Finite element analysis of the tibial component alignment in a transverse plane in total knee arthroplasty

J Appl Biomed 19:234-239, 2021 | DOI: 10.32725/jab.2021.020

Roman Popescu1, *, Stefan Cristea1, 2, Valentin Oleksik3, Adrian Marius Pascu3, Emil George Haritinian1, 4 1Carol Davila University of Medicine and Pharmacy, Bucharest, Romania 2Saint Pantelimon Emergency Hospital, Department of Orthopaedics and Traumatology, Bucharest, Romania 3University of Sibiu, Faculty of Engineering, Department of Industrial Machinery and Equipments, Sibiu, Romania 4Clinical Hospital of Orthopaedics and Traumatology and Osteoarticular TB "Foișor", Bucharest, Romania

The research aims to analyze the tibial component rotation using the finite element method by resecting the tibia in a transverse plane at an angle between 1.5 (external rotation) and -1.5 (internal rotation). We used a three-dimensional scanner to obtain the tibia's geometrical model of a cadaveric specimen. We then exported the surfaces of the tibial geometrical model through the Computer-Aided Three-dimensional Interactive Application (CATIA), which is a Computer-Aided Design (CAD) program. The CAD program three-dimensionally shaped the tibial component, polyethylene, and cement. Our analysis determined that the maximum equivalent stress is obtained in the case of proximal tibial resection at -1.5 angle in a transverse plane (internal rotation) with a value of 12.75 MPa, which is also obtained for the polyethylene (7.693 MPa) and cement (6.6 MPa). The results have shown that detrimental effects begin to occur at -1.5. We propose the use of this finite element method to simulate the positioning of the tibial component at different tibial resection angles to appreciate the optimal rotation.

Keywords: Finite element analysis; Rotational alignment; Tibial component; Total knee arthroplasty Grants and funding:

No funding was received.

Conflicts of interest:

The authors have no conflict of interests to declare.

Popescu R, Cristea S, Oleksik V, Pascu AM, Haritinian EG. Finite element analysis of the tibial component alignment in a transverse plane in total knee arthroplasty. J Appl Biomed. 2021;19(4):234-239. doi:10.32725/jab.2021.020.

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