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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F22%3A00076312" target="_blank" >RIV/00159816:_____/22:00076312 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216305:26210/22:PU144803 RIV/00216224:14110/22:00127176

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.&amp; 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.&amp; 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 &lt; 3% difference from the 65-year age group.&amp; 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 remodeling of the periprosthetic tibia. Following clinical validation, the results of our study could modify the indication criteria of the procedure, and lead to more frequent implantation of all-polyethylene TKA in younger patients. (c) 2022 The Authors. Published by Elsevier B.V.&amp; nbsp;

Název v anglickém jazyce

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

Popis výsledku anglicky

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.&amp; 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.&amp; 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 &lt; 3% difference from the 65-year age group.&amp; 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 remodeling of the periprosthetic tibia. Following clinical validation, the results of our study could modify the indication criteria of the procedure, and lead to more frequent implantation of all-polyethylene TKA in younger patients. (c) 2022 The Authors. Published by Elsevier B.V.&amp; nbsp;

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30300 - Health sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Computer Methods and Programs in Biomedicine

ISSN

0169-2607

e-ISSN

1872-7565

Svazek periodika

220

Číslo periodika v rámci svazku

JUN 2022

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

9

Strana od-do

106834

Kód UT WoS článku

000800357800013

EID výsledku v databázi Scopus

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