Periprosthetic bone response to axial loading following TKR

2019 ◽  
Vol 16 (2) ◽  
pp. 359-372
Author(s):  
Ravishanker Baliga ◽  
Sharat K. Rao ◽  
Raghuvir Pai ◽  
Satish B. Shenoy ◽  
Atmananda K. Hegde ◽  
...  
Keyword(s):  
Stress Shielding ◽  
Axial Loading ◽  
Computational Time ◽  
System Response ◽  
Polyethylene Insert ◽  
Bone Implant ◽  
Content Type ◽  
Implant Material ◽  
Bone Response ◽  
Implant System

Purpose The purpose of this paper is to investigate by means of finite element analysis (FEA), the effect of polyethylene insert thickness and implant material, under axial loading following TKA. Design/methodology/approach The 3D geometric model of bone was processed using the CT scan data by MIMICS (3matic Inc.), package. Implant components were 3D scanned and subsequently 3D modeled using ANSYS Spaceclaim and meshed in Hypermesh (Altair Hyperworks). The assembled, meshed bone-implant model was then input to ABAQUS for FE simulations, considering axial loading. Findings Polyethylene insert thickness was found to have very little or no significance (p>0.05) on the mechanical performance, namely, stress, strain and stress shielding of bone-implant system. Implant material was found to have a very significant effect (p<0.05) on the performance parameters and greatly reduced the high stress zones up to 60 percent on the tibial flange region and periprosthetic region of tibia. Originality/value Very few FEA studies have been done considering a full bone with heterogeneous material properties, to save computational time. Moreover, four different polyethylene insert thickness with a metal-backed and all-poly tibial tray was considered as the variables affecting the bone-implant system response, under static axial loading. The authors believe that considering a full bone shall lead to more precise outcomes, in terms of the response of bone-implant system, namely, stress, strains and stress shielding in the periprosthetic region, to loading.

scholarly journals Effect of posterior tibial slope and implant material on the bone-implant system following TKA: A finite element study

2018 ◽  
Vol 5 (1) ◽  
pp. 1513771 ◽  
Author(s):  
Ravishanker Baliga B ◽  
Raghuvir Pai B ◽  
Satish Shenoy ◽  
Atmananda Hegde K ◽  
Sharath Rao K ◽  
...  
Keyword(s):  
Finite Element ◽  
Tibial Slope ◽  
Posterior Tibial Slope ◽  
Bone Implant ◽  
Finite Element Study ◽  
Posterior Tibial ◽  
Implant Material ◽  
Implant System ◽  
Element Study

scholarly journals Osseointegrating and phase-oriented micro-arc-oxidized titanium dioxide bone implants

2021 ◽  
Vol 19 ◽  
pp. 228080002110068
Author(s):  
Hsien-Te Chen ◽  
Hsin-I Lin ◽  
Chi-Jen Chung ◽  
Chih-Hsin Tang ◽  
Ju-Liang He
Keyword(s):  
Titanium Dioxide ◽  
High Surface ◽  
Cell Activity ◽  
Active Surface ◽  
Rutile Phase ◽  
Hydroxyl Groups ◽  
Bone Implant ◽  
Implant System

Here, we present a bone implant system of phase-oriented titanium dioxide (TiO2) fabricated by the micro-arc oxidation method (MAO) on β-Ti to facilitate improved osseointegration. This (101) rutile-phase-dominant MAO TiO2 (R-TiO2) is biocompatible due to its high surface roughness, bone-mimetic structure, and preferential crystalline orientation. Furthermore, (101) R-TiO2 possesses active and abundant hydroxyl groups that play a significant role in enhancing hydroxyapatite formation and cell adhesion and promote cell activity leading to osseointegration. The implants had been elicited their favorable cellular behavior in vitro in the previous publications; in addition, they exhibit excellent shear strength and promote bone–implant contact, osteogenesis, and tissue formation in vivo. Hence, it can be concluded that this MAO R-TiO2 bone implant system provides a favorable active surface for efficient osseointegration and is suitable for clinical applications.

