.1016/j.mehy.2025.111691\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Osteoarthritis (OA) is a degenerative condition that impacts synovial joints, particularly the knee joint, impairing patients’ capacity to engage in regular physical activity. Regrettably, there is no remedy for this musculoskeletal condition. Currently, numerous researchers focus on developing ways to model individualized risks for the initiation and progression of osteoarthritis and assess the impact of various conservative preventive measures. Finite element analysis (FEA) is now known as a potential technique for the management of knee osteoarthritis. The FEA pipeline comprises three recognized phases: pre-processing, processing, and post- This study aims to introduce an innovative concept in the customization of knee prosthesis, considering the anatomical characteristics influencing osteoarthritis, to enhance treatment efficacy. We posited that anatomical parameters in simplified knee models can be adjusted so that the estimation of the tissue mechanical response from a parametric model matches that of a model with precise geometry. Consequently, we want to integrate simpler models with individualized modeling to provide successful treatment solutions that will help clinicians identify individuals at high risk of knee OA and provide more conservative treatments for patients.</div></div>\",\"PeriodicalId\":18425,\"journal\":{\"name\":\"Medical hypotheses\",\"volume\":\"201 \",\"pages\":\"Article 111691\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical hypotheses\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0306987725001306\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical hypotheses","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306987725001306","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Can making parametric finite element models of the knee that include anatomical details important for osteoarthritis improve the clinical effectiveness of treatment methods?
Osteoarthritis (OA) is a degenerative condition that impacts synovial joints, particularly the knee joint, impairing patients’ capacity to engage in regular physical activity. Regrettably, there is no remedy for this musculoskeletal condition. Currently, numerous researchers focus on developing ways to model individualized risks for the initiation and progression of osteoarthritis and assess the impact of various conservative preventive measures. Finite element analysis (FEA) is now known as a potential technique for the management of knee osteoarthritis. The FEA pipeline comprises three recognized phases: pre-processing, processing, and post- This study aims to introduce an innovative concept in the customization of knee prosthesis, considering the anatomical characteristics influencing osteoarthritis, to enhance treatment efficacy. We posited that anatomical parameters in simplified knee models can be adjusted so that the estimation of the tissue mechanical response from a parametric model matches that of a model with precise geometry. Consequently, we want to integrate simpler models with individualized modeling to provide successful treatment solutions that will help clinicians identify individuals at high risk of knee OA and provide more conservative treatments for patients.
期刊介绍:
Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.