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多例膝关节单髁置换术个体有限元模型的验证。

Validation of multiple subject-specific finite element models of unicompartmental knee replacement.

机构信息

Mechanical Engineering Department, Imperial College London, Exhibition Road, London SW7 2AZ, UK.

出版信息

Med Eng Phys. 2013 Oct;35(10):1457-64. doi: 10.1016/j.medengphy.2013.03.020. Epub 2013 May 3.


DOI:10.1016/j.medengphy.2013.03.020
PMID:23647863
Abstract

Accurate computer modelling of the fixation of unicompartmental knee replacements (UKRs) is a valuable design tool. However, models must be validated with in vitro mechanical tests to have confidence in the results. Ten fresh-frozen cadaveric knees with differing bone densities were CT-scanned to obtain geometry and bone density data, then implanted with cementless medial Oxford UKRs by an orthopaedic surgeon. Five strain gauge rosettes were attached to the tibia and femur of each knee and the bone constructs were mechanically tested. They were re-tested following implanting the cemented versions of the implants. Finite element models of four UKR tibiae and femora were developed. Sensitivity assessments and convergence studies were conducted to optimise modelling parameters. The cemented UKR pooled R(2) values for predicted versus measured bone strains were 0.85 and 0.92 for the tibia and femur respectively. The cementless UKR pooled R(2) values were slightly lower at 0.62 and 0.73 which may have been due to the irregularity of bone resections. The correlation of the results was attributed partly to the improved material property prediction method used in this project. This study is the first to validate multiple UKR tibiae and femora for bone strain across a range of specimen bone densities.

摘要

准确的单髁膝关节置换物(UKR)固定计算机建模是一种有价值的设计工具。然而,为了对结果有信心,模型必须经过体外力学测试来验证。对 10 个具有不同骨密度的新鲜冷冻尸体膝关节进行 CT 扫描,以获取几何形状和骨密度数据,然后由矫形外科医生植入非骨水泥内侧牛津 UKR。每个膝关节的胫骨和股骨上附着了 5 个应变片花,对骨结构进行了力学测试。然后在植入植入物的水泥版本后重新进行测试。开发了 4 个 UKR 胫骨和股骨的有限元模型。进行了敏感性评估和收敛性研究,以优化建模参数。水泥固定 UKR 的预测与测量骨应变的 R(2)值分别为胫骨和股骨的 0.85 和 0.92。非骨水泥 UKR 的 R(2)值略低,为 0.62 和 0.73,这可能是由于骨切除不规则所致。结果的相关性部分归因于本项目中使用的改进的材料性能预测方法。这项研究首次验证了多种 UKR 胫骨和股骨在一系列标本骨密度下的骨应变。

相似文献

[1]
Validation of multiple subject-specific finite element models of unicompartmental knee replacement.

Med Eng Phys. 2013-5-3

[2]
Experimental validation of a finite element model of a human cadaveric tibia.

J Biomech Eng. 2008-6

[3]
Load transfer in the proximal tibia following implantation with a unicompartmental knee replacement: a static snapshot.

Proc Inst Mech Eng H. 2011-5

[4]
The influence of tibial component malalignment on bone strain in revision total knee replacement.

Proc Inst Mech Eng H. 2016-6

[5]
Proximal tibial strain in medial unicompartmental knee replacements: A biomechanical study of implant design.

Bone Joint J. 2013-10

[6]
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J Biomech. 2011-2-1

[7]
Biomechanical evaluation of proximal tibia behaviour with the use of femoral stems in revision TKA: an in vitro and finite element analysis.

Clin Biomech (Bristol). 2010-2

[8]
Evaluation of factors affecting tibial bone strain after unicompartmental knee replacement.

J Orthop Res. 2012-11-28

[9]
Patient-specific finite element analysis of femurs with cemented hip implants.

Clin Biomech (Bristol). 2018-10

[10]
Prediction of structural failure of tibial bone models under physiological loads: effect of CT density-modulus relationships.

Med Eng Phys. 2014-8

引用本文的文献

[1]
Clinical Study and Finite Element Analysis on the Effects of Pseudo-Patella Baja After TKA.

Orthop Surg. 2025-1

[2]
Finite element study of stress distribution in medial UKA under varied lower limb alignment.

Sci Rep. 2024-10-25

[3]
Stochastic lattice-based porous implant design for improving the stress transfer in unicompartmental knee arthroplasty.

J Orthop Surg Res. 2024-8-22

[4]
Load transfer in bone after partial, multi-compartmental, and total knee arthroplasty.

Front Bioeng Biotechnol. 2024-3-8

[5]
The effect of different posterior inclinations of tibial component on tibiofemoral contact pressures after unicompartmental knee arthroplasty.

J Orthop Surg Res. 2023-11-29

[6]
The risk of tibial eminence avulsion fracture with bi-unicondylar knee arthroplasty : a finite element analysis.

Bone Joint Res. 2022-8

[7]
Biomechanical effects of fixed-bearing femoral prostheses with different coronal positions in medial unicompartmental knee arthroplasty.

J Orthop Surg Res. 2022-3-9

[8]
[Biomechanical research on effects of pseudo-patella baja on stress of patellofemoral joint after total knee arthroplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021-7-15

[9]
Impact of Tibial Component Coronal Alignment on Knee Joint Biomechanics Following Fixed-bearing Unicompartmental Knee Arthroplasty: A Finite Element Analysis.

Orthop Surg. 2021-6

[10]
Tibial cutting guide (resector) holding pins position and subsequent risks of periprosthetic fracture in unicompartmental knee arthroplasty: a finite element analysis study.

J Orthop Surg Res. 2021-3-22

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