Rotating hinge knee causes lower bone–implant interface stress compared to constrained condylar knee replacement View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

Saeid Samiezadeh, Habiba Bougherara, Mansour Abolghasemian, Darryl D’Lima, David Backstein

ABSTRACT

PURPOSE: To compare the stresses at bone-arthroplasty interface of constrained and semi-constrained knee prostheses, using the finite element (FE) method as a predictor of the survivorship of the implants. METHODS: Three-dimensional FE models of the knee implanted with rotating hinge (RHK) and legacy constrained condylar (LCCK) prostheses were generated to study the loads and stresses for two situations: medial- and lateral collateral ligament deficiencies in full extension. RESULTS: On average, the shear stress developed at bone-implant interface dropped from 16.9 to 13.7 MPa (18.9%), and the interface von Mises stress lowered from 37.6 to 30.2 MPa (19.6%) in RHK compared to those in LCCK prostheses. RHK design also resulted in a more uniform stress distribution at the interfaces in both femur and tibia. The average polyethylene liner stress dropped from 9.6 to 2.6 MPa (a 72.7% decrease) in RHK design when compared to that in LCCK design. CONCLUSION: The more uniform interface stress suggests fewer density changes at the periprosthetic regions due to bone remodelling. Moreover, the lower polyethylene stresses are likely to reduce wear and damage. These findings reveal that the RHK design may have more favorable mechanical features compared to LCCK design in full extension boundary conditions, implying a potentially better survivorship. However, the findings should be interpreted cautiously as other configurations were not investigated. More... »

PAGES

1224-1231

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-018-5054-8

DOI

http://dx.doi.org/10.1007/s00167-018-5054-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105779759

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30039293


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