A Finite Element Analysis of a Subject Specific Single-Leg Drop Landing at Varied Heights

The pathomechanics of knee anterior cruciate ligament (ACL) injury related to the female athlete is of high interest due to the high incidence of injury compared to males participating in the same sport. The mechanisms of ACL injury are still not completely understood, but it is known that single-leg landings, stopping and cutting at high velocity are some of the non-contact mechanisms that are causing these injuries. This study analyzed a subject specific analysis of a single-leg drop landing that was performed by a female subject at 60%, 80% and 100% of her maximum vertical jump. The femur, tibia, articular cartilage, and menisci were modeled as 3-D structures and the data collected from the motion analysis was used to obtain the knee joint contact stresses in finite element analysis (FEA). The four major ligaments of the knee were modeled as non-linear springs. Material properties of previously published studies were used to define the soft tissue structures. The articular cartilage was defined as isotropic elastic and the menisci were defined as transverse isotropic elastic. Two different styles of single-leg landings were compared to one another, resembling landing from a basketball rebound. The first landing style, single-leg arms up (SLAU), produced larger knee flexion angles at peak ground reaction forces, while single-leg arms across (SLAX) landings produced higher peak vertical ground reaction forces along with lower knee flexion angles. The mean peak vertical ground reaction force was 2.9–3.5 bodyweight for SLAU landings, while they were 3.0–3.8 for SLAX landings. The time to peak vertical ground reaction force with SLAU landings were 69 ms (60%), 60 ms (80%), and 55 ms (100%); SLAX landings were 61 ms (60%), 61 ms (80%), and 51 ms (100%).