Effect of post-cam design on the kinematics and contact stress of posterior-stabilized total knee arthroplasty

2021 ◽  
pp. 1-10
Author(s):  
Jin-Ah Lee ◽  
Yong-Gon Koh ◽  
Kyoung-Tak Kang
Keyword(s):  
Finite Element ◽  
Total Knee Arthroplasty ◽  
Contact Stress ◽  
Knee Arthroplasty ◽  
Gait Cycle ◽  
Three Dimensional ◽  
Posterior Stabilized ◽  
Cam Mechanism ◽  
Total Knee ◽  
Tibial Translation

BACKGROUND: The post-cam mechanism in the posterior-stabilized (PS) implant plays an important role, such as durability and kinematic performances, in total knee arthroplasty (TKA). OBJECTIVE: The purpose of this study was to evaluate the difference in the kinematics and contact stress of five post-cam designs, which are flat-and-flat, curve-and-curve (concave), curve-and-curve (concave and convex), helical, and asymmetrical post-cam designs, using three-dimensional finite element models. METHODS: We designed the post-cam model with five different geometries. The kinematics, contact stress, and contact area were evaluated in the five post-cam designs under gait cycle loading conditions using the finite element method. RESULTS: There were no differences in the contact stress and area on the tibial insert in all designs. The largest internal rotation was shown in the swing phase for the helical design, and the largest tibial posterior translation was observed for the curve-and-curve (concave) design. The curve-and-curve (concave) design showed the lowest contact stress and the largest posterior tibial translation during the gait cycle. CONCLUSIONS: Considering the kinematics and contact stress, we found that the curve-and-curve (concave) design was more stable than other designs. From the results, we found the important factors of TKA implant considering stability and kinematics.

Contact Stress Analysis of the Conforming Post-Cam Mechanism in Posterior-Stabilized Total Knee Arthroplasty

2008 ◽  
Vol 23 (5) ◽  
pp. 736-743 ◽  
Author(s):  
Yukio Akasaki ◽  
Shuichi Matsuda ◽  
Takeshi Shimoto ◽  
Hiromasa Miura ◽  
Hidehiko Higaki ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Stress Analysis ◽  
Contact Stress ◽  
Knee Arthroplasty ◽  
Posterior Stabilized ◽  
Cam Mechanism ◽  
Total Knee

scholarly journals Finite-element analysis of the proximal tibial sclerotic bone and different alignment in total knee arthroplasty

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ye-Ran Li ◽  
Yu-Hang Gao ◽  
Chen Yang ◽  
Lu Ding ◽  
Xuebo Zhang ◽  
...  
Keyword(s):  
Finite Element ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Tibial Plateau ◽  
Three Dimensional ◽  
Genu Varum ◽  
Sclerotic Bone ◽  
Dimensional Measurements ◽  
Tibial Cut ◽  
Total Knee

Abstract Background Despite potential for improving patient outcomes, studies using three-dimensional measurements to quantify proximal tibial sclerotic bone and its effects on prosthesis stability after total knee arthroplasty (TKA) are lacking. Therefore, this study aimed to determine: (1) the distribution range of tibial sclerotic bone in patients with severe genu varum using three-dimensional measurements, (2) the effect of the proximal tibial sclerotic bone thickness on prosthesis stability according to finite-element modelling of TKA with kinematic alignment (KA), mechanical alignment (MA), and 3° valgus alignment, and (3) the effect of short extension stem augment utilization on prosthesis stability. Methods The sclerotic bone in the medial tibial plateau of 116 patients with severe genu varum was measured and classified according to its position and thickness. Based on these cases, finite-element models were established to simulate 3 different tibial cut alignments with 4 different thicknesses of the sclerotic bone to measure the stress distribution of the tibia and tibial prosthesis, the relative micromotion beneath the stem, and the influence of the short extension stem on stability. Results The distribution range of proximal tibial sclerotic bone was at the anteromedial tibial plateau. The models were divided into four types according to the thickness of the sclerotic bone: 15 mm, 10 mm, 5 mm, and 0 mm. The relative micromotion under maximum stress was smallest after MA with no sclerotic bone (3241 μm) and largest after KA with 15 mm sclerotic bone (4467 μm). Relative micromotion was largest with KA and smallest with MA in sclerotic models with the same thickness. Relative micromotion increased as thickness of the sclerotic bone increased with KA and MA (R = 0.937, P = 0.03 and R = 0.756, P = 0.07, respectively). Relative micromotion decreased with short extension stem augment in the KA model when there was proximal tibial sclerotic bone. Conclusions The influence of proximal tibial sclerotic bone on prosthesis’s stability is significant, especially with KA tibial cut. Tibial component’s short extension stem augment can improve stability.

scholarly journals The Effect of Knee Flexion Angle on Contact Stress of Total Knee Arthroplasty

