Analysis of Different Bicruciate-retaining Tibial Prosthesis Design Using a Three Dimension Finite Element Model

Overview

Journal Am J Transl Res

Specialty General Medicine

Date 2017 Jun 1

PMID 28560009

Authors

Peiheng He

Xing Li

Shuai Huang

Minghao Liu

Weizhi Chen

Dongliang Xu

Affiliations

Soon will be listed here.

Abstract

The recent interest in bicruciate-retaining prostheses has aimed to address the need for an implant that can mimic a natural knee. Arguments have always existed about survivorship, including loosening and subsidence, as well as tibial preparation in bicruciate-retaining tibial prostheses. The aim of this study was to investigate the biomechanics of a new modular design and other bicruciate-retaining designs using a three-dimensional finite element model under different load conditions to discover which prosthesis was more suitable. We also evaluated related parameters (the third principal stress, shear stress, micromotion, and von Mises stresses) to compare the characteristics of different bicruciate-retaining designs. The biomechanics of the bicruciate-retaining tibial prosthesis can be influenced by the style of the designed prosthesis and gait loading. The new modular design showed stability and moderated the third principal stress, leading to less shear stress and stress shield, suggesting that this type of design can avoid knee prosthesis loosening and subsidence. Therefore, the new design may be used as a more suitable prosthesis for future bicruciate-retaining implant application.

References

Pritchett J . A comparison of the noise generated from different types of knee prostheses. J Knee Surg. 2013; 26(2):101-4. DOI: 10.1055/s-0032-1319779. View

Coathup M, Sanghrajka A, Aston W, Gikas P, Pollock R, Cannon S . Hydroxyapatite-coated collars reduce radiolucent line progression in cemented distal femoral bone tumor implants. Clin Orthop Relat Res. 2015; 473(4):1505-14. PMC: 4353558. DOI: 10.1007/s11999-014-4116-6. View

Weiss J, Noble P, Conditt M, Kohl H, Roberts S, Cook K . What functional activities are important to patients with knee replacements?. Clin Orthop Relat Res. 2002; (404):172-88. DOI: 10.1097/00003086-200211000-00030. View

Leroux M, Setton L . Experimental and biphasic FEM determinations of the material properties and hydraulic permeability of the meniscus in tension. J Biomech Eng. 2002; 124(3):315-21. DOI: 10.1115/1.1468868. View

Mont M, John M, Johnson A . Bicruciate retaining arthroplasty. Surg Technol Int. 2012; 22:236-42. View

Galloway F, Kahnt M, Ramm H, Worsley P, Zachow S, Nair P . A large scale finite element study of a cementless osseointegrated tibial tray. J Biomech. 2013; 46(11):1900-6. DOI: 10.1016/j.jbiomech.2013.04.021. View

Masri B, Meek R, Greidanus N, Garbuz D . Effect of retaining a patellar prosthesis on pain, functional, and satisfaction outcomes after revision total knee arthroplasty. J Arthroplasty. 2006; 21(8):1169-74. DOI: 10.1016/j.arth.2006.05.033. View

Clary C, Fitzpatrick C, Maletsky L, Rullkoetter P . The influence of total knee arthroplasty geometry on mid-flexion stability: an experimental and finite element study. J Biomech. 2013; 46(7):1351-7. DOI: 10.1016/j.jbiomech.2013.01.025. View

Perillo-Marcone A, Ryd L, Johnsson K, Taylor M . A combined RSA and FE study of the implanted proximal tibia: correlation of the post-operative mechanical environment with implant migration. J Biomech. 2004; 37(8):1205-13. DOI: 10.1016/j.jbiomech.2003.12.004. View

10.

Pritchett J . Patient preferences in knee prostheses. J Bone Joint Surg Br. 2004; 86(7):979-82. DOI: 10.1302/0301-620x.86b7.14991. View

11.

Halewood C, Traynor A, Bellemans J, Victor J, Amis A . Anteroposterior Laxity After Bicruciate-Retaining Total Knee Arthroplasty Is Closer to the Native Knee Than ACL-Resecting TKA: A Biomechanical Cadaver Study. J Arthroplasty. 2015; 30(12):2315-9. DOI: 10.1016/j.arth.2015.06.021. View

12.

Andriacchi T, Stanwyck T, Galante J . Knee biomechanics and total knee replacement. J Arthroplasty. 1986; 1(3):211-9. DOI: 10.1016/s0883-5403(86)80033-x. View

13.

Lachiewicz P, Soileau E . Is There a Benefit to Highly Crosslinked Polyethylene in Posterior-stabilized Total Knee Arthroplasty? A Randomized Trial. Clin Orthop Relat Res. 2015; 474(1):88-95. PMC: 4686511. DOI: 10.1007/s11999-015-4241-x. View

14.

Shi D, Xu X, Guo A, Dai J, Xu Z, Chen D . Bone cement solidifiliation influence the limb alignment and gap balance during TKA. Biomed Res Int. 2015; 2015:109402. PMC: 4320926. DOI: 10.1155/2015/109402. View

15.

Mulhall K, Ghomrawi H, Scully S, Callaghan J, Saleh K . Current etiologies and modes of failure in total knee arthroplasty revision. Clin Orthop Relat Res. 2006; 446:45-50. DOI: 10.1097/01.blo.0000214421.21712.62. View

16.

Pritchett J . Heat generated by knee prostheses. Clin Orthop Relat Res. 2006; 442:195-8. DOI: 10.1097/01.blo.0000183739.50869.bb. View

17.

Li G, Lopez O, Rubash H . Variability of a three-dimensional finite element model constructed using magnetic resonance images of a knee for joint contact stress analysis. J Biomech Eng. 2001; 123(4):341-6. DOI: 10.1115/1.1385841. View

18.

Miller M, Terbush M, Goodheart J, Izant T, Mann K . Increased initial cement-bone interlock correlates with reduced total knee arthroplasty micro-motion following in vivo service. J Biomech. 2014; 47(10):2460-6. PMC: 4100248. DOI: 10.1016/j.jbiomech.2014.04.016. View

19.

Goracci C, Margvelashvili M, Apicella D, Sedda M, Magni E, Ferrari M . Influence of resin composite mechanical properties on adhesive microtensile bond strength to dentin. J Adhes Dent. 2010; 13(4):323-31. DOI: 10.3290/j.jad.a19664. View

20.

DLima D, Steklov N, Fregly B, Banks S, Colwell Jr C . In vivo contact stresses during activities of daily living after knee arthroplasty. J Orthop Res. 2008; 26(12):1549-55. DOI: 10.1002/jor.20670. View