Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
권호 표지
DOI QR코드

DOI QR Code

The Correlation Analysis through the Contact Stress and the Curvature Radius according to Flexion Angle for the Design of Unicompartment Knee Replacement

반치환 슬관절의 설계 평가를 위한 굴곡각도에 따른 곡률반경과 접촉응력의 상관도 분석

  • Lee, YongKyung (Department of Biomedical Materials, Konyang University) ;
  • Yoo, OuiSik (Central R&D center, CORENTEC CO., LTD.) ;
  • Kim, JaeWon (Central R&D center, CORENTEC CO., LTD.) ;
  • Lim, Dohyung (Department of Mechanical Engineering, Sejong University) ;
  • Jung, TaeGon (Medical Device Development Center, Osong Medical Innovation Foundation) ;
  • Kim, JungSung (Department of Biomedical Materials, Konyang University)
  • 이용경 (건양대학교 의료신소재학과) ;
  • 유의식 ((주)코렌텍 중앙기술연구소) ;
  • 김재원 ((주)코렌텍 중앙기술연구소) ;
  • 임도형 (세종대학교 기계공학과) ;
  • 정태곤 (오송첨단의료산업진흥재단 첨단의료기기개발지원센터) ;
  • 김정성 (건양대학교 의료신소재학과)
  • Received : 2016.11.08
  • Accepted : 2016.12.28
  • Published : 2016.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Conformity between the femoral component and tibial insert within the knee replacement may be measured in frontal or sagittal view, and shows differences in the curvature radius of the femoral component depending on the flexion angle, i.e., curvature radius has a complex effect on contact stress. Therefore, it is essential to confirm how the curvature radius effects contact stress, and provide an important variable to reduce contact stress. This study correlated contact stress with curvature radius measured in frontal and the sagittal views and confirmed the effect of curvature radius for assessment of the Newly Designed Unicompartment Knee Replacement (NDUKR). Finite element models were constructed for NDUKR and $Zimmer^{(R)}$ Unicompartment High Flex Knee Replacement system (ZUKR), incorporating the curvature radius as measured in either frontal or sagittal view. The femoral component had 1200N of compressive load applied approximately 1.65xbody weight. Contact stress was predicted at flexion angles $0^{\circ}C$, $30^{\circ}C$, $60^{\circ}C$, $90^{\circ}C$ and $120^{\circ}C$, for NDUKR: 42, 47.7, 47.7, 51.2, and 54.1 MPa, and ZUKR: 41.2, 49.5, 53.2, 54.3, and 57.4 MPa, respectively. Correlation analysis showed the influence of curvature radius measured from the sagittal view was larger than for frontal view.

Keywords

References

  1. A.J. Bailey, C. Buckland-Wright, and D. Metz, "The role of bone in osteoarthritis", Age Ageing, vol. 30, no. 5, pp.374-378, 2001. https://doi.org/10.1093/ageing/30.5.374
  2. Paul han, Young-Woong Jang, Oui Sik Yoo, Jung Sung Kim, Han Sung Kim, Dohyung Lim, "Evaluation of Biomechanical Stability of Newly Developed Revision Total Knee Arthroplasty through Strain and Stress Distribution Analysis within the Tibia: Finite Element Analysis", J. Biomed. Eng. Res., vol. 34, no. 1, pp.14-23, 2013. https://doi.org/10.9718/JBER.2013.34.1.14
  3. Woo Shin Cho, Yoon Seok Youm, CHO's Knee Joint Arthroplasty 3rd Edition, Press, 2015, pp. 263-284.
  4. H.D. Clarke, R.T. Trousdale, "Component fracture in total knee arthroplasty", Knee, vol. 6, no. 4, pp. 261-267, 1999. https://doi.org/10.1016/S0968-0160(99)00025-3
  5. M.S. Austin, P.F. Sharkey, W.J. Hozack, R.H. Rothman, "Knee failure mechanisms after total knee arthroplasty", Techniques in Knee Surgery, vol. 3, no. 1, pp. 55-59, 2004. https://doi.org/10.1097/00132588-200403000-00008
  6. C.H. Cho, J.B. Choi, K. Choi, K.S. Yoon, S.B. Kang, "Finite Element Analysis for the Contact Stress of Ultra-high Molecular Weight Polyethylene in Total Knee Arthroplasty", J. Biomed. Eng. Res., vol. 20, no. 1, pp. 37-44, 1999.
  7. H.G. Willert, H. Bertram, G.H. Buchhorn, "Osteolysis in Alloarthroplasty of the Hip: The Role of Ultra-High Molecular Weight Polyethylene Wear Particles", Clinical Orthopaedics and Related Research, vol. 258, pp. 95-107.
  8. J.P. Collier, M.B. Mayor, J.L McNamara, "Analysis of the Failure of 122 Polyethylene Inserts From Uncemented Tibial Knee Components", Clinical Orthopaedics, vol. 273, pp. 232-242, 1991.
  9. D.L. Bartel, V.L. Bicknell, T.M. Wright, "The Effect of Conformity, Thickness, and Material on Stresses in Ultra-High Molecular Weight Components for Total Joint Replacement", J, Bone and Joint Surgery, vol. 68, no. 7, pp. 1041-1051, 1986. https://doi.org/10.2106/00004623-198668070-00010
  10. S. Sathasivam, P.S. Walker, P.A. Campbell, K. Rayner, "The effect of contact area on wear in relation to fixed bearing and mobile bearing knee replacements", J. Biomedical materials research, vol. 58, no. 3, pp. 282-290. https://doi.org/10.1002/1097-4636(2001)58:3<282::AID-JBM1018>3.0.CO;2-S
  11. A.L. Galvin, L. Kang, I. Udofia, L.M. Jennings, Hannah M.J. McEwen, Zhongmin Jin, John Fisher, "Effect of conformity and contact stress on wear in fixed-bearing total knee prostheses", Journal of biomechanics, vol. 42, no. 12, pp. 1898-1902. https://doi.org/10.1016/j.jbiomech.2009.05.010
  12. Shaw Akizuki, John K.P. Mueller, Hiroshi Horiuchi, Daigo Matsunaga, Atsuyuki Shibakawa, Richard D. Komistek, "In Vivo Determination of Kinematics for Subjects Having a Zimmer Unicompartmental High Flex Knee System", Journal of Arthroplasty, vol. 24, no. 6, 2009.
  13. Liu.C.W., Yu.C.T., Li.W., Lo.C.C., "Evaluation of Implant Positioning Alignment in Medial Unicompartmental Knee Arthroplasty", In 2007. 1st International Conference on Bioinformatics and Biomedical Engineering. IEEE., July. 2007, pp. 1324-1327.
  14. ASTM F2083-12 Standard Specification for Knee Replacement Prosthesis.
  15. I.J. Harrington, "A bioengineering analysis of force actions at the knee in normal and pathological gait", Biomed Eng, vol. 11, no. 5, pp. 167-172, 1976.
  16. Young Woong Jang, Soon Young Kwon, Jung Sung Kim, Oui Sik Yoo, Myung Chul Lee, Dohyung Lim, "Alterations in Stress Distribution and Micromotion Chracteristics due to an Artificial Defect within a Composite Tibia used for Mechanical/Biomechanical Evaluation of Total Knee Arthroplasty", Journal of Precision Engineering & Manufacturing, vol. 16, no. 10, pp. 2213-2218, 2015. https://doi.org/10.1007/s12541-015-0285-9