Biomechanics, Orthpaedic Surgery, Medical Engineering, Ergonomics
19
Scopus Publications
574
Scholar Citations
9
Scholar h-index
9
Scholar i10-index
Scopus Publications
Analysis of relationship between loading condition and cranial cracking pattern using a three-dimensional finite element model Yoshimori Kiriyama, Yudai Sato, Yota Muramatsu, Teppei Mano, Katsumasa Tanaka, et al. BMC Musculoskeletal Disorders, 2022 Background A hairline crack on the cranium can occur even under a small external load or impact and are thus often observed in patients who have experienced an accidental fall or collision. Typical finite element analysis is useful to analyze the stress concentration or the propagation of stress waves. However, a stress propagation model does not accurately reproduce the features of hairline cracks on the cranium. The objective in this study was to reproduce cranial hairline cracks. Methods A three-dimensional finite element model of the cranial bone was developed from a patient CT images. The model consists of the frontal, parietal, occipital and temporal bones, and the bones are connected with the sutures. Additionally, the model comprised three layers; the external and internal tables and the diploe. The model was analyzed using the extended finite element method (X-FEM), and a forming limit diagram (FLD) was embedded in the model. In this study, the model was symmetrized bilaterally using the model developed from the left side of the skull. The FLD in this study was assumed to be a relationship between the maximum and minimum strains when a fracture occurs. A total of 13 typical loadings were applied to the model: loading points on the top, left, and back of the cranium were considered, and at each loading point, loads were applied with four or five different directions, namely perpendicular to the cranium and inclined in the anterior, posterior, superior, or inferior at an angle of 45∘. Results Under all loading conditions, many small cracks formed radially at the loading points. Moreover, some large cracks formed under the certain loading conditions. The crack shapes on the top and left side could be associated with the specific loading directions, whereas cracks on the back did not show distinguishing characteristics depending on the loading directions. The present model was reproduced anatomically and morphologically, and the results were similar to those obtained in previous cadaver experiments. Conclusions Through X-FEM analysis of the FE model embedded with an FLD, hairline cracks in the cranium were reproduced, and a few crack shapes were identified as potential markers for estimating the loading conditions.
Application of an indentation sensor for the arthroscopic measurement of articular cartilage stiffness Yuki Kitta, Yoshimori Kiriyama, Kengo Harato, Shu Kobayashi, Yasuo Niki, et al. Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine, 2022 Direct measurement of cartilage stiffness provides useful clinical information and enables us to develop treatment strategies for patients. We applied an indentation sensor to evaluate cartilage stiffness under arthroscopic control. The purpose of this study was to validate the arthroscopic indentation sensor using cadaver knees and to measure cartilage stiffness in clinical cases. The stiffness of a material with known properties was measured at thicknesses from 2 mm to 10 mm with a 2-mm interval. This was repeated three times at each thickness to evaluate repeatability. The articular cartilage stiffness of the medial and lateral femoral condyles of five human cadaveric knees was measured. The sensor was inclined from 0° to 20° with 1° intervals. The stiffness value at each degree of inclination was compared to evaluate the acceptable measuring angle. Additionally, articular cartilage stiffness was measured in 23 adolescent and 11 adult patients under arthroscopy. Young’s moduli of the material were 1.15–1.24 (mean 1.20) MPa. Inter-class correlation coefficients in repeated measurements using the material were 0.83–0.99. There were no differences in the cartilage stiffness between the medial and lateral femoral condyles of the cadaver knees. All condyles showed a nonlinear relationship between force and displacement. The force decreased in all condyles when the tip of the sensor system was tilted. The range of error was < 97.1% within 5° inclination. There was a moderate negative correlation between age and cartilage stiffness in adolescent patients, and a moderate positive correlation in adult patients. Since the sensor system is manually held during measurement, the validity and repeatability to assess material properties of the cartilage may be inaccurate. This study has proven that the instrument can measure the stiffness of joint cartilage reliably and is a useful clinical tool under arthroscopic control.