A nonlinear magnetic circuit model for periodic eddy current problems using T,ϕ-ϕ formulation

2017 ◽  
Vol 36 (3) ◽  
pp. 649-664 ◽  
Author(s):  
Rene Plasser ◽  
Gergely Koczka ◽  
Oszkár Bíró
Keyword(s):  
Eddy Current ◽  
Magnetic Circuit ◽  
Iteration Process ◽  
Equation System ◽  
Circuit Model ◽  
Computational Time ◽  
Combined Method ◽  
3D Fem ◽  
Content Type ◽  
Transformer Model

Purpose A transformer model is used as a benchmark for testing various methods to solve 3D nonlinear periodic eddy current problems. This paper aims to set up a nonlinear magnetic circuit problem to assess the solving procedure of the nonlinear equation system for determining the influence of various special techniques on the convergence of nonlinear iterations and hence the computational time. Design/methodology/approach Using the T,ϕ-ϕ formulation and the harmonic balance fixed-point approach, two techniques are investigated: the so-called “separate method” and the “combined method” for solving the equation system. When using the finite element method (FEM), the elapsed time for solving a problem is dominated by the conjugate gradient (CG) iteration process. The motivation for treating the equations of the voltage excitations separately from the rest of the equation system is to achieve a better-conditioned matrix system to determine the field quantities and hence a faster convergence of the CG process. Findings In fact, both methods are suitable for nonlinear computation, and for comparing the final results, the methods are equally good. Applying the combined method, the number of iterations to be executed to achieve a meaningful result is considerably less than using the separated method. Originality/value To facilitate a quick analysis, a simplified magnetic circuit model of the 3D problem was generated to assess how the different ways of solutions will affect the full 3D solving process. This investigation of a simple magnetic circuit problem to evaluate the benefits of computational methods provides the basis for considering this formulation in a 3D-FEM code for further investigation.

scholarly journals Effect of Osteoporosis on Well-Integrated Bone Implants

2021 ◽  
Vol 11 (2) ◽  
pp. 723
Author(s):  
Amani M. Basudan ◽  
Marwa Y. Shaheen ◽  
Abdurahman A. Niazy ◽  
Jeroen J.J.P. van den Beucken ◽  
John A. Jansen ◽  
...  
Keyword(s):  
Dental Implants ◽  
Femoral Condyle ◽  
Bone Implants ◽  
Bone Implant ◽  
Ovx Rats ◽  
Bone Response ◽  
Significant Difference ◽  
Female Wistar Rats ◽  
Edentulous Patients

The installation of dental implants has become a common treatment for edentulous patients. However, concern exists about the influence of osteoporosis on the final implant success. This study evaluated whether an ovariectomy (OVX)-induced osteoporotic condition, induced eight weeks postimplantation in a rat femoral condyle, influences the bone response to already-integrated implants. The implants were inserted in the femoral condyle of 16 female Wistar rats. Eight weeks postimplantation, rats were randomly ovariectomized (OVX) or sham-operated (SHAM). Fourteen weeks later, animals were sacrificed, and implants were used for histological and histomorphometric analyses. A significant reduction in the quantity and quality of trabecular bone around dental implants existed in OVX rats in comparison to the SHAM group. For histomorphometric analysis, the bone area (BA%) showed a significant difference between OVX (34.2 ± 4.3) and SHAM (52.6 ± 12.7) groups (p < 0.05). Bone–implant contact (BIC%) revealed significantly lower values for all implants in OVX (42.5 ± 20.4) versus SHAM (59.0 ± 19.0) rats. Therefore, induction of an osteoporotic condition eight weeks postimplantation in a rat model negatively affects the amount of bone present in close vicinity to bone implants.

Efficient evaluation of the earth return mutual impedance of overhead conductors over a horizontally multilayered soil

2014 ◽  
Vol 33 (4) ◽  
pp. 1379-1395 ◽  
Author(s):  
Jae-bok Lee ◽  
Jun Zou ◽  
Benliang Li ◽  
Munno Ju
Keyword(s):  
Unit Length ◽  
Oscillatory Integral ◽  
Electromagnetic Transients ◽  
Closed Form Expression ◽  
Computational Time ◽  
Horizontal Distance ◽  
Content Type ◽  
Mutual Impedance ◽  
The Earth ◽  
Highly Oscillatory

