Document Detail


An analysis of tibial component design in total knee arthroplasty.
MedLine Citation:
PMID:  6833306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An axisymmetric finite element model of the proximal tibia and cemented tibial component subject to nonaxisymmetric loading is presented. Model variations included polyethylene components and steel reinforced polyethylene components both with and without a central fixation post. Central fixation posts of 35 and 70 mm were modeled. A vertically oriented load applied unilaterally to the tibial component was found to generally cause the largest magnitude peak stresses within the various components of the structure. The addition of steel reinforcement to tibial components without central fixation post is predicted to significantly reduce stress levels within the polymethylmethacrylate and underlying cancellous bone. Although to a lesser extent, the addition of a relatively short central fixation post to the steel reinforced tibial component further reduced these stress levels. The longer steel central fixation post can appreciably reduce proximal cement and bone stress levels. The tibial component condylar width is predicted to have little effect on polymethylmethacrylate and cancellous bone stresses, with the exception that proximal tibial cancellous bone compressive stresses are reduced with wide steel reinforced components.
Authors:
K Murase; R D Crowninshield; D R Pedersen; T S Chang
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of biomechanics     Volume:  16     ISSN:  0021-9290     ISO Abbreviation:  J Biomech     Publication Date:  1983  
Date Detail:
Created Date:  1983-05-27     Completed Date:  1983-05-27     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0157375     Medline TA:  J Biomech     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13-22     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Biomechanics
Humans
Knee Prosthesis / instrumentation*
Models, Biological
Stress, Mechanical
Tibia / anatomy & histology,  surgery*
Grant Support
ID/Acronym/Agency:
AM00712/AM/NIADDK NIH HHS; AM1 4486/AM/NIADDK NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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