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A Journal of Russian Academy of Sciences
 Founded
in January 1966
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IssuesArchive of Issues2025-7pp.5658-5670

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A.A. Rimskiy, E.Y. Krylova, N.V. Ostrovsky, and A.V. Garkavi, "On Limits of Fibula Proximal Ostiotomy Applicability in Surgery of Internal Part of the Knee Joint Pathologies and the Mechanism of its Action," Mech. Solids. 60 (7), 5658-5670 (2025)
Year 2025 Volume 60 Number 7 Pages 5658-5670
DOI 10.1134/S002565442560494X
Title On Limits of Fibula Proximal Ostiotomy Applicability in Surgery of Internal Part of the Knee Joint Pathologies and the Mechanism of its Action
Author(s) A.A. Rimskiy (FSAEI HE I. M. Sechenov First MSMU MOH Russia (Sechenov University), Moscow, 119048 Russia, arsrim@mail.ru)
E.Y. Krylova (Saratov State University, Saratov, 410012 Russia, kat.krylova@bk.ru)
N.V. Ostrovsky (Saratov State University, Saratov, 410012 Russia, nvostrovsky@mail.ru)
A.V. Garkavi (FSAEI HE I. M. Sechenov First MSMU MOH Russia (Sechenov University), Moscow, 119048 Russia, avgar22@yandex.ru)
Abstract In the work, based on a three-dimensional model of the lower limb taking into account the ligamentous apparatus and trabecular elements of the apices of the femur and tibia in the finite element package Ansys, a series of numerical biomechanical experiments were carried out. The effect of proximal osteotomy of the fibula on the stress-strain state of the meniscus of the knee joint was studied depending on the degree of varus deformity. The range of varus deformity of the knee joint was established, in which proximal osteotomy of the fibula effectively reduces the load on the inner part of the knee joint. It is shown that the muscular response of the peroneus longus muscle after proximal osteotomy of the fibula leads to an increase in stress in the lateral part of the knee joint and a decrease in the medial part.
Keywords biomechanical modeling, finite element method, proximal fibula osteotomy, correction of varus deformity, knee menisci, muscle response of the peroneus longus muscle, limits of applicability of proximal fibula osteotomy
Received 28 July 2025Revised 06 August 2025Accepted 06 August 2025
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