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Biomechanical analysis of all-polyethylene total knee arthroplasty on periprosthetic tibia using the finite element method

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216305%3A26210%2F22%3APU144803" target="_blank" >RIV/00216305:26210/22:PU144803 - isvavai.cz</a>

  • Alternative codes found

    RIV/00159816:_____/22:00076312 RIV/00216224:14110/22:00127176

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/pii/S0169260722002164" target="_blank" >https://www.sciencedirect.com/science/article/pii/S0169260722002164</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.cmpb.2022.106834" target="_blank" >10.1016/j.cmpb.2022.106834</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Biomechanical analysis of all-polyethylene total knee arthroplasty on periprosthetic tibia using the finite element method

  • Original language description

    Background and objective: Total knee arthroplasty (TKA) with modern all-polyethylene tibial (APT) components has shown high long-term survival rates and comparable results to those with metal-backed tibial components. Nevertheless, APT components are primarily recommended for older and low-demand patients. There are no evidence-based biomechanical guidelines for orthopaedic surgeons to determine the appropriate lower age limit for implantation of APT components. A biomechanical analysis was assumed to be suitable to evaluate the clinical results in patients under 70 years. The scope of this study was to determine biomechanically the appropriate lower age limit for implantation of APT components.& nbsp;Methods: To generate data of the highest possible quality, the geometry of the computational models was created based on computed tomography (CT) images of a representative patient. The cortical bone tissue model distinguishes the change in mechanical properties described in three parts from the tibial cut. The cancellous bone material model has a heterogeneous distribution of mechanical properties. The values used to determine the material properties of the tissues were obtained from measurements of a CT dataset comprising 45 patients.& nbsp;Results: Computational modeling showed that in the majority of the periprosthetic volume, the von Mises strain equivalent ranges from 200 to 2700 its; these strain values induce bone modeling and remodeling. The highest measured deformation value was 2910 its. There was no significant difference in the induced mechanical response between bone models of the 60-year and 70-year age groups, and there was < 3% difference from the 65-year age group.& nbsp;Conclusions: Considering in silico limitations, we suggest that APT components could be conveniently used on a bone with mechanical properties of the examined age categories. Under defined loading conditions, implantation of TKA with APT components is expected to induce modeling and r

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    10201 - Computer sciences, information science, bioinformathics (hardware development to be 2.2, social aspect to be 5.8)

Result continuities

  • Project

  • Continuities

    S - Specificky vyzkum na vysokych skolach

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE

  • ISSN

    0169-2607

  • e-ISSN

    1872-7565

  • Volume of the periodical

    220

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    NL - THE KINGDOM OF THE NETHERLANDS

  • Number of pages

    9

  • Pages from-to

    1-9

  • UT code for WoS article

    000800357800013

  • EID of the result in the Scopus database

    2-s2.0-85129266278