2018 ◽  
Vol 225 ◽  
pp. 03009 ◽  
Author(s):  
N.M.A. Azam ◽  
Rosdi Daud ◽  
H. Mas Ayu ◽  
J. Ramli ◽  
M.F.B. Hassan ◽  
...  
Keyword(s):  
Finite Element ◽  
Total Knee Arthroplasty ◽  
Contact Stress ◽  
Knee Arthroplasty ◽  
Maximum Stress ◽  
Flexion Angle ◽  
Element Analysis ◽  
The Finite Element Analysis ◽  
Current Design ◽  
Total Knee

The effect of flexion angle on contact stress of the knee joint still open to the debate since lack of proof shown that flexion angles does effect the contact stress of Total Knee Arthroplasty (TKA). Thus the aim of this study is to investigate the effect of different flexion angle on contact stress of TKA via finite element method. The TKA is simulated using ANSYS Workbench and the applied loads are 2200 N, 3200 N and 2800 N. The Finite element Analysis (FEA) results for maximum stress of current and proposed designed were then compared. For the new proposed design, the maximum stress for 15° is 12.2 MPa, 45° is 23.6 MPa and 60° is 22.5 MPa which is lower than current design. Thus, it can be concluded that the new proposed design better than current design in term of contact stress. While, the different flexion angle do gives an impact on the performance of the TKA.

Analysis of Contact Stress at the Postcam Mechanism in Posterior Stabilized Total Knee Arthroplasty

2007 ◽  
Vol 22 (2) ◽  
pp. 313
Author(s):  
Shuichi Matsuda ◽  
Yukio Akasaki ◽  
Hiromasa Miura ◽  
Hidehiko Higaki ◽  
Ken Okazaki ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Contact Stress ◽  
Knee Arthroplasty ◽  
Posterior Stabilized ◽  
Total Knee

scholarly journals Biomechanical Assessment of a Patient-Specific Knee Implant Design Using Finite Element Method

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Qiguo Rong ◽  
Jianfeng Bai ◽  
Yongling Huang ◽  
Jianhao Lin
Keyword(s):  
Finite Element ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Three Dimensional ◽  
Implant Design ◽  
Patient Specific ◽  
Biomechanical Behavior ◽  
Total Knee ◽  
Wear Damage ◽  
Three Dimensional Finite Element

Rheumatoid arthritis is the leading cause of disability in young adults. Total knee arthroplasty has been successfully used to restore the joint function. Due to small bone size, osteoporosis, and severe soft tissue disease, standard knee implant sometimes cannot be directly applied clinically and patient-specific designs may be a more rational choice. The purpose of this study was to evaluate the biomechanical behavior of a patient-specific knee implant. A three-dimensional finite element of total knee arthroplasty was developed. The mechanical strength and the wear damage of the articular surfaces were analyzed. The results show that there exist high risks of component fracture and wear damage; the proposed implant design should be abandoned. The presurgery analysis is helpful in avoiding the potential failure.

scholarly journals Biomechanical Effects of Posterior Condylar Offset and Posterior Tibial Slope on Quadriceps Force and Joint Contact Forces in Posterior-Stabilized Total Knee Arthroplasty

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Kyoung-Tak Kang ◽  
Yong-Gon Koh ◽  
Juhyun Son ◽  
Oh-Ryong Kwon ◽  
Jun-Sang Lee ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Contact Stress ◽  
Knee Arthroplasty ◽  
Tibial Slope ◽  
Posterior Stabilized ◽  
Posterior Condylar Offset ◽  
Posterior Tibial ◽  
Posterior Condylar ◽  
Total Knee ◽  
Quadriceps Force

This study aimed to determine the biomechanical effect of the posterior condylar offset (PCO) and posterior tibial slope (PTS) in posterior-stabilized (PS) fixed-bearing total knee arthroplasty (TKA). We developed ±1, ±2, and ±3 mm PCO models in the posterior direction and −3°, 0°, 3°, and 6° PTS models using a previously validated FE model. The influence of changes in the PCO and PTS on the biomechanical effects under deep-knee-bend loading was investigated. The contact stress on the PE insert increased by 14% and decreased by 7% on average as the PCO increased and decreased, respectively, compared to the neutral position. In addition, the contact stress on post in PE insert increased by 18% on average as PTS increased from −3° to 6°. However, the contact stress on the patellar button decreased by 11% on average as PTS increased from −3° to 6° in all different PCO cases. The quadriceps force decreased by 14% as PTS increased from −3° to 6° in all PCO models. The same trend was found in patellar tendon force. Changes in PCO had adverse biomechanical effects whereas PTS increase had positive biomechanical effects. However, excessive PTS should be avoided to prevent knee instability and subsequent failure.

Sign in / Sign up

Export Citation Format

Share Document