The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis
One of the most common errors of total knee arthroplasty procedure is a malrotation of tibial component. The stress on tibial insert is closely related to polyethylene failure. The objective of this study is to analyze the effect of malrotation of tibial component for the stress on tibial insert dur...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/695028 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556698222460928 |
|---|---|
| author | Kei Osano Ryuji Nagamine Mitsugu Todo Makoto Kawasaki |
| author_facet | Kei Osano Ryuji Nagamine Mitsugu Todo Makoto Kawasaki |
| author_sort | Kei Osano |
| collection | DOAJ |
| description | One of the most common errors of total knee arthroplasty procedure is a malrotation of tibial component. The stress on tibial insert is closely related to polyethylene failure. The objective of this study is to analyze the effect of malrotation of tibial component for the stress on tibial insert during high flexion using a finite element analysis. We used Stryker NRG PS for analysis. Three different initial conditions of tibial component including normal, 15° internal malrotation, and 15° external malrotation were analyzed. The tibial insert made from ultra-high-molecular-weight polyethylene was assumed to be elastic-plastic while femoral and tibial metal components were assumed to be rigid. Four nonlinear springs attached to tibial component represented soft tissues around the knee. Vertical load was applied to femoral component which rotated from 0° to 135° while horizontal load along the anterior posterior axis was applied to tibial component during flexion. Maximum equivalent stresses on the surface were analyzed. Internal malrotation caused the highest stress which arose up to 160% of normal position. External malrotation also caused higher stress. Implanting prosthesis in correct position is important for reducing the risk of abnormal wear and failure. |
| format | Article |
| id | doaj-art-a87f02bf318945128b9057ade34795bc |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-a87f02bf318945128b9057ade34795bc2025-02-03T05:44:43ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/695028695028The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element AnalysisKei Osano0Ryuji Nagamine1Mitsugu Todo2Makoto Kawasaki3Sugioka Memorial Hospital, Bone and Joint Center, 3-6-1 Kashiiteriha, Higashi-ku, Fukuoka 813-0017, JapanSugioka Memorial Hospital, Bone and Joint Center, 3-6-1 Kashiiteriha, Higashi-ku, Fukuoka 813-0017, JapanResearch Institute for Applied Mechanics, Kyushu University, 6-1 Kasuga-koen, Kasuga, Fukuoka 816-8580, JapanSchool of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi-ku, Kitakyushu, Fukuoka 807-8555, JapanOne of the most common errors of total knee arthroplasty procedure is a malrotation of tibial component. The stress on tibial insert is closely related to polyethylene failure. The objective of this study is to analyze the effect of malrotation of tibial component for the stress on tibial insert during high flexion using a finite element analysis. We used Stryker NRG PS for analysis. Three different initial conditions of tibial component including normal, 15° internal malrotation, and 15° external malrotation were analyzed. The tibial insert made from ultra-high-molecular-weight polyethylene was assumed to be elastic-plastic while femoral and tibial metal components were assumed to be rigid. Four nonlinear springs attached to tibial component represented soft tissues around the knee. Vertical load was applied to femoral component which rotated from 0° to 135° while horizontal load along the anterior posterior axis was applied to tibial component during flexion. Maximum equivalent stresses on the surface were analyzed. Internal malrotation caused the highest stress which arose up to 160% of normal position. External malrotation also caused higher stress. Implanting prosthesis in correct position is important for reducing the risk of abnormal wear and failure.http://dx.doi.org/10.1155/2014/695028 |
| spellingShingle | Kei Osano Ryuji Nagamine Mitsugu Todo Makoto Kawasaki The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis The Scientific World Journal |
| title | The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis |
| title_full | The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis |
| title_fullStr | The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis |
| title_full_unstemmed | The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis |
| title_short | The Effect of Malrotation of Tibial Component of Total Knee Arthroplasty on Tibial Insert during High Flexion Using a Finite Element Analysis |
| title_sort | effect of malrotation of tibial component of total knee arthroplasty on tibial insert during high flexion using a finite element analysis |
| url | http://dx.doi.org/10.1155/2014/695028 |
| work_keys_str_mv | AT keiosano theeffectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT ryujinagamine theeffectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT mitsugutodo theeffectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT makotokawasaki theeffectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT keiosano effectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT ryujinagamine effectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT mitsugutodo effectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis AT makotokawasaki effectofmalrotationoftibialcomponentoftotalkneearthroplastyontibialinsertduringhighflexionusingafiniteelementanalysis |