Effect of polyethylene insert thickness and implant material on micromotions at the bone-implant surface with cemented TKA: A finite element study

Ravishanker, Baliga B.; Raghuvir, Pai B.; Shenoy, Bhaskar; Sharath, Rao K.; Aatmananda, Hegde K.

doi:10.3233/jcm-200041

JCM

2021

DOI: 10.3233/jcm-200041

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Effect of polyethylene insert thickness and implant material on micromotions at the bone-implant surface with cemented TKA: A finite element study

Baliga B. Ravishanker

Pai B. Raghuvir

Bhaskar Shenoy

et al.

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2024

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Cited by 1 publication

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Tibial post loading increases the risk of aseptic loosening of posterior-stabilized tibial prosthesis

Chen,

Han,

Zhang

et al. 2024

Proc Inst Mech Eng H

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Aseptic loosening is the primary cause of failure following posterior-stabilized total knee arthroplasty. It is unclear whether tibial post loading of posterior-stabilized prosthesis increases the risk of aseptic loosening of the tibial prosthesis. The purpose of this study is to investigate the biomechanical effects of tibial post loading on the tibial prosthesis fixation interface during level walking, squatting, stair descent, and standing up-sitting down activities. In this paper, finite element models with and without post were established to compare the effects of tibial post loading on the von Mises stress of the proximal tibia, shear stress of the cement, and the bone-prosthesis interface micromotion during four physiological activities. The tibial post loading had an insignificant influence on tibial biomechanics and bone-prosthesis interface micromotion during leveling walking activity. However, compared to the insert without post condition, tibial post loading significantly increased the maximum tibial von Mises stress, the maximum shear stress in the medial of cement, and the bone-prosthesis interface peak micromotion by 912.84%, 612.77%, and 921.09%, respectively, at the moment of the maximum flexion angle for the stair descent activity, and 637.92%, 351.43%, and 519.13%, respectively, at the moment of the maximum flexion angle for the standing up-sitting down activity. Tibial post loading increased the risk of postoperative aseptic loosening of tibial prosthesis in patients with posterior-stabilized total knee arthroplasty, and it was recommended that the post-cam contact mechanism of posterior-stabilized prosthesis should be optimized to reduce the biomechanical impact of tibial post loading on tibial prosthesis fixation.

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Tibial post loading increases the risk of aseptic loosening of posterior-stabilized tibial prosthesis

Chen,

Han,

Zhang

et al. 2024

Proc Inst Mech Eng H

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show abstract

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Effect of polyethylene insert thickness and implant material on micromotions at the bone-implant surface with cemented TKA: A finite element study

Cited by 1 publication

References 24 publications

Tibial post loading increases the risk of aseptic loosening of posterior-stabilized tibial prosthesis

Tibial post loading increases the risk of aseptic loosening of posterior-stabilized tibial prosthesis

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