Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Fri, Mar 14, 2025
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Volume 37, Issue 1 (2-2023)
Med J Islam Repub Iran 2023 |
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Nabiyev E, Baizakov A, Kashikova K, Askerov R, Argynbayev Z, Bissaliyev B. A New Approach to Arthroscopic Stitching of the Knee Joint Meniscus: A Mathematical Justification. Med J Islam Repub Iran 2023; 37 (1) :853-857
URL: http://mjiri.iums.ac.ir/article-1-8985-en.html
URL: http://mjiri.iums.ac.ir/article-1-8985-en.html
Ergali Nabiyev 
, Arnat Baizakov , Khadisha Kashikova , Ramazan Askerov , Zhassulan Argynbayev , Bauyrzhan Bissaliyev
, Arnat Baizakov , Khadisha Kashikova , Ramazan Askerov , Zhassulan Argynbayev , Bauyrzhan Bissaliyev
Caspian University, International School of Medicine, Almaty, Kazakhstan , hadisha.kash@gmail.com
Abstract: (834 Views)
Background: This article presents a mathematical justification for a new approach to arthroscopic stitching of the knee joint meniscus, based on a 3D computer model of the meniscus developed using the COMPASS-3D (APMFEM) program and AutodeskInventorPRO. The research with the patent RK No. 35413 dated 10.12.2021, titled "Method of arthroscopic stitching of the meniscus of the knee joint" builds upon the work of Yu.V. Labunsky.
Methods: Mathematical analysis was performed to compare two methods of stitching the meniscus: the new oblique-vertical stitch and the classical vertical stitch. The contact area of the meniscus tissues in the area of the rupture was measured for both stitching methods.
Results: The findings demonstrate that the new oblique-vertical stitch offers a 1.5 times larger contact area of the meniscus tissues in the area of the rupture, compared to the classical vertical stitch. Additionally, the new method provides a more significant grip on the radial and circular fibers of the meniscus, surpassing the capabilities of the classic seam.
Conclusion: The results of this study can be utilized to develop practical recommendations for traumatologists regarding arthroscopic stitching of the meniscus in the knee joint. The new approach, supported by mathematical analysis and a 3D computer model, offers improved outcomes in terms of contact area and grip on the meniscus fibers, potentially leading to enhanced surgical techniques and patient outcomes.
Methods: Mathematical analysis was performed to compare two methods of stitching the meniscus: the new oblique-vertical stitch and the classical vertical stitch. The contact area of the meniscus tissues in the area of the rupture was measured for both stitching methods.
Results: The findings demonstrate that the new oblique-vertical stitch offers a 1.5 times larger contact area of the meniscus tissues in the area of the rupture, compared to the classical vertical stitch. Additionally, the new method provides a more significant grip on the radial and circular fibers of the meniscus, surpassing the capabilities of the classic seam.
Conclusion: The results of this study can be utilized to develop practical recommendations for traumatologists regarding arthroscopic stitching of the meniscus in the knee joint. The new approach, supported by mathematical analysis and a 3D computer model, offers improved outcomes in terms of contact area and grip on the meniscus fibers, potentially leading to enhanced surgical techniques and patient outcomes.
Keywords: Biomechanics, Mathematical Justification, Finite Element Method, Knee Joint, Menisci, Meniscus Stitch
Type of Study: Original Research |
Subject:
Orthopedic Surgery
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