Three-dimensional deformities of nonoperative midshaft clavicle fractures: A surface matching analysis Satoshi Oki, Noboru Matsumura, Yoshimori Kiriyama, Takuji Iwamoto, Kazuki Sato, et al. Journal of Orthopaedic Trauma, 2017 OBJECTIVE The purpose of this study was to describe the 3-dimensional deformities of midshaft clavicle fractures, which had been treated nonoperatively, using computed tomography (CT) surface matching. METHODS Twenty-one patients with unilateral midshaft clavicle fracture, who had been treated nonoperatively, were enrolled and evaluated retrospectively. The 3-dimensional deformity of the fractured clavicle was evaluated by CT surface matching. CT scans of 21 age- and sex-matched patients with initial traumatic shoulder dislocation or proximal humeral fracture were enrolled as a control group, and the differences in 3-dimensional deformities and lengths of the clavicles between the fracture group and the control group were evaluated. A correlation analysis was also performed between rotational deformities and clavicular length shortening. RESULTS The affected clavicle showed 1.3 ± 6.9 degrees of downward angular deformity, 2.1 ± 8.0 degrees of anterior angular deformity, and 5.0 ± 4.9 degrees of anterior rotational deformity. Compared with the control group, the fractured clavicle showed larger anterior rotational deformity (P = 0.021). Shortening of the clavicle demonstrated negative correlation with anterior axial rotation (R = -0.534, P = 0.013), but no correlation was found between clavicular shortening and the other 2 rotational deformities. CONCLUSION In cases of midshaft clavicle fracture, the distal fragment usually rotates anteriorly because of its anatomical relationships. Shortening deformity after clavicle fracture was reported to change shoulder kinematics, and anterior rotational deformity might adversely affect scapular motion.
Analysis of the factors that correlate with increased knee adduction moment during gait in the early postoperative period following total knee arthroplasty Takeo Nagura, Yasuo Niki, Kengo Harato, Takeshi Mochizuki, Yoshimori Kiriyama Knee, 2017 BACKGROUND Analysis of dynamic knee loading during gait is essential to prevent mechanical failures following total knee arthroplasty. External knee adduction moment during gait is the primary factor producing medial joint reaction force, and an increase in the moment is directly related to an increase in the medial compartment load on the knee. METHODS Knee adduction moment during gait in 39 knees of 32 female patients following a posterior stabilized knee replacement with a single surgeon was evaluated at 1.3months following surgery. A cut-off moment was determined as mean+1 standard deviation (SD) of the moment from 10 healthy subjects, and patients' knees were divided into high- and normal-moment groups. Significant differences in clinical assessments and gait parameters between the two groups were assessed. RESULTS Based on the cut-off moment, 23 knees were grouped into normal knees and 16 knees were grouped into high-moment knees. High-moment knees showed identical femorotibial angles and knee society scores but had greater toe-out angles and medially directed ground reaction forces compared to normal-moment knees. High-moment knees showed strong correlations between peak moment and knee adduction angle, and frontal plain moment arm. CONCLUSIONS The clinical significance of a high knee adduction moment following total knee arthroplasty remains unclear, but dynamic frontal alignment during gait is one of the key factors for residual high-moment knees following surgery.
Kinematic motion of the anterior cruciate ligament deficient knee during functionally high and low demanding tasks Kentaro Takeda, Takayuki Hasegawa, Yoshimori Kiriyama, Hideo Matsumoto, Toshiro Otani, et al. Journal of Biomechanics, 2014 The purpose of this study was to determine whether mechanical adaptations were present in patients with anterior cruciate ligament (ACL)-deficient knees during high-demand activities. Twenty-two subjects with unilateral ACL deficiency (11 males and 11 females, 19.6 months after injury) performed five different activities at a comfortable speed (level walking, ascending and descending steps, jogging, jogging to a 90-degree side cutting toward the opposite direction of the tested side). Three-dimensional knee kinematics for the ACL-deficient knees and uninjured contralateral knees were evaluated using the Point Cluster Technique. There was no significant difference in knee flexion angle, but an offset toward the knee in less valgus and more external tibial rotation was observed in the ACL-deficient knee. The tendency was more obvious in high demand motions, and a significant difference was clearly observed in the side cutting motions. These motion patterns, with the knee in less valgus and more external tibial rotation, are proposed to be an adaptive movement to avoid pivot shift dynamically, and reveal evidence in support of a dynamic adaptive motion occurring in ACL-deficient knees.
A miniature tension sensor to measure surgical suture tension of deformable musculoskeletal tissues during joint motion Yoshimori Kiriyama, Hideo Matsumoto, Yoshiaki Toyama, Takeo Nagura Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine, 2014 The aim of this study was to develop a new suture tension sensor for musculoskeletal soft tissue that shows deformation or movements. The suture tension sensor was 10 mm in size, which was small enough to avoid conflicting with the adjacent sensor. Furthermore, the sensor had good linearity up to a tension of 50 N, which is equivalent to the breaking strength of a size 1 absorbable suture defined by the United States Pharmacopeia. The design and mechanism were analyzed using a finite element model prior to developing the actual sensor. Based on the analysis, adequate material was selected, and the output linearity was confirmed and compared with the simulated result. To evaluate practical application, the incision of the skin and capsule were sutured during simulated total knee arthroplasty. When conventional surgery and minimally invasive surgery were performed, suture tensions were compared. In minimally invasive surgery, the distal portion of the knee was dissected, and the proximal portion of the knee was dissected additionally in conventional surgery. In the skin suturing, the maximum tension was 4.4 N, and this tension was independent of the sensor location. In contrast, the sensor suturing the capsule in the distal portion had a tension of 4.4 N in minimally invasive surgery, while the proximal sensor had a tension of 44 N in conventional surgery. The suture tensions increased nonlinearly and were dependent on the knee flexion angle. Furthermore, the tension changes showed hysteresis. This miniature tension sensor may help establish the optimal suturing method with adequate tension to ensure wound healing and early recovery.
