Library Subscription: Guest
Journal of Long-Term Effects of Medical Implants

Published 4 issues per year

ISSN Print: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

A Study on Polyethylene Stresses in Mobile-Bearing and Fixed-Bearing Total Knee Arthroplasty (TKA) using Explicit Finite Element Analysis

Volume 23, Issue 4, 2013, pp. 275-283
DOI: 10.1615/JLongTermEffMedImplants.2013008440
Get accessGet access

ABSTRACT

Mobile-bearing total knee arthroplasty designs were thought to be associated with lesser stresses on the polyethylene (PE) insert as compared to fixed-bearing designs. The wear rate of the PE liner was felt to be less in the mobile-bearing knees due to the decrease in the stresses. However, a reevaluation of the biomechanics of the mobile-bearing design is necessary due to the recent clinical reports on the long-term outcome of mobile-bearing knees which have not demonstrated any significant benefit in terms of implant survival and polyethylene wear rate. In this explicit finite element analysis of mobile-bearing and fixed-bearing knee designs using LS-DYNA, no significant differences have been found in the maximal stresses in the superior (articulating) surface of the PE insert in mobile- and fixed-bearing designs. On the inferior surface of the PE insert, the peak stresses were nearly 30% higher in the mobile-bearing compared with the fixed-bearing design. Thus, contrary to earlier expectations, mobile-bearing designs may be associated with higher overall PE stresses and wear than the fixed-bearing designs. Further research is necessary to minimize the wear rate of the PE insert in mobile-bearing total knee arthroplasty.

CITED BY
  1. Innocenti Bernardo, Labey Luc, Kamali Amir, Pascale Walter, Pianigiani Silvia, Development and Validation of a Wear Model to Predict Polyethylene Wear in a Total Knee Arthroplasty: A Finite Element Analysis, Lubricants, 2, 4, 2014. Crossref

  2. Wang Lin, Isaac Graham, Wilcox Ruth, Jones Alison, Thompson Jonathan, Finite element analysis of polyethylene wear in total hip replacement: A literature review, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 233, 11, 2019. Crossref

  3. Takian Wisanupong, Rooppakhun Supakit, Ariyarit Atthaphon, Sucharitpwatskul Sedthawatt, Optimal Conformity Design of Tibial Insert Component Based on ISO Standard Wear Test Using Finite Element Analysis and Surrogate Model, Symmetry, 13, 12, 2021. Crossref

  4. Kebbach Maeruan, Soodmand Iman, Krueger Sven, Grupp Thomas M., Woernle Christoph, Bader Rainer, Biomechanical Assessment of Mobile-Bearing Total Knee Endoprostheses Using Musculoskeletal Simulation, Applied Sciences, 12, 1, 2021. Crossref

1119 Article views 28 Article downloads Metrics
1119 VIEWS 28 DOWNLOADS 4 Crossref CITATIONS Google
Scholar
CITATIONS

Articles with similar content:

Use of Ferrule Rings as Stress Dissipators in Temporomandibular Joint Intramedullary Implants: A Finite Element Analysis Study Journal of Long-Term Effects of Medical Implants, Vol.28, 2018, issue 4
Martin Pendola, Thorsten Kirsch, Jake Cresta, Alesha Castillo
Frictional Torque and Wear of Retrieved Hip Prostheses: A Comparison Between Alumina/PE and Co-Cr/PE Prostheses Journal of Long-Term Effects of Medical Implants, Vol.12, 2002, issue 1
Yoshio Shirasaki, Isao Hirose, Atsushi Kusaba, Yoshikatsu Kuroki, Jorg Scholz, Saiji Kondo, Tetsuta Tateishi, Yuichi Ito
Nontraumatic Fracture of a Custom-Made Wagner Cone Prosthesis Hip Stem: A Case Report Journal of Long-Term Effects of Medical Implants, Vol.27, 2017, issue 1
Vasileios S. Nikolaou, Michael-Alexander Malahias, George C. Babis, Evangelos Tyrpenou
Fixed Versos Mobile Bearing Knee Arthroplasty: A Review of Kinematics and Results Journal of Long-Term Effects of Medical Implants, Vol.21, 2011, issue 3
A. P. Apostolopoulos, E. Chronopoulos, G. Papachristou, loannis V. Michos, Stergios N. Lallos, Nikolaos E. Efstathopoulos, Andreas F. Mavrogenis
Prospective Evaluation of Bone Remodeling in Full-Arch Rehabilitations with Morse Taper Implants: A Case Series Study with One-Year Follow-Up Journal of Long-Term Effects of Medical Implants, Vol.32, 2022, issue 3
Carolina Accorsi Cartelli, Sergio Rocha Bernardes, Larissa Carvalho Trojan, Marcos Boaventura de Moura, Geninho Thomé, Ángel José Sánchez Reyes

