Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (39): 5801-5806.doi: 10.3969/j.issn.2095-4344.2016.39.004

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Finite element analysis of fixed platform prosthesis and rotating platform prosthesis in total knee replacement

Zhang Li-chao1, Zhang Li-min2, Wu Li-zhu3   

  1. 1Department of Orthopedics, Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China; 2PLA 266 Hospital, Chengde 067000, Hebei Province, China; 3Emergency Department, Central Hospital of Chengde City, Chengde 067000, Hebei Province, China
  • Revised:2016-07-08 Online:2016-09-23 Published:2016-09-23
  • Contact: Wu Li-zhu, Attending physician, Emergency Department, Central Hospital of Chengde City, Chengde 067000, Hebei Province, China
  • About author:Zhang Li-chao, Attending physician, Master, Department of Orthopedics, Affiliated Hospital of Chengde Medical University, Chengde 067000, Hebei Province, China

Abstract:

BACKGROUND: There are studies on three-dimensional finite element analysis of total knee replacement, but few research concerns contact pressure and contact area inside and outside polyethylene liner of fixed prosthesis and rotating platform prosthesis in total knee replacement.

OBJECTIVE: To explore the contact pressure and contact area inside and outside polyethylene liner of fixed platform prosthesis and rotating platform prosthesis in total knee replacement.
METHODS: We established three-dimensional finite element models of fixed platform prosthesis and rotating platform prosthesis in total knee replacement and compared contact pressure and contact area inside and outside polyethylene liner of fixed platform prosthesis and rotating platform prosthesis in total knee replacement.
RESULTS AND CONCLUSION: The peak contact pressure inside and outside polyethylene liner of fixed platform prosthesis and rotating platform prosthesis in total knee replacement was minimum at 0° of genuflex. The peak contact pressure inside polyethylene liner was higher than that outside polyethylene liner of fixed platform prosthesis and rotating platform prosthesis in total knee replacement at 0°-90° of genuflex (P < 0.05). The peak contact pressure inside and outside polyethylene liner of fixed platform prosthesis was higher than that of rotating platform prosthesis in total knee replacement at 60°-120° of genuflex (P < 0.05). The contact area inside and outside polyethylene liner of fixed platform prosthesis and rotating platform prosthesis in total knee replacement was maximum at 0° of genuflex. The contact area inside polyethylene liner of fixed platform prosthesis in total knee replacement was lower than that of outside at 0°-30° of genuflex (P < 0.05). The contact area inside polyethylene liner of fixed platform prosthesis in total knee replacement was lower than that of outside at 0°-90° of genuflex (P < 0.05). The contact area inside and outside polyethylene liner of fixed platform prosthesis was lower than that of rotating platform prosthesis in total knee replacement at 30°-120° of genuflex (P < 0.05). These results suggested that peak contact pressure inside polyethylene liner of fixed and rotating platform prostheses was higher than that outside in total knee replacement, and the inside contact area was lower than that of outside. Inside and outside contact pressure of the rotating platform prosthesis was lower than that of fixed platform prosthesis. Inside and outside contact area of the rotating platform prosthesis was higher than that of fixed platform prosthesis.

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Arthroplasty, Replacement, Knee, Finite Element Analysis, Tissue Engineering

CLC Number: