Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Koh, Yong-Gona; † | Son, Juhyunb; † | Kwon, Oh-Ryonga | Kwon, Sae Kwanga | Kang, Kyoung-Takb;
Affiliations: [a] Joint Reconstruction Center, Department of Orthopaedic Surgery, Yonsei Sarang Hospital, Seoul, Republic of Korea | [b] Department of Mechanical Engineering, Yonsei University, Seoul, Republic of Korea
Correspondence: [*] Corresponding author: Kyoung-Tak Kang, Ph.D. Department of Mechanical Engineering, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. Tel.: +82 2 2123 4827; Fax: +82 2 362 2736; E-mail: tagi1024@gmail.com
Note: [†] Yong-Gon Koh and Juhyun Son contributed equally to this work and should be considered co-first authors.
Abstract: Background:Contemporary total knee arthroplasty (TKA) provides remarkable clinical benefits. However, the normal function of the knee is not fully restored. Recent improvements in imaging and manufacturing have utilized the development of customized design to fit the unique shape of individual patients. Objective:The purpose of the present study is to investigate the preservation of normal knee biomechanics by using specific articular surface conformity in customized posterior stabilized (PS)-TKA. Methods:This includes customized PS-TKA, PS-TKA with conforming conformity (CPS-TKA), medial pivot conformity with PS-TKA (MPS-TKA), and PS-TKA with mimetic anatomy femoral and tibial articular surface (APS-TKA). In this study, kinematics, collateral ligament force and quadriceps force were evaluated using a computational simulation under a deep knee bend condition. Results:A conventional TKA did not provide the normal internal tibial rotation with flexion leading to abnormal femoral rollback. The APS-TKA exhibited normal-like femoral rollback kinematics but did not exhibit normal internal tibial rotation. However, APS-TKA exhibited the most normal-like collateral ligament and quadriceps forces. Conclusions:Although the APS-TKA exhibited more normal-like biomechanics, it did not restore normal knee biomechanics owing to the absence of the cruciate ligament and post-cam mechanism.
Keywords: Patient-specific implant, total knee arthroplasty, conformity, finite element analysis
DOI: 10.3233/BME-180998
Journal: Bio-Medical Materials and Engineering, vol. 29, no. 4, pp. 401-414, 2018
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl