The Effect of Stem on The Knee Joint Prosthesis Flexion Considering Natural Gait Forces

N. Soltani, Z. Rezasoltani, N. Jamshidi
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Abstract

The knee as a vital organ in the human body skeleton is one of the largest joints. In recent years, there have been a variety of therapies offered to improve the efficiency and performance of an implanted prosthetic knee joint. Knee replacement is considered as one of the most common and effective treatments which is technically known as knee arthroplasty. Various factors could affect the mechanical behavior of knee arthroplasty, including the patients’ sex, physical, and bone characteristics as well as prosthesis type, structure, and geometry. The very recent advances in arthroplasty have enabled the orthopedists to achieve more desirable results by following the standards offered for prosthesis considering the anatomical geometry and material structure. Knee prosthetic implants with and without stem are the two prevalent types that orthopedists utilize for the joint replacement. In this case study, a real knee joint geometry is reconstructed using the CT images and MIMICS software. The knee arthroplasty model was then imported to the ABAQUS to perform FE analysis on the two aforementioned types of prosthesis. According to the results, the prosthesis with stem causes more stress on the joint components in the vicinity of the implantation region but will allow the knee joint to have a greater angular displacement with lower stress.
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考虑自然步态力的膝关节假体屈曲影响
膝关节作为人体骨骼的重要器官,是人体最大的关节之一。近年来,有各种各样的疗法提供了提高效率和性能的植入假膝关节。膝关节置换术被认为是最常见和最有效的治疗方法之一,技术上称为膝关节置换术。影响膝关节置换术力学行为的因素多种多样,包括患者的性别、身体和骨骼特征,以及假体的类型、结构和几何形状。关节成形术的最新进展使骨科医生能够根据假体的解剖几何和材料结构,遵循提供的标准来获得更理想的结果。膝关节假体植入物有和无假体是骨科医生在关节置换术中常用的两种类型。在本案例研究中,使用CT图像和MIMICS软件重建真实膝关节的几何形状。然后将膝关节置换术模型导入ABAQUS,对上述两种假体进行有限元分析。结果表明,带柄假体对植入区域附近的关节构件造成更大的应力,但会使膝关节在较低的应力下产生较大的角位移。
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