Purpose – The per-unit-length earth return mutual impedance of the overhead conductors plays an important role for analyzing electromagnetic transients or couplings of multi-conductor systems. It is impossible to have a closed-form expression to evaluate this kind of impedance. The purpose of this paper is to propose an efficient numerical approach to evaluate the earth return mutual impedance of the overhead conductors above horizontally multi-layered soils. Design/methodology/approach – The expression of the earth return mutual impedance, which contains a complex highly oscillatory semi-infinite integral, is divided into two parts intentionally, i.e. the definite and the tail integral, respectively. The definite integral is calculated using the proposed moment functions after fitting the integrand into the piecewise cubic spline functions, and the tail integral is replaced by exponential integrals with newly developed asymptotic integrands. Findings – The numerical examples show the proposed approach has a satisfactory accuracy for different parameter combinations. Compared to the direct quadrature approach, the computational time of the proposed approach is very competitive, especially, for the large horizontal distance and the low height of the conductors. Originality/value – The advantage of the proposed approach is that the calculation of the highly oscillatory integral is completely avoided due to the fact that the moment function can be evaluated analytically. The contribution of the tail integral is well included by means of the exponential integral, though in an asymptotic way. The proposed approach is completely general, and can be applied to calculate the earth return mutual impedance of overhead conductors above a soil structure with an arbitrary number of horizontal layers.

ANALYSIS OF AN INTERNAL FIXATION OF A LONG BONE FRACTURE

2005 ◽  
Vol 05 (01) ◽  
pp. 89-103 ◽  
Author(s):  
K. RAMAKRISHNA ◽  
I. SRIDHAR ◽  
S. SIVASHANKER ◽  
V. K. GANESH ◽  
D. N. GHISTA
Keyword(s):  
Stress Shielding ◽  
Axial Loading ◽  
Bending Moment ◽  
Fracture Site ◽  
Long Bone ◽  
Radius Of Curvature ◽  
Element Analysis ◽  
Long Bone Fracture ◽  
Fracture Interface ◽  
Tensile Surface

A major concern when a fractured bone is fastened by stiff-plates to the bone on its tensile surface is excessive stress shielding of the bone. The compressive stress shielding at the fracture-interface immediately after fracture-fixation delays bone healing. Likewise, the tensile stress shielding of the healed bone underneath the plate also does not enable it to recover its tensile strength. Initially, the effect of a uniaxial load and a bending moment on the assembly of bone and plate is investigated analytically. The calculations showed that the screws near the fracture site transfers more load than the screws away from the fracture site in axial loading and it is found that less force is required when the screw is placed near to fracture site than the screw placed away from the fracture site to make the bone and plate bend with same radius of curvature when subjected to bending moment. Finally, the viability of using a stiffness graded bone-plate as a fixator is studied using finite element analysis (FEA): the stiffness-graded plate cause less stress-shielding than stainless steel plate.

scholarly journals Mechanical flexural ex vivo study of osteotomized swine femurs stabilized with two types of polyamide 12 rods

2017 ◽  
Vol 47 (8) ◽  
Author(s):  
Juliana Scarpa da Silveira Almeida ◽  
Débora de Oliveira Garcia ◽  
Renato Camargo Bortholin ◽  
Carlos Amaral Razzino ◽  
Cristiane dos Santos Honsho ◽  
...  
Keyword(s):  
Bone Fractures ◽  
Ex Vivo ◽  
Polymeric Materials ◽  
Fracture Site ◽  
Medullary Canal ◽  
Modulus Of Rupture ◽  
Long Bone ◽  
Bone Implant ◽  
Polyamide 12 ◽  
Implant System

ABSTRACT: Long bone fractures are commonly in surgery routine and several bone imobilization techniques are currently available. Technological progress has enabled to use low cost materials in surgical procedures. Thus, the aim of this study was to evaluate the applicability of polyamide 12 rods, solid and hollow in swine femurs, comparing them through flexion strength. This study had as second aim to fix the locking errors, commom place in interlocking nails, once polyamide 12 allows perforation in any direction by orthopaedic screw. Six groups were used: G1 - eight whole swine femurs; G2 - eight whole swine femurs with drilled medullary canal; G3 - two solid polyamide 12 rods; G4 - two hollow polyamide 12 rods; G5 - eight osteotomized drilled swine femurs with a solid polyamide 12 rod implanted in the medullary canal and locked by four 316L stainless steel screws; and G6 - similar to G5 but using hollow rods instead of solid ones. No significant differences were observed for the modulus of rupture between solid and hollow rods, demonstrating that both rods had similar performances. These results led to the speculation that the addition of other polymers to the hollow rods could increase their strength and thus the bone-implant system. Furthermore, the comparison between G1, G5 and G6 could be analyzed using the finite element method in future. New polymeric materials may be developed based on the data from this study, strengthening the bone-implant system and making possible screws to be placed in any direction, nullifying the detrimental forces on the fracture site.

