Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty

Total knee arthroplasty (TKA) is a surgical technique to replace damaged knee joints with artificial implants. Recently, the imageless TKA has brought a revolutionary improvement to the accuracy of implant placement and ease of surgical process. Based on key anatomical points on the knee, the softwa...

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Main Authors: Jun Young Kim, Muhammad Sohail, Heung Soo Kim
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Mathematics
Subjects:
Online Access:https://www.mdpi.com/2227-7390/11/16/3527
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author Jun Young Kim
Muhammad Sohail
Heung Soo Kim
author_facet Jun Young Kim
Muhammad Sohail
Heung Soo Kim
author_sort Jun Young Kim
collection DOAJ
description Total knee arthroplasty (TKA) is a surgical technique to replace damaged knee joints with artificial implants. Recently, the imageless TKA has brought a revolutionary improvement to the accuracy of implant placement and ease of surgical process. Based on key anatomical points on the knee, the software guides the surgeon during the TKA procedure. However, the number of revision surgeries is increasing due to malalignment caused by registration error, resulting in imbalanced contact stresses that lead to failure of the TKA. Conventional stress analysis methods involve time-consuming and computationally demanding finite element analysis (FEA). In this work, a machine-learning-based approach estimates the contact pressure on the TKA implants. The machine learning regression model has been trained using FEA data. The optimal preprocessing technique was confirmed by the data without preprocessing, data divided by model size, and data divided by model size and optimal angle. Extreme gradient boosting, random forest, and extra trees regression models were trained to determine the optimal approach. The proposed method estimates the contact stress instantly within 10 percent of the maximum error. This has resulted in a significant reduction in computational costs. The efficiency and reliability of the proposed work have been validated against the published literature.
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spelling doaj.art-64ce4b6fa40341f9af4b0758d28dede42023-11-19T02:03:20ZengMDPI AGMathematics2227-73902023-08-011116352710.3390/math11163527Rapid Estimation of Contact Stresses in Imageless Total Knee ArthroplastyJun Young Kim0Muhammad Sohail1Heung Soo Kim2Department of Mechanical Engineering, Dongguk University-Seoul, 30 Pildong-ro 1gil, Jung-gu, Seoul 04620, Republic of KoreaDepartment of Mechanical Engineering, Dongguk University-Seoul, 30 Pildong-ro 1gil, Jung-gu, Seoul 04620, Republic of KoreaDepartment of Mechanical, Robotics and Energy Engineering, Dongguk University-Seoul, 30 Pildong-ro 1-gil, Jung-gu, Seoul 04620, Republic of KoreaTotal knee arthroplasty (TKA) is a surgical technique to replace damaged knee joints with artificial implants. Recently, the imageless TKA has brought a revolutionary improvement to the accuracy of implant placement and ease of surgical process. Based on key anatomical points on the knee, the software guides the surgeon during the TKA procedure. However, the number of revision surgeries is increasing due to malalignment caused by registration error, resulting in imbalanced contact stresses that lead to failure of the TKA. Conventional stress analysis methods involve time-consuming and computationally demanding finite element analysis (FEA). In this work, a machine-learning-based approach estimates the contact pressure on the TKA implants. The machine learning regression model has been trained using FEA data. The optimal preprocessing technique was confirmed by the data without preprocessing, data divided by model size, and data divided by model size and optimal angle. Extreme gradient boosting, random forest, and extra trees regression models were trained to determine the optimal approach. The proposed method estimates the contact stress instantly within 10 percent of the maximum error. This has resulted in a significant reduction in computational costs. The efficiency and reliability of the proposed work have been validated against the published literature.https://www.mdpi.com/2227-7390/11/16/3527imageless navigatortotal knee arthroplastyfinite element analysismachine learning
spellingShingle Jun Young Kim
Muhammad Sohail
Heung Soo Kim
Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
Mathematics
imageless navigator
total knee arthroplasty
finite element analysis
machine learning
title Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
title_full Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
title_fullStr Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
title_full_unstemmed Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
title_short Rapid Estimation of Contact Stresses in Imageless Total Knee Arthroplasty
title_sort rapid estimation of contact stresses in imageless total knee arthroplasty
topic imageless navigator
total knee arthroplasty
finite element analysis
machine learning
url https://www.mdpi.com/2227-7390/11/16/3527
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