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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2018

Open Access 01-12-2018 | Research article

Finite element analysis of the tibial bone graft in cementless total knee arthroplasty

Authors: Koji Totoribe, Etsuo Chosa, Go Yamako, Hiroaki Hamada, Koki Ouchi, Shutaro Yamashita, Gang Deng

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

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Abstract

Background

Achieving stability of the tibial implant is essential following cementless total knee arthroplasty with bone grafting. We investigated the effects of bone grafting on the relative micromotion of the tibial implant and stress between the tibial implant and adjacent bone in the immediate postoperative period.

Methods

Tibial implant models were developed using a nonlinear, three-dimensional, finite element method. On the basis of a preprepared template, several bone graft models of varying sizes and material properties were prepared.

Results

Micromotion was larger in the bone graft models than in the intact model. Maximum micromotion and excessive stress in the area adjacent to the bone graft were observed for the soft and large graft models. With hard bone grafting, increased load transfer and decreased micromotion were observed.

Conclusions

Avoidance of large soft bone grafts and use of hard bone grafting effectively reduced micromotion and undue stress in the adjacent area.
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Metadata
Title
Finite element analysis of the tibial bone graft in cementless total knee arthroplasty
Authors
Koji Totoribe
Etsuo Chosa
Go Yamako
Hiroaki Hamada
Koki Ouchi
Shutaro Yamashita
Gang Deng
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-018-0830-1

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