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Tytuł artykułu

Stress distribution around a TKR implant are lab results consistent with observational studies?

Wybrane pełne teksty z tego czasopisma
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Malalignment of Total Knee Replacement prosthesis has been reported to limit the implant survival time. We hypothesized that this may be secondary to excessive stress occurring at the bone-implant interface, resulting from abnormal load transfer across the knee joint. In this study, we conducted Finite Element Analysis of a geometrical model of the knee joint after Total Knee Replacement with different axial alignments. The calculated stresses and displacements were significantly higher with varus knee malalignment than with the valgus one. The stresses are not high enough to pose a serious risk of a crack or a fracture but might be responsible for chronic pain reported by some patients. In cases where optimal implant positioning is not possible, slight valgus malalignment might produce better results than varus.
Rocznik
Strony
21--26
Opis fizyczny
Bibliogr. 24 poz., rys., tab.
Twórcy
autor
autor
autor
autor
  • Department of Orthopaedics and Traumatolgy, Medical University of Silesia, Katowice
Bibliografia
  • [1] HULET C., SABATIER J.P., SOUQUET D., LOCKER B., MARCELLI C., VIELPEAU C., Distribution of bone mineral density at the proximal tibia in knee osteoarthritis, Calcif. Tissue Int., 2002, 71(4), 315–322.
  • [2] TERAUCHI M., SHIRAKURA K., KATAYAMA M., HIGUCHI H., TAKAGISHI K., The influence of osteoporosis on varus osteoarthritis of the knee, J. Bone Joint Surg. Br., 1998, 80-B, 432–436.
  • [3] WOJCIECHOWSKI P., KUSZ D., IWANIAK A., CIELIŃSKI Ł., Analiza wyników całkowitych endoprotezoplastyk stawu kolanowego operowanych w Katedrze i Klinice Ortopedii i Traumatologii Narządu Ruchu Śląskiej Akademii Medycznej w Katowicach, Chir. Kolana Artroskopia Traumatol Sport, 2006, 3(3), 19–26.
  • [4] AU A.G., LIGGINS A.B., RASO V.J., AMIRFAZLI A., A parametric analysis of fixation post shape in tibial knee prostheses, Med. Eng. Phys., 2005, 27(2), 123–34.
  • [5] KNIGHT L.A., PAL S., COLEMAN J.C., BRONSON F., HAIDER H., LEVINE D.L., TAYLOR M., RULLKOETTER P.J., Comparison of long-term numerical and experimental total knee replacement wear during simulated gait loading, J. Biomech., 2007, 40(7), 1550–1558.
  • [6] LAZ P.J., PAL S., HALLORAN J.P., PETRELLA A.J., RULLKOETTER P.J., Probabilistic finite element prediction of knee wear simulator mechanics, J. Biomech., 2006, 39(12), 2303–2310.
  • [7] PERILLO-MARCONE A., TAYLOR M., Effect of varus/valgus malalignment on bone strains in the proximal tibia after TKR: an explicit finite element study, J. Biomech. Eng., 2007, 129(1), 1–11.
  • [8] YUAN X., RYD L., HUISKES R., Wear particle diffusion and tissue differentiation in TKA implant fibrous interfaces, J. Biomech., 2000, 33(10), 1279–1286.
  • [9] FUKUPOKA S., YOSIDA K., YAMANO Y., Estimation of the migration of tibial components in total knee arthroplasty, a roentgen stereophotogrammers analysis, J. Bone Joint Surg. Br., 2000, 82-B, 222–227.
  • [10] MOON M.S., KIM J.M., WOO Y.K., Restoration of knee morion after total knee arthroplasty: subvastus approach and alternate flexion and extension splintage, Ryumachi, 1997, 37, 146.
  • [11] SOININVAARA T.A., JURVELIN J.S., MIETTINEN H.J., SUOMALAINEN O.T., ALHAVA E.M., KROGER P.J., Effect of alendronate on periprosthetic bone loss after total knee arthroplasty: a one-year, randomized, controlled trial of 19 patients, Calcif. Tissue Int., 2002, 71(6), 472–477.
  • [12] HALLORAN J.P., PETRELLA A.J., RULLKOETTER P.J., Explicite finite element modeling of total knee replacement mechanics, J. Biomech., 2005, 38(2), 323–31.
  • [13] HALLORAN J.P., EASLEY S.K., PETRELLA A.J., RULLKOETTER P.J., Comparison of deformable and elastic foundation finite element simulations for predicting knee replacement mechanics, J. Biomech. Eng., 2005, 127(5), 813–818.
  • [14] http://www.cineca.it/hosted/LTM-IOR/back2net/ISB_mesh/ mesh_list.html (retrieved on 20.06.2006).
  • [15] TEJSZERSKA D., JURKOJĆ J., MICHNIK R., Modelling of human knee during gait, Machine Dynamics Problem, 2004, 28(4), 153–158.
  • [16] BINDELGLASS D.F., VINCE K.G., Patellar tilt and subluxation following subvastus and parapatellar approach in total knee arthroplasty: implication for surgical technique, J. Arthroplasty, 1996, 11, 507–511.
  • [17] WHITESIDE L.A., Correction of ligament and bone defects In total arthroplasty of the severely valgus knee, Clin. Orthop., 1993, 288, 234–45.
  • [18] KETATA H., KRICHEN A., KHARRAT M., DAMMAK M., Mechanical response of polyethylene tibial component using compression loading contact test: experimental and finite element analysis, Technol. Health Care, 2006, 14(6), 479–487.
  • [19] DZIEWULSKI M., Choroba zwyrodnieniowa stawów kolanowych – leczenie przy zastosowaniu dostawowej suplementacji hialuronianem nowej generacji (część 2), Polish Journal of Sports Medicine, 2003, 19(2), 117–121.
  • [20] MARCACCI M., IACONO F., ZAFFAGNINI S., VISANI A., LORETI I., PETITTO A., NERI M.P., Total knee arthroplasty without patellar resurfacing in active and overweight patients, Knee Surg. Sports Traumatol. Arthrosc., 1997, 5(4), 258–261.
  • [21] GRIFFIN F.M., SCUDERI G.R., INSALL J.N., COLIZZA W., Total knee arthroplasty in patients who were obese with 10 years follow-up, Clin. Orthop., 1998, 356, 28–33.
  • [22] HAMOUI N., KANTOR S., VINCE K., CROOKES P.F., Long-term outcome of total knee replacement: does obesity matter? Obes. Surg., 2006, 16(1), 35–38.
  • [23] HECK D.A., CLINGMAN J.K., KETTELKAMP D.G., Gross polyethylene failure in total knee arthroplasty, Orthopedics, 1992, 15(1), 23–28.
  • [24] WIMMER M.A., ANDRIACCHI T.P., Tractive forces during rolling motion of the knee: implications for wear in total knee replacement, J. Biomech., 1997, 30(2), 131–137.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBB-0001-0004
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