Mechanical Evaluation of a Total Ankle Joint Prosthesis

인공 발목관절의 기계적 성능평가

  • Kim, C.Y. (Department of Mechanical Engineering, Bioengineering Research Center, Sejong University) ;
  • Kim, H. (Department of Mechanical Engineering, Bioengineering Research Center, Sejong University) ;
  • Kim, D.W. (Department of Mechanical Engineering, Bioengineering Research Center, Sejong University) ;
  • Lee, S.J. (Department of Biomedical Engineering, Inje Univerity) ;
  • Lee, K.Y. (Department of Mechanical Engineering, Bioengineering Research Center, Sejong University)
  • 김충연 (세종대학교 기계공학과) ;
  • 김환 (세종대학교 기계공학과) ;
  • 김동욱 (세종대학교 기계공학과) ;
  • 이성재 (인제대학교 의용공학과) ;
  • 이권용 (세종대학교 기계공학과)
  • Published : 2013.03.01

Abstract

Total ankle replacement (TAR) is a surgical treatment for the osteoarthritis or bone fracture of ankle joint. Total ankle prosthesis is classified according to fixed and mobile types of components, kind of material of bearing component. International standard for testing the durability and safety of each component in TAR suggests to adopt the test method for total knee and/or hip prostheses. Mechanical test conditions for commercial product of Hintegra (Lyon, SA, France) were determined by conducting finite element analyses with a foot, prosthesis components, and surgical models. Constraint test between talus and polyethylene bearing components adopted ASTM F1223 for total knee replacement, and the design of talus and polyethylene bearing components provided information about constraint force until dislocation occurred. Cyclic fatigue test of tibia component adopted ASTM F1800 for total knee replacement, and there was no fatigue failure of tibia component during 5,000,000 cycles. In vitro wear simulation test of polyethylene bearing component adopted ISO 14242-1 for total hip-joint prostheses and a wear rate of $0.44{\times}10^{-6}mg/cycles$ was observed during 1,000,000 cycles. In this study, mechanical test methods for evaluating total ankle joint prosthesis were developed on the base of international standard test methods of total hip and knee joint prostheses. However, this study was conducted on one commercial product. For the other products having different designs of total ankle prostheses, it is suggested to modify or adopt these test methods for their own products.

Keywords

References

  1. V. T. Inman, The joints of the ankle. Baltimore: Williams & Wilkins, 1979.
  2. H. Kofoed, J. Sturup, "Comparison of ankle arthroplasty and arthrodesis. A prospective series with long-term follow-up," Foot, 4, 6-9 (1994). https://doi.org/10.1016/0958-2592(94)90003-5
  3. J. A. Vickerstaff, A. W. Miles, and J. L. Cunningham, "A brief history of total ankle replacement and a review of the current status," Medical Engineering & Physics, 29, 1056-1064 (2007). https://doi.org/10.1016/j.medengphy.2006.11.009
  4. L. B. Chou, M. T. Coughlin, S. Hansen, A. Haskell, G. Lundeen, C. L. Saltzman, R. A. Mann, "Osteoarthritis of the ankle: the role of arthroplasty," J Am Acad Orthop Surg, 16, 249-59 (2008). https://doi.org/10.5435/00124635-200805000-00003
  5. F. F. Buechel Sr, F. F. Buechel Jr, M. J. Pappas, "Ten-year evaluation of cementless Buechel-Pappas meniscal bearing total ankle replacement," Foot Ankle Int, 462-472 (2003).
  6. F. F. Buechel Sr, F. F. Buechel Jr, M. J. Pappas, "Twenty-year evaluation of cementless mobile-bearing total ankle replacements," Clin Orthop, 19-26 (2004).
  7. S. I. Knecht, M. Estin, J. J. Callaghan, M. B. Zimmerman, K. J. Alliman, F. G. Alvine, et al., "The Agility total ankle arthroplasty. Seven to 16-year follow up," J Bone Joint Surg Am, 1161-1171 (2004).
  8. M. Bottlang, J. L. Marsh, T. D. Brown, "Articulated external fixation of the ankle: minimizing motion resistance by accurate axis alignment," J Biomech., 32, 63-70 (1999). https://doi.org/10.1016/S0021-9290(98)00143-2
  9. H. C. Doets, R. Brand, R. G. Nelissen, "Total ankle arthroplasty in inflammatory joint disease with use of two mobile-bearing designs," J Bone Joint Surg Am, 88, 1272-1284 (2006). https://doi.org/10.2106/JBJS.E.00414
  10. J. S. Gould, F. G. Alvine, R. A. Mann, R. W. Sanders, A. K. Walling, "Total ankle replacement: a surgical discussion. Part I. Replacement systems, indications, and contraindications," Am J Orthop, 29, 604-609 (2000).
  11. Q. Wang, M. Whittle, J. Cunningham, J. Kenwright, "Fibula and its ligaments in load transmission and ankle joint stability," Clin Orthop Relat Res, 261-270 (1996).
  12. M. J. Pappas, F. F. Buechel, Biomechanics and design rationale: the Buechel-Pappas ankle replacement system, January 19, 2005, http://www.endotec.com/pdf files/ankle%20bio%20144.pdf.
  13. S. Giannini, A. Leardini, J. J. O''Connor, "Total ankle replacement: review of the current designs and of the current status," Foot Ankle Surg, 6, 77-88 (2000). https://doi.org/10.1046/j.1460-9584.2000.00202.x
  14. ASTM F2665 - 09 Standard Specification for Total Ankle Replacement Prosthesis.
  15. www.integralife.eu, Internet, Hintegra (Lyon, SaA, France) market brochure.
  16. ASTM F1223 - 08 Standard Test Method for Determination of Total Knee Replacement Constraint.
  17. ASTM F1800 - 07 Standard Test Method for Cyclic Fatigue Testing of Metal Tibial Tray Components of Total Knee Joint Replacements.
  18. ISO 14242-1:2002 - Implants for surgery, Wear of total hip-joint prostheses Part 1: Loading and displacement parameters for weartesting machines and corresponding environmental conditions for test.