Forthcoming Articles

Transfer of guided emergence profile developed using customized provisional implant restoration and cementation using an abutment replica technique- A case report. Vinay Sivaswamy, Balaji Anand S D, Jacob Mathew Philip, C J Venkatakrishnan, Narasimman M, Helen Mary Abraham, Pavithra B Marijuana use is Associated with Increased Rates of Hip Dislocation and Lower Insurance Reimbursement among THA Recipients Andrew Recker, Chukwuweike Gwam, Erin Kelly, Scott Douglas, Johannes Plate Surface modification of Mg alloy AZ91D using nanopowder mixed EDM for Biodegradable Implant Alok Kumar, Abhishek Singh The history of orthopedics in the long term: from general medicine to medical specialties Pavlos Altsitzioglou, Ioannis Zafeiris, Fotini Soucacos, Pantelis Limneos, Eleftheria Souliotis, Evanthia Mitsiokapa, Theodosis Saranteas, Andreas Mavrogenis COMPARISON OF ROUGHNESS, WETTABILITY AND SCANNING ELECTRON MICROSCOPY FEATURES BETWEEN SANDBLASTED ACID-ETCHED AND OXIDIZED TITANIUM DENTAL IMPLANTS Kshitiz Chhabra, Arvina Rajasekar CORRELATION BETWEEN PRIMARY STABILITY OF DENTAL IMPLANTS AND BONE DENSITY: A RETROSPECTIVE ANALYSIS Padmaja S, Arvina Rajasekar C-Reactive Protein and Erythrocyte Sedimentation Rates after total and unicompartmental knee arthroplasty - less implant equals quicker normalization Kasım Kılıçarslan, Ömer Faruk Naldöven, Enejd Veizi, Şahan Güven, Şahin Çepni, Ahmet Fırat COMPLICATIONS FOLLOWING SHORT FEMORAL NAIL FIXATION FOR INTETROCHANTERIC HIP FRACTURES. A RETROSPECTIVE STUDY Anastasia Vasilopoulou, Antonios Trichonas, Konstantinos Palaiologos, Emmanouel Antonogiannakis, Christos Nikakis, Stavros Angelis, Spyridon Maris, Christos Grekas , Efthimios Karadimas, Alexandros Apostolopoulos FEA: Connector Designs and Pontic Stress Distribution of Fixed Partial Denture Implant-Supported Metal Framework Saja Muhsin, Enas Mohammed, Khalid Bander Design and Frequency Stability Analysis of an Adaptive Neuro-Fuzzy Inference System based Artificial Pacemaker Controller in MATLAB Nader Jafarnia Dabanloo, Asghar Dabiriaghdam, Fereidoon Nooshirvan Rahatabad, Keivan Maghooli Complications following intraosseous injections of calcium phosphate bone cement in Subchondroplasty. Christos Zachariadis, Helen Leligou, Stauros Kourkoulis, Evaggelos Magnisalis, Panayiotis Papagelopoulos, Olga Savvidou The Impact of Patient Characteristics on Outcomes of Surgically Managed Vertebral Osteomyelitis in the United States: Insights from a National Database Study Jennifer Kurowicki, Stuart Changoor, Daniel Coban, Neil Patel, Kumar Sinha, Ki Hwang, Arash Emami ASSOCIATION OF AGE, GENDER AND SITE OF IMPLANT PLACEMENT - AN INSTITUTION BASED RETROSPECTIVE STUDY Harini Sri, Nabeel Ahmed, Keerthi Shasanka
Begell Digital Portal Begell Digital Library eBooks Journals References & Proceedings Research Collections Prices and Subscription Policies Begell House Contact Us Language English 中文 Русский Português German French Spain