Alkali-Modified Titanium Surface Stimulating Formation of Bone-Implant Interface

2007 ◽  
Vol 361-363 ◽  
pp. 749-752
Author(s):  
J. Strnad ◽  
Jan Macháček ◽  
Z. Strnad ◽  
C. Povýšil ◽  
Marie Strnadová
Keyword(s):  
Titanium Implant ◽  
Surface Characteristics ◽  
Healing Time ◽  
Machined Surface ◽  
Implant Surface ◽  
Bone Implant ◽  
Bone Response ◽  
Modified Surface ◽  
The Difference ◽  
Titanium Implant Surface

This study was carried out to assess the bone response to alkali-modified titanium implant surface (Bio surface), using histomorphometric investigation on an animal model. The mean net contribution of the Bio surface to the increase in bone implant contact (BIC) with reference to the turned, machined surface was evaluated at 7.94 % (BIC/week), within the first five weeks of healing. The contribution was expressed as the difference in the osseointegration rates ( BIC/'healing time) between the implants with alkali modified surface (Bio surface) and those with turned, machined surface. The surface characteristics that differed between the implant surfaces, i.e. surface morphology, specific surface area, contact angle, hydroxylation/hydration, may represent factors that influence the rate of osseointegration.

scholarly journals Finite Element Analysis of Tibial Bone-Implant Load Transfer and Bone Strains with a Modern Fixed-bearing Total Ankle Replacement

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0011
Author(s):  
Daniel Sturnick ◽  
Guilherme Saito ◽  
Jonathan Deland ◽  
Constantine Demetracopoulos ◽  
Xiang Chen ◽  
...  
Keyword(s):  
Young’S Modulus ◽  
Poisson’S Ratio ◽  
Tibial Component ◽  
Load Transfer ◽  
Young's Modulus ◽  
Stress Shielding ◽  
Poisson's Ratio ◽  
Bone Implant ◽  
Tibial Tray ◽  
Tibial Bone

Category: Ankle Arthritis Introduction/Purpose: Loosening of the tibial component is the primary failure mode in total ankle arthroplasty (TAA). The mechanics of the tibial component loosening has not been fully elucidated. Clinically observed radiolucency and cyst formation in the periprosthetic bone may be associated with unfavorable load sharing at and adjacent to the tibial bone-implant interface contributory to implant loosening. However, no study has fully investigated the load transfer from the tibial component to the bone under multiaxial loads in the ankle. The objective of this study was to utilize subject-specific finite element (FE) models to investigate the load transfer through tibial bone-implant interface, as well as periprosthetic bone strains under simulated multiaxial loads. Methods: Bone-implant FE models were developed from CT datasets of three cadaveric specimens that underwent TAA using a modern fixed-bearing tibial implant (a cobalt-chrome tray with a polyethylene bearing, Salto Talaris, Integra LifeSciences). Implant placement was estimated from the post-operative CT scans. Bone was modeled as isotropic elastic material with inhomogeneous Young’s modulus (determined from CT Hounsfield units) and a uniform Poisson’s ratio of 0.3. The tibial tray (Young’s modulus: 200,000 MPa, Poisson’s ratio: 0.3) and the polyethylene bearing (Young’s modulus: 600 MPa, Poisson’s ratio: 0.4) were modeled as isotropic elastic. A 100-N compressive force, a 300-N anterior force, and a 3-Nm moment were applied to two literature based loading regions on the surface of the polyethylene bearing. The proximal tibia was fixed in all directions. The bone-implant contact was modeled as frictional with a coefficient of 0.7, whereas the polyethylene bearing was bonded to the tray. Results: Along the long axis of the tibia, load was transferred to the bone primarily through the flat bone-contacting base of the tibial tray and the cylindrical top of the keel, little amount of load was transferred to the bone between those two features (Fig. 1A). Low strain was observed in bone regions medial and lateral to the keel of the tibial tray, where bone cysts were often observed clinically (Fig. 1A). On average, approximated 70% of load was transferred through the anterior aspect of the tibial tray at the flat bone-contacting base, which corresponded to the relatively high bone strain adjacent to the implant edge in the anterior bone-implant interface (Fig. 1B). Conclusion: Our results demonstrated a two-step load transfer pattern along the long axis of the tibia, revealing regions with low bone strain peripheral to the keel indicative to stress shielding. Those regions were consistent with the locations of bone cysts observed clinically, which may be explained by the stress shielding associated remodeling of bone. These findings could also describe the mechanism of implant loosening and failure. Future studies may use our model to simulate more loading scenarios, as well as different implant placement and design, to identify means to optimize load transfer to the bone and prevent stress shielding.

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