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Finite Element Analysis of Mobile-bearing Unicompartmental Knee Arthroplasty: The Influence of Tibial Component Coronal Alignment

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收录情况: ◇ SCIE ◇ 统计源期刊 ◇ CSCD-C ◇ 中华系列

单位: [1]China Japan Friendship Hosp, Dept Bone & Joint Surg, Beijing 100029, Peoples R China [2]Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China
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关键词: Finite Element Analysis Inclination Mobile-bearing Strain Unicompartmental Knee Arthroplasty

摘要:
Background: Controversies about the rational positioning of the tibial component in unicompartmental knee arthroplasty (UKA) still exist. Previous finite element (FE) studies were rare, and the results varied. This FE study aimed to analyze the influence of the tibial component coronal alignment on knee biomechanics in mobile-bearing UKA and find a ration range of inclination angles. Methods: A three-dimensional FE model of the intact knee was constructed from image data of one normal subject. A 1000 N compressive load was applied to the intact knee model for validating. Then a set of eleven UKA FE models was developed with the coronal inclination angles of the tibial tray ranging from 10 degrees valgus to 10 degrees varus. Tibial bone stresses and strains, contact pressures and load distribution in all UKA models were calculated and analyzed under the unified loading and boundary conditions. Results: Load distribution, contact pressures, and contact areas in intact knee model were validated. In UKA models, von Mises stress and compressive strain at proximal medial cortical bone increased significantly as the tibial tray was in valgus inclination > 4 degrees, which may increase the risk of residual pain. Compressive strains at tibial keel slot were above the high threshold with varus inclination > 4 degrees, which may result in greater risk of component migration. Tibial bone resection corner acted as a strain-raiser regardless of the inclination angles. Compressive strains at the resected surface slightly changed with the varying inclinations and were not supposed to induce bone resorption and component loosening. Contact pressures and load percentage in lateral compartment increased with the more varus inclination, which may lead to osteoarthritis progression. Conclusions: Static knee biomechanics after UKA can be greatly affected by tibial component coronal alignment. A range from 4 degrees valgus to 4 degrees varus inclination of tibial component can be recommended in mobile-bearing UKA.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 医学:内科
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出版当年[2013]版:
Q3 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q1 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2013版] 出版当年五年平均[2009-2013] 出版前一年[2012版] 出版后一年[2014版]

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第一作者单位: [1]China Japan Friendship Hosp, Dept Bone & Joint Surg, Beijing 100029, Peoples R China [2]Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China
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通讯机构: [1]China Japan Friendship Hosp, Dept Bone & Joint Surg, Beijing 100029, Peoples R China [2]Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China
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