Quantification of the spatial strain distribution of scoliosis using a thin-plate spline method Yoshimori Kiriyama, Kota Watanabe, Morio Matsumoto, Yoshiaki Toyama, Takeo Nagura Journal of Biomechanics, 2014 The objective of this study was to quantify the three-dimensional spatial strain distribution of a scoliotic spine by nonhomogeneous transformation without using a statistically averaged reference spine. The shape of the scoliotic spine was determined from computed tomography images from a female patient with adolescent idiopathic scoliosis. The shape of the scoliotic spine was enclosed in a rectangular grid, and symmetrized using a thin-plate spline method according to the node positions of the grid. The node positions of the grid were determined by numerical optimization to satisfy symmetry. The obtained symmetric spinal shape was enclosed within a new rectangular grid and distorted back to the original scoliotic shape using a thin-plate spline method. The distorted grid was compared to the rectangular grid that surrounded the symmetrical spine. Cobb's angle was reduced from 35° in the scoliotic spine to 7° in the symmetrized spine, and the scoliotic shape was almost fully symmetrized. The scoliotic spine showed a complex Green-Lagrange strain distribution in three dimensions. The vertical and transverse compressive/tensile strains in the frontal plane were consistent with the major scoliotic deformation. The compressive, tensile and shear strains on the convex side of the apical vertebra were opposite to those on the concave side. These results indicate that the proposed method can be used to quantify the three-dimensional spatial strain distribution of a scoliotic spine, and may be useful in quantifying the deformity of scoliosis.
Application of an indentation sensor for the arthroscopic measurement of articular cartilage stiffness Y Kitta, Y Kiriyama, K Harato, S Kobayashi, Y Niki, M Matsumoto, ... Proceedings of the Institution of Mechanical Engineers, Part H: Journal of … , 2022 2022
Analysis of relationship between loading condition and cranial cracking pattern using a three-dimensional finite element model Y Kiriyama, Y Sato, Y Muramatsu, T Mano, K Tanaka, K Oshio BMC Musculoskeletal Disorders 23 (1), 310 , 2022 2022 Citations: 4
Effects of external signals on neural oscillator stability N TAMADA, Y KIRIYAMA Journal of Biomechanical Science and Engineering 17 (4), 22-00124-22-00124 , 2022 2022
Relationship between resolution and partial volume effect among μCT, MDCT and SDCT T MANO, S HASHIMOTO, M MACHIDA, Y KIRIYAMA Journal of Biomechanical Science and Engineering 16 (1), 20-00442-20-00442 , 2021 2021 Citations: 4
Three-dimensional deformities of nonoperative midshaft clavicle fractures: a surface matching analysis S Oki, N Matsumura, Y Kiriyama, T Iwamoto, K Sato, T Nagura Journal of orthopaedic trauma 31 (11), e385-e389 , 2017 2017 Citations: 12
Analysis of the factors that correlate with increased knee adduction moment during gait in the early postoperative period following total knee arthroplasty T Nagura, Y Niki, K Harato, T Mochizuki, Y Kiriyama The Knee 24 (2), 250-257 , 2017 2017 Citations: 13
Kinematic motion of the anterior cruciate ligament deficient knee during functionally high and low demanding tasks K Takeda, T Hasegawa, Y Kiriyama, H Matsumoto, T Otani, Y Toyama, ... Journal of biomechanics 47 (10), 2526-2530 , 2014 2014 Citations: 50
SCAPULAR KINEMATICS IN DIFFERENT HUMERAL ROTATIONS: ANALYSIS IN HEALTH SUBJECTS AND CADAVER MODELS S Oki, N Matsumura, T Morioka, H Ikegami, Y Kiriyama, T Nakamura, ... Orthopaedic Proceedings 96 (SUPP_11), 352-352 , 2014 2014
A quantitative assessment of varus thrust in patients with medial osteoarthritis Y Kuroyanagi, T Nagura, Y Niki, K Haratoh, Y Kiriyama, Y Suda, ... Osteoarthritis and Cartilage 22, S108-S109 , 2014 2014
Arthroscopic measurement of cartilage stiffness of the knee in young patients using a novel indentation sensor Y Kitta, T Nagura, Y Kiriyama, T Tsukimura, K Harato, Y Toyama, Y Suda Osteoarthritis and Cartilage 22, S110-S111 , 2014 2014 Citations: 2
Increased medially oriented ground reaction force during gait in patients with varus knee osteoarthritis can be treat target to reduce medial compartment loads T Nagura, Y Niki, K Harato, Y Kuroyanagi, Y Kiriyama, T Mochizuki, ... Osteoarthritis and Cartilage 22, S122-S123 , 2014 2014 Citations: 7
A miniature tension sensor to measure surgical suture tension of deformable musculoskeletal tissues during joint motion Y Kiriyama, H Matsumoto, Y Toyama, T Nagura Proceedings of the Institution of Mechanical Engineers, Part H: Journal of … , 2014 2014 Citations: 6
Quantification of the spatial strain distribution of scoliosis using a thin-plate spline method Y Kiriyama, K Watanabe, M Matsumoto, Y Toyama, T Nagura Journal of Biomechanics 47 (1), 302-307 , 2014 2014 Citations: 3
Female recreational athletes demonstrate different knee biomechanics from male counterparts during jumping rope and turning activities H Tanikawa, K Harato, Y Suda, Y Toyama, H Matsumoto, Y Kiriyama, ... Journal of Orthopaedic Science 19 (1), 104-111 , 2014 2014 Citations: 4
Comparison of knee mechanics among risky athletic motions for noncontact anterior cruciate ligament injury H Tanikawa, H Matsumoto, I Komiyama, Y Kiriyama, Y Toyama, T Nagura Journal of applied biomechanics 29 (6), 749-755 , 2013 2013 Citations: 27
Acromioclavicular joint ligamentous system contributing to clavicular strut function: a cadaveric study S Oki, N Matsumura, W Iwamoto, H Ikegami, Y Kiriyama, T Nakamura, ... Journal of Shoulder and Elbow Surgery 22 (10), 1433-1439 , 2013 2013 Citations: 39
THREE-DIMENSIONAL ANALYSES OF TIBIA VARA WITH REFERENCE TO A MID-SAGITTAL PLANE IN TOTAL KNEE ARTHROPLASTY H Enomoto, T Nakamura, H Shimosawa, Y Niki, Y Kiriyama, T Nagura, ... Orthopaedic Proceedings 95 (SUPP_28), 96-96 , 2013 2013
The function of the acromioclavicular and coracoclavicular ligaments in shoulder motion: a whole-cadaver study S Oki, N Matsumura, W Iwamoto, H Ikegami, Y Kiriyama, T Nakamura, ... The American Journal of Sports Medicine 40 (11), 2617-2626 , 2012 2012 Citations: 107
A quantitative assessment of varus thrust in patients with medial knee osteoarthritis Y Kuroyanagi, T Nagura, Y Kiriyama, H Matsumoto, T Otani, Y Toyama, ... The knee 19 (2), 130-134 , 2012 2012 Citations: 130
Computer simulation of humeral shaft fracture in throwing K Sakai, Y Kiriyama, H Kimura, N Nakamichi, T Nakamura, H Ikegami, ... Journal of shoulder and elbow surgery 19 (1), 86-90 , 2010 2010 Citations: 39
MOST CITED SCHOLAR PUBLICATIONS
A quantitative assessment of varus thrust in patients with medial knee osteoarthritis Y Kuroyanagi, T Nagura, Y Kiriyama, H Matsumoto, T Otani, Y Toyama, ... The knee 19 (2), 130-134 , 2012 2012 Citations: 130
Tibiofemoral joint contact force in deep knee flexion and its consideration in knee osteoarthritis and joint replacement T Nagura, H Matsumoto, Y Kiriyama, A Chaudhari, TP Andriacchi Journal of applied biomechanics 22 (4), 305-313 , 2006 2006 Citations: 122
The function of the acromioclavicular and coracoclavicular ligaments in shoulder motion: a whole-cadaver study S Oki, N Matsumura, W Iwamoto, H Ikegami, Y Kiriyama, T Nakamura, ... The American Journal of Sports Medicine 40 (11), 2617-2626 , 2012 2012 Citations: 107
Kinematic motion of the anterior cruciate ligament deficient knee during functionally high and low demanding tasks K Takeda, T Hasegawa, Y Kiriyama, H Matsumoto, T Otani, Y Toyama, ... Journal of biomechanics 47 (10), 2526-2530 , 2014 2014 Citations: 50
