The Effects of Different Femoral Component Materials on Bone and Implant Response in Total Knee Arthroplasty: A Finite Element Analysis.

Materials (Basel)

BEAMS Department (Bio Electro and Mechanical Systems), École Polytechnique de Bruxelles, Université Libre de Bruxelles, 1050 Bruxelles, Belgium.

Published: August 2023

AI Article Synopsis

  • The study investigates the impact of different materials (CoCr vs. titanium alloy) used in knee implants on periprosthetic bone stress and stress shielding.
  • The research employs a finite element model to compare how these materials influence bone mineral density, with a particular focus on the effects of a cementless, highly porous titanium implant versus a cemented CoCr implant.
  • Results indicate that the titanium component produces higher bone stresses and less stress shielding, which could result in reduced bone resorption after total knee arthroplasty.

Article Abstract

Due to the high stiffness of the biomaterials used in total knee arthroplasty, stress shielding can lead to decreased periprosthetic bone mineral density and bone resorption. As different materials and 3D-printed highly porous surfaces are available for knee femoral components from the industry nowadays, this study aimed to compare the effects of two same-design cruciate-retaining femoral components, made with CoCr and titanium alloy, respectively, on periprosthetic bone stresses through a finite element model of the implanted knee in order to evaluate the induced stress shielding. Moreover, the effect of the cementless highly porous surface of the titanium implant was analyzed in comparison to the cemented interface of the CoCr implant. The von Mises stresses were analyzed in different periprosthetic regions of interest of the femur with different configurations and knee flexion angles. The titanium component induced higher bone stresses in comparison with the CoCr component, mostly in the medial compartment at higher knee flexion angles; therefore, the CoCr component led to more stress shielding. The model was revealed to be effective in describing the effects of different femoral component materials on bone stress, highlighting how a cementless, highly porous titanium femoral component might lead to less stress shielding in comparison to a cemented CoCr implant with significant clinical relevance and reduced bone resorption after total knee arthroplasty.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10456576PMC
http://dx.doi.org/10.3390/ma16165605DOI Listing

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