Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing
Abstract Background Individualized and accurate implantation of a femoral component during total knee arthroplasty (TKA) is essential in achieving equal distribution of intra-articular stress and long-term survival of the prosthesis. However, individualized component implantation remains challenging...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-07-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0891-1 |
| _version_ | 1817996459049484288 |
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| author | Zhifang Mou Wanpeng Dong Zhen Zhang Aohan Wang Guanghong Hu Bing Wang Yuefu Dong |
| author_facet | Zhifang Mou Wanpeng Dong Zhen Zhang Aohan Wang Guanghong Hu Bing Wang Yuefu Dong |
| author_sort | Zhifang Mou |
| collection | DOAJ |
| description | Abstract Background Individualized and accurate implantation of a femoral component during total knee arthroplasty (TKA) is essential in achieving equal distribution of intra-articular stress and long-term survival of the prosthesis. However, individualized component implantation remains challenging. This study aimed to optimize and individualize the positioning parameters of a femoral component in order to facilitate its accurate implantation. Methods Using computer-simulated TKA, the positioning parameters of a femoral component were optimized individually by finite element analysis in combination with orthogonal array testing. Flexion angle, valgus angle, and external rotation angle were optimized in order to reduce the peak value of the pressure on the polyethylene liner of the prosthesis. Results The optimal implantation parameters of the femoral component were as follows: 1° flexion, 5° valgus angle, and 4° external rotation. Under these conditions, the peak value of the pressure on the polyethylene liner surface was minimized to 16.46 MPa. Among the three parameters, the external rotation angle had the greatest effect on the pressure, followed by the valgus angle and the flexion angle. Conclusion Finite element analysis in combination with orthogonal array testing can optimize the implantation parameters of a femoral component for TKA. This approach would possibly reduce the wear of the polyethylene liner and prolong the survival of the TKA prosthesis, due to its capacity to minimize stress. This technique represents a new method for preoperative optimization of the implantation parameters that can achieve the best possible TKA outcome. |
| first_indexed | 2024-04-14T02:22:34Z |
| format | Article |
| id | doaj.art-d93305487a324e99a634c92391aaebf5 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T02:22:34Z |
| publishDate | 2018-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d93305487a324e99a634c92391aaebf52022-12-22T02:18:00ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-07-0113111210.1186/s13018-018-0891-1Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testingZhifang Mou0Wanpeng Dong1Zhen Zhang2Aohan Wang3Guanghong Hu4Bing Wang5Yuefu Dong6Department of Critical Care Medicine, The Affiliated Lianyungang Hospital of Xuzhou Medical University/the First People’s Hospital of LianyungangSchool of Materials Engineering, Shanghai University of Engineering ScienceSchool of Materials Engineering, Shanghai University of Engineering ScienceSchool of Materials Engineering, Shanghai University of Engineering ScienceInstitute of Plasticity Forming Technology & Equipment, Shanghai Jiao Tong UniversityDepartment of Orthopedics, The Affiliated Lianyungang Hospital of Xuzhou Medical University/the First People’s Hospital of LianyungangDepartment of Orthopedics, The Affiliated Lianyungang Hospital of Xuzhou Medical University/the First People’s Hospital of LianyungangAbstract Background Individualized and accurate implantation of a femoral component during total knee arthroplasty (TKA) is essential in achieving equal distribution of intra-articular stress and long-term survival of the prosthesis. However, individualized component implantation remains challenging. This study aimed to optimize and individualize the positioning parameters of a femoral component in order to facilitate its accurate implantation. Methods Using computer-simulated TKA, the positioning parameters of a femoral component were optimized individually by finite element analysis in combination with orthogonal array testing. Flexion angle, valgus angle, and external rotation angle were optimized in order to reduce the peak value of the pressure on the polyethylene liner of the prosthesis. Results The optimal implantation parameters of the femoral component were as follows: 1° flexion, 5° valgus angle, and 4° external rotation. Under these conditions, the peak value of the pressure on the polyethylene liner surface was minimized to 16.46 MPa. Among the three parameters, the external rotation angle had the greatest effect on the pressure, followed by the valgus angle and the flexion angle. Conclusion Finite element analysis in combination with orthogonal array testing can optimize the implantation parameters of a femoral component for TKA. This approach would possibly reduce the wear of the polyethylene liner and prolong the survival of the TKA prosthesis, due to its capacity to minimize stress. This technique represents a new method for preoperative optimization of the implantation parameters that can achieve the best possible TKA outcome.http://link.springer.com/article/10.1186/s13018-018-0891-1Total knee arthroplasty (TKA)ProsthesisImplantation parameterOptimizationFinite element analysisOrthogonal array testing |
| spellingShingle | Zhifang Mou Wanpeng Dong Zhen Zhang Aohan Wang Guanghong Hu Bing Wang Yuefu Dong Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing Journal of Orthopaedic Surgery and Research Total knee arthroplasty (TKA) Prosthesis Implantation parameter Optimization Finite element analysis Orthogonal array testing |
| title | Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing |
| title_full | Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing |
| title_fullStr | Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing |
| title_full_unstemmed | Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing |
| title_short | Optimization of parameters for femoral component implantation during TKA using finite element analysis and orthogonal array testing |
| title_sort | optimization of parameters for femoral component implantation during tka using finite element analysis and orthogonal array testing |
| topic | Total knee arthroplasty (TKA) Prosthesis Implantation parameter Optimization Finite element analysis Orthogonal array testing |
| url | http://link.springer.com/article/10.1186/s13018-018-0891-1 |
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