Acromioclavicular joint ligamentous system contributing to clavicular strut function: a cadaveric study S Oki, N Matsumura, W Iwamoto, H Ikegami, Y Kiriyama, T Nakamura, ... Journal of Shoulder and Elbow Surgery 22 (10), 1433-1439 , 2013 2013 Citations: 39
Computer simulation of humeral shaft fracture in throwing K Sakai, Y Kiriyama, H Kimura, N Nakamichi, T Nakamura, H Ikegami, ... Journal of shoulder and elbow surgery 19 (1), 86-90 , 2010 2010 Citations: 39
Comparison of knee mechanics among risky athletic motions for noncontact anterior cruciate ligament injury H Tanikawa, H Matsumoto, I Komiyama, Y Kiriyama, Y Toyama, T Nagura Journal of applied biomechanics 29 (6), 749-755 , 2013 2013 Citations: 27
Analysis of the factors that correlate with increased knee adduction moment during gait in the early postoperative period following total knee arthroplasty T Nagura, Y Niki, K Harato, T Mochizuki, Y Kiriyama The Knee 24 (2), 250-257 , 2017 2017 Citations: 13
Three-dimensional deformities of nonoperative midshaft clavicle fractures: a surface matching analysis S Oki, N Matsumura, Y Kiriyama, T Iwamoto, K Sato, T Nagura Journal of orthopaedic trauma 31 (11), e385-e389 , 2017 2017 Citations: 12
Increased medially oriented ground reaction force during gait in patients with varus knee osteoarthritis can be treat target to reduce medial compartment loads T Nagura, Y Niki, K Harato, Y Kuroyanagi, Y Kiriyama, T Mochizuki, ... Osteoarthritis and Cartilage 22, S122-S123 , 2014 2014 Citations: 7
A miniature tension sensor to measure surgical suture tension of deformable musculoskeletal tissues during joint motion Y Kiriyama, H Matsumoto, Y Toyama, T Nagura Proceedings of the Institution of Mechanical Engineers, Part H: Journal of … , 2014 2014 Citations: 6
Analysis of relationship between loading condition and cranial cracking pattern using a three-dimensional finite element model Y Kiriyama, Y Sato, Y Muramatsu, T Mano, K Tanaka, K Oshio BMC Musculoskeletal Disorders 23 (1), 310 , 2022 2022 Citations: 4
Relationship between resolution and partial volume effect among μCT, MDCT and SDCT T MANO, S HASHIMOTO, M MACHIDA, Y KIRIYAMA Journal of Biomechanical Science and Engineering 16 (1), 20-00442-20-00442 , 2021 2021 Citations: 4
Female recreational athletes demonstrate different knee biomechanics from male counterparts during jumping rope and turning activities H Tanikawa, K Harato, Y Suda, Y Toyama, H Matsumoto, Y Kiriyama, ... Journal of Orthopaedic Science 19 (1), 104-111 , 2014 2014 Citations: 4
Quantification of the spatial strain distribution of scoliosis using a thin-plate spline method Y Kiriyama, K Watanabe, M Matsumoto, Y Toyama, T Nagura Journal of Biomechanics 47 (1), 302-307 , 2014 2014 Citations: 3
Development of a miniature tension sensor to monitor suture tension during the joint motion Y Kiriyama, H Matsumoto, N Imanishi, S Aiso, T Nakamura, Y Toyama, ... Journal of Biomechanics 41, S503 , 2008 2008 Citations: 3
Arthroscopic measurement of cartilage stiffness of the knee in young patients using a novel indentation sensor Y Kitta, T Nagura, Y Kiriyama, T Tsukimura, K Harato, Y Toyama, Y Suda Osteoarthritis and Cartilage 22, S110-S111 , 2014 2014 Citations: 2
Prediction of deformity correction by pedicle screw instrumentation in thoracolumbar scoliosis surgery (Computer simulation study) Y Kiriyama, N Yamazaki, T Nagura, M Matsumoto, K Chiba, Y Toyama JSME International Journal Series C Mechanical Systems, Machine Elements and … , 2005 2005 Citations: 2
Application of an indentation sensor for the arthroscopic measurement of articular cartilage stiffness Y Kitta, Y Kiriyama, K Harato, S Kobayashi, Y Niki, M Matsumoto, ... Proceedings of the Institution of Mechanical Engineers, Part H: Journal of … , 2022 2022
Effects of external signals on neural oscillator stability N TAMADA, Y KIRIYAMA Journal of Biomechanical Science and Engineering 17 (4), 22-00124-22-00124 , 2022 2022