{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T17:49:23Z","timestamp":1773596963739,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010270","name":"Capital Health Research and Development of Special Fund","doi-asserted-by":"publisher","award":["202022082"],"award-info":[{"award-number":["202022082"]}],"id":[{"id":"10.13039\/501100010270","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2016YFC1103202"],"award-info":[{"award-number":["2016YFC1103202"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005089","name":"Beijing Municipal Natural Science Foundation","doi-asserted-by":"publisher","award":["L202052"],"award-info":[{"award-number":["L202052"]}],"id":[{"id":"10.13039\/501100005089","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017003","name":"Peking University Health Science Center","doi-asserted-by":"publisher","award":["BMU2018 MX023"],"award-info":[{"award-number":["BMU2018 MX023"]}],"id":[{"id":"10.13039\/501100017003","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009399","name":"Peking University Third Hospital","doi-asserted-by":"publisher","award":["BYSY2018004"],"award-info":[{"award-number":["BYSY2018004"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009399","name":"Peking University Third Hospital","doi-asserted-by":"publisher","award":["BMU2019GJJXK012"],"award-info":[{"award-number":["BMU2019GJJXK012"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The debate on the superiority of single\u2010 or double\u2010bundle for anterior cruciate ligament reconstruction has not ceased. The comparative studies on intra\u2010articular biomechanics after different surgical reconstructions are rare. This study is to evaluate the biomechanical stress distribution intra\u2010knee after single\u2010 and double\u2010bundle anterior cruciate ligament reconstruction by three\u2010dimensional finite element analysis, and to observe the change of stress concentration under the condition of vertical gradient loads.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this study, magnetic resonance imaging data were extracted from patients and healthy controls for biomechanical analysis. Patients included in the three models were matched in age and sex. The strength and distribution of induced stresses were analyzed in two frequently used procedures, anatomical single\u2010bundle anterior cruciate ligament reconstruction and anatomical double\u2010bundle anterior cruciate ligament reconstruction, using femoral\u2010graft\u2010tibial system under different loads, to mimic a post\u2010operation mechanical motion. The three\u2010dimensional finite\u2010element models for normal ligament and two surgical methods were applied. A vertical force simulating daily walking was performed on the models to assess the interfacial stresses and displacements of intra\u2010articular tissues and ligaments. The evaluation results mainly included the stress of each part of ligament and meniscus. The stress values of different parts of three models were extracted and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The stress of ligament\/graft at femoral side of three finite\u2010element models was significantly higher than at tibial side, while the highest level was observed in single\u2010bundle reconstruction finite\u2010element model. With the increase of force, the maximum stress in the medial (7.1\u20137.1\u2009MPa) and lateral (4.9\u20137.4\u2009MPa) meniscus of single\u2010bundle reconstruction finite\u2010element model shifted from the anterior horn to the central area (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.0161, 0.0479, respectively). The stress was shown to be at a lower level at femoral side and posterior cruciate ligament of intra\u2010knee in two reconstruction finite\u2010element models than that in normal finite\u2010element models, while presented higher level at the tibial side than normal knee (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.3528). The displacement of the femoral side and intra\u2010knee areas in reconstruction finite\u2010element models was greater than that in normal finite\u2010element model (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.0855).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with the single\u2010bundle technique, the graft of double\u2010bundle anterior cruciate ligament reconstruction has better stress dissipation effect and can prevent postoperative meniscus tear more effectively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13516","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T09:38:39Z","timestamp":1665567519000},"page":"3367-3377","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Intra\u2010Articular Biomechanical Changes of the Meniscus and Ligaments During Stance Phase of Gait Circle after Different Anterior Cruciate Ligament Reconstruction Surgical Procedures: A Finite Element Analysis"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9045-0731","authenticated-orcid":false,"given":"Zi\u2010mu","family":"Mao","sequence":"first","affiliation":[{"name":"Department of Joint Surgery Beijing Shijitan Hospital, Capital Medical University  Beijing China"},{"name":"Institute of Sports Medicine Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen\u2010wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Beijing Shijitan Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Xu","sequence":"additional","affiliation":[{"name":"Xinjiang Key Laboratory Neurological Disorder Research Key Laboratory of Autonomous Region  Urumchi China"},{"name":"The Department of Orthopaedics The Second Affiliated Hospital of Xinjiang Medical University  Urumchi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen\u2010he","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics First Hospital of Shanxi Medical University  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi\u2010yu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Yan'an Traditional Chinese Medicine Hospital  Yan'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010li","family":"Ren","sequence":"additional","affiliation":[{"name":"Shanxi Institute of Sports Science Taiyuan  Taiyuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An\u2010qi","family":"Xue","sequence":"additional","affiliation":[{"name":"Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering School of Biological Science and Medical Engineering, Beihang University  Beijing China"},{"name":"Beijing Institute of Medical Device Testing  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ze\u2010nan","family":"Li","sequence":"additional","affiliation":[{"name":"Fengtai Fourth Outpatient Department Beijing Garrison  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Zhao","sequence":"additional","affiliation":[{"name":"Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering School of Biological Science and Medical Engineering, Beihang University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery Beijing Shijitan Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia\u2010kuo","family":"Yu","sequence":"additional","affiliation":[{"name":"Institute of Sports Medicine Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2008.11.004"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i3.212"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0993-8"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20822"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518782454"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1940-9"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.03.034"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.127"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00883"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4804-3"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2010.05.036"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2020.00967"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512440686"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513496064"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515588316"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0334-5"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2005.01.009"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2004.07.014"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2005.12.013"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2015.02.034"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255840410001658839"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(03)00261-6"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2006.10.006"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.1385841"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900303"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506294571"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1864-7"},{"key":"e_1_2_13_29_1","first-page":"1145","article-title":"Stress distribution is deviated around the aperture of the femoral tunnel in the anatomic anterior cruciate ligament reconstruction","volume":"26","author":"Hoshino Y","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_13_30_1","first-page":"CD008413","article-title":"Double\u2010bundle versus single\u2010bundle reconstruction for anterior cruciate ligament rupture in adults","volume":"11","author":"Tiamklang T","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513498998"},{"key":"e_1_2_13_32_1","first-page":"1185","article-title":"Does double\u2010bundle anterior cruciate ligament reconstruction improve postoperative knee stability compared with single\u2010bundle techniques? A systematic review of overlapping meta\u2010analyses","volume":"31","author":"Mascarenhas R","year":"2015","journal-title":"Art Ther"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-30931-7"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4951-1"},{"key":"e_1_2_13_35_1","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1177\/0363546515611646","article-title":"Comparison of knee kinematics after single\u2010bundle anterior cruciate ligament reconstruction via the medial portal technique with a central femoral tunnel and an eccentric femoral tunnel and after anatomic double\u2010bundle reconstruction: a human cadaveric study","volume":"44","author":"Herbort M","year":"2016","journal-title":"Am J Sports Med"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-59602-2"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4781-6"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1080\/10255840600795959"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2015.12.020"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05636-7"},{"key":"e_1_2_13_41_1","doi-asserted-by":"crossref","first-page":"e0127293","DOI":"10.1371\/journal.pone.0127293","article-title":"The effect of graft strength on knee laxity and graft in\u2010situ forces after posterior cruciate ligament reconstruction","volume":"10","author":"Lai YS","year":"2015","journal-title":"PLoS One"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512448177"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517691961"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5036-x"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.13516","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T22:38:47Z","timestamp":1692484727000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,12]]},"references-count":43,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/os.13516"],"URL":"https:\/\/doi.org\/10.1111\/os.13516","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,12]]},"assertion":[{"value":"2021-06-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}