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Table 1 Peak and mean contact pressure between the patella and the trochlea in the healthy knee and the trochleodysplastic knee are shown “preoperative” and after simulated surgery at different flexion angles. Additionally, the patellar tilt and bisect offset values are included. * Welch’s t-test

From: Deepening trochleoplasty may dramatically increase retropatellar contact pressures- a pilot study establishing a finite element model

 

Healthy knee

« Preoperative »

« 0.5x mean »

« mean »

« 1.5x mean »

Patellar tilt [°]

12

18

9

7

5

Bisect offset [%]

48.5

76

65

58

53

Flexion angle [°]

Peak

[mPa]

Peak

[mPa]

Peak

[mPa]

Peak

[mPa]

Peak

[mPa]

30

2.17

2.61

2.99/1.05

+ 15%/+ 2%

5.41

+ 107%

4.31

+ 65%

45

1.9

2.72

4.16/1.32

+ 52%/+ 12%

3.75

+ 38%

4.06

+ 49%

60

1.79

2.45

2.52/1.32

+ 3%/+ 40%

2.57

+ 5%

2.7

+ 10%

75

2

1.95

2.4/ 0.98

+ 23%/+ 10%

2.36

+ 21%

2.39

+ 23%

All angles

1.97 (SD 0.16)

2.43 (SD 0.34)

3.3 (SD 1.01)

Significance

 

P = 0.047* vs. healthy

P = 0.022* vs. preoperative

Flexion angle [°]

Mean

[mPa]

Mean

[mPa]

Mean

[mPa]

Mean

[mPa]

Mean

[mPa]

30

0.85

1.03

1.05

+ 2%

1.2

+ 17%

1.36

+ 32%

45

0.78

1.18

1.32

+ 12%

1.37

+ 16%

1.44

+ 22%

60

0.74

0.94

1.32

+ 40%

1.24

+ 32%

1.41

+ 50%

75

0.76

0.89

0.98

+ 10%

1

+ 12%

1.06

+ 19%

All angles

0.79 (SD 0.05)

1.01 (SD 0.13)

1.23 (SD 0.17)

Significance

 

P = 0.016* vs. healthy

P = 0.033* vs. preoperative