Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion
Total knee arthroplasty (TKA) implants are becoming an interesting subject in implant design research and development activities due to their complexity. They should be able to facilitate knee movement while supporting body weight during daily usage. Meanwhile, incidents such as hyperflexion in...
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| Format: | Article |
| Language: | English |
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Universitas Indonesia
2021-12-01
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| Series: | International Journal of Technology |
| Subjects: | |
| Online Access: | https://ijtech.eng.ui.ac.id/article/view/5193 |
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| author | Joko Triwardono Sugeng Supriadi Yudan Whulanza Agung Shamsuddin Saragih Deva Ariana Novalianita Muhammad Satrio Utomo Ika Kartika |
| author_facet | Joko Triwardono Sugeng Supriadi Yudan Whulanza Agung Shamsuddin Saragih Deva Ariana Novalianita Muhammad Satrio Utomo Ika Kartika |
| author_sort | Joko Triwardono |
| collection | DOAJ |
| description | Total
knee arthroplasty (TKA) implants are becoming an interesting subject in implant
design research and development activities due to their complexity. They should
be able to facilitate knee movement while supporting body weight during daily
usage. Meanwhile, incidents such as hyperflexion in TKA implants outside their
designated configuration can lead to subluxation and dislocation in this study, a polyethylene component
of a posterior-stabilized right knee joint implant was developed to facilitate
a high range of motion (ROM). Finite element analysis (FEA) was used to analyze
the contact area on the polyethylene component. FEA was used to simulate
weight-bearing conditions at 0°, 30°, 60°, 90°, 120°, and 150° of knee flexion.
The modified polyethylene component resulted in better performance in terms of
contact area, especially at 120° of knee flexion. The two dominant contact
areas on the polyethylene component were 733 mm² at 0° of knee flexion and 576
mm² at 120° of knee flexion. Furthermore, the current design of the polyethylene
component can maintain a contact area of 65 mm² at 150° of knee flexion. The
current design is expected to accommodate deep knee flexion movement in daily
activities and reduce the possibility of subluxation and dislocation at the
polyethylene component during deep knee flexion. In addition, a large contact
area can reduce the potential wear on or fracture of the polyethylene
component. Finally, the result of FEA was validated using a simulator of knee
kinematic motion; there was no indication of subluxation and dislocation at any
degree of knee flexion. |
| first_indexed | 2024-04-11T03:55:52Z |
| format | Article |
| id | doaj.art-031af4f965c14ab68b98bcb8fc3ff480 |
| institution | Directory Open Access Journal |
| issn | 2086-9614 2087-2100 |
| language | English |
| last_indexed | 2024-04-11T03:55:52Z |
| publishDate | 2021-12-01 |
| publisher | Universitas Indonesia |
| record_format | Article |
| series | International Journal of Technology |
| spelling | doaj.art-031af4f965c14ab68b98bcb8fc3ff4802023-01-02T00:24:53ZengUniversitas IndonesiaInternational Journal of Technology2086-96142087-21002021-12-011261312132210.14716/ijtech.v12i6.51935193Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee FlexionJoko Triwardono0Sugeng Supriadi1Yudan Whulanza2Agung Shamsuddin Saragih3Deva Ariana Novalianita4Muhammad Satrio Utomo5Ika Kartika61. Department of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus Ui Depok, Depok 16424, Indonesia 2. National Research and Innovation Agency, Banten 15314, IndonesiaDepartment of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus Ui Depok, Depok 16424, IndonesiaDepartment of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus Ui Depok, Depok 16424, IndonesiaDepartment of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus Ui Depok, Depok 16424, IndonesiaDepartment of Mechanical Engineering, Faculty of Engineering, Universitas Indonesia, Kampus Ui Depok, Depok 16424, IndonesiaNational Research and Innovation Agency, Banten 15314, IndonesiaNational Research and Innovation Agency, Banten 15314, IndonesiaTotal knee arthroplasty (TKA) implants are becoming an interesting subject in implant design research and development activities due to their complexity. They should be able to facilitate knee movement while supporting body weight during daily usage. Meanwhile, incidents such as hyperflexion in TKA implants outside their designated configuration can lead to subluxation and dislocation in this study, a polyethylene component of a posterior-stabilized right knee joint implant was developed to facilitate a high range of motion (ROM). Finite element analysis (FEA) was used to analyze the contact area on the polyethylene component. FEA was used to simulate weight-bearing conditions at 0°, 30°, 60°, 90°, 120°, and 150° of knee flexion. The modified polyethylene component resulted in better performance in terms of contact area, especially at 120° of knee flexion. The two dominant contact areas on the polyethylene component were 733 mm² at 0° of knee flexion and 576 mm² at 120° of knee flexion. Furthermore, the current design of the polyethylene component can maintain a contact area of 65 mm² at 150° of knee flexion. The current design is expected to accommodate deep knee flexion movement in daily activities and reduce the possibility of subluxation and dislocation at the polyethylene component during deep knee flexion. In addition, a large contact area can reduce the potential wear on or fracture of the polyethylene component. Finally, the result of FEA was validated using a simulator of knee kinematic motion; there was no indication of subluxation and dislocation at any degree of knee flexion.https://ijtech.eng.ui.ac.id/article/view/5193dislocationfinite element analysishyperflexionpolyethylenesubluxationtotal knee arthroplasty |
| spellingShingle | Joko Triwardono Sugeng Supriadi Yudan Whulanza Agung Shamsuddin Saragih Deva Ariana Novalianita Muhammad Satrio Utomo Ika Kartika Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion International Journal of Technology dislocation finite element analysis hyperflexion polyethylene subluxation total knee arthroplasty |
| title | Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion |
| title_full | Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion |
| title_fullStr | Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion |
| title_full_unstemmed | Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion |
| title_short | Evaluation of the Contact Area in Total Knee Arthroplasty Designed for Deep Knee Flexion |
| title_sort | evaluation of the contact area in total knee arthroplasty designed for deep knee flexion |
| topic | dislocation finite element analysis hyperflexion polyethylene subluxation total knee arthroplasty |
| url | https://ijtech.eng.ui.ac.id/article/view/5193 |
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