Patellofemoral complications remain the single largest reason for knee related clinical visits. Yet, robust clinical treatment remains a challenge [1]. To establish causal relationships and understand joint behavior, a complimentary approach utilizing simulation and experimentation may offer valuable insight. Simulation can be confirmed with experimental data and can also be exploited in a predictive capacity. For example, the medial patellofemoral ligament (MPFL) is a clinically relevant structure due to its role in patellofemoral stabilization [2]. MPFL reconstruction, which can be explored in a simulation framework, often utilizes a relatively stiff semitendinosus or gracilis tendon autograft [3]. The procedure is accepted to address patients with chronic patellar instability [4]. While joint stability may be achieved with such an approach, the underlying cartilage loading, and potential long term effects, are unknown. Previous simulation results found sensitivity in cartilage pressures during MPFL reconstruction [4], and these findings may be corroborated using a higher fidelity evaluation of clinically relevant factors. In the context of developing a general patellofemoral simulation framework, the goal of this study was to evaluate the effects of reconstructed MPFL zero force reference (“slack”) length on predicted joint mechanics across a range of potential values. To support the predictive simulation results, a preliminary model validation was also performed against specimen-specific in vitro joint mechanics.

This content is only available via PDF.
You do not currently have access to this content.