0
TECHNICAL PAPERS

Total Knee Replacement Polyethylene Stresses During Loading in a Knee Simulator

[+] Author and Article Information
Virginia L. Giddings, Steven M. Kurtz

Exponent, Inc., 149 Commonwealth Avenue, Menlo Park, CA 94025

Avram A. Edidin

Howmedica Osteonics Corp., 59 Route 17, Allendale, NJ 07401

J. Tribol 123(4), 842-847 (Aug 31, 2000) (6 pages) doi:10.1115/1.1330735 History: Received February 15, 2000; Revised August 31, 2000
Copyright © 2001 by ASME
Your Session has timed out. Please sign back in to continue.

References

Hood,  R. W., Wright,  T. M., and Burstein,  A. H., 1983, “Retrieval analysis of total knee prostheses: a method and its application to 48 total condylar prostheses,” J. Biomed. Mater. Res., 17, No. 5, pp. 829–842.
Schmalzried,  T. P., and Callaghan,  J. J., 1999, “Wear in total hip and knee replacements,” J. Bone Jt. Surg., Am., 81, No. 1, pp. 115–36.
Peters,  P. C., Engh,  G. A., Dwyer,  K. A., and Vinh,  T. N., 1992, “Osteolysis after total knee arthroplasty without cement,” J. Bone Jt. Surg., Am., 74, No. 6, pp. 864–876.
Wright,  T. M., and Bartel,  D. L., 1986, “The problem of surface damage in polyethylene total knee components,” Clin. Orthop., 205, pp. 67–74.
Bartel,  D. L., Bicknell,  V. L., and Wright,  T. M., 1986, “The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint replacement,” J. Bone Jt. Surg., Am., 68, pp. 1041–1051.
Blunn,  G. W., Walker,  P. S., Joshi,  A., and Hardinge,  K., 1991, “The dominance of cyclic sliding in producing wear in total knee replacements,” Clin. Orthop., 273, pp. 253–260.
Bartel,  D. L., Rawlinson,  J. J., Burstein,  A. H., Ranawat,  C. S., and Flynn,  W. F., 1995, “Stresses in polyethylene components of contemporary total knee replacements,” Clin. Orthop., 317, pp. 76–82.
Kurtz,  S. M., Pruitt,  L., Jewett,  C. W., Crawford,  R. P., Crane,  D. J., and Edidin,  A. A., 1998, “The yielding, plastic flow, and fracture behavior of ultra-high molecular weight polyethylene used in total joint replacements,” Biomaterials, 19, pp. 1989–2003.
Estupiñan,  J. A., Bartel,  D. L., and Wright,  T. M., 1998, “Residual stresses in ultra-high molecular weight polyethylene loaded cyclically by a rigid moving indenter in nonconforming geometries,” J. Orthop. Res., 16, No. 1, pp. 80–88.
Sathasivam,  S., and Walker,  P. S., 1998, “Computer model to predict subsurface damage in tibial inserts of total knees,” J. Orthop. Res., 16, No. 5, pp. 564–571.
Kurtz,  S. M., Bartel,  D. L., and Rimnac,  C. M., 1998, “Post-irradiation aging affects the stresses and strains in UHMWPE components for total joint replacement,” Clin. Orthop., 350, pp. 209–220.
Walker,  P. S., Blunn,  G. W., Broome,  D. R., Perry,  J., Watkins,  A., Sathasivam,  S., Dewar,  M. E., and Paul,  J. P., 1997, “A knee simulating machine for performance evaluation of total knee replacements,” J. Biomech., 30, No. 1, pp. 83–89.
Haider, H., Perry, J., and Des Jardins, J., 1998, Stanmore Knee Simulator: Installation, Operation, and Maintenance Manual, University of College London, Stanmore, England.
International Organization for Standardization, 1999, ISO/Draft International Standard 14243-1, “Wear of total knee joint prostheses, Part 1: Loading and displacement for wear testing machines and corresponding environmental conditions for test.”
Kurtz,  S. M., Ochoa,  J. A., White,  C. V., Srivastav,  S., and Cournoyer,  J., 1998, “Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement,” J. Biomech., 31, pp. 431–437.
Kurtz,  S. M., Rimnac,  C. M., Pruitt,  L., Jewett,  C. W., Goldberg,  V., and Edidin,  A. A., 2000, “The relationship between the clinical performance and large deformation mechanical behavior of retrieved UHMWPE tibial inserts,” Biomaterials, 21, pp. 283–291.
Edidin,  A. A., Pruitt,  L., Jewett,  C. W., Crane,  D., Roberts,  D., and Kurtz,  S. M., 1999, “Plasticity-induced damage layer is a precursor to wear in radiation-crosslinked UHMWPE acetabular components for total hip replacement,” J. Arthroplasty, 14, pp. 616–627.
Edidin, A. A., Giddings, V. L., and Kurtz, S. M., 1999, “The Role of Elastic and Large-Strain Mechanical Behavior on the Wear of UHMWPE, HDPE, PTFE, and Polyacetal Evaluated by a Hip Simulator,” 1999 Advances in Bioengineering, ASME, BED-Vol. 43, pp. 127–128.
Edidin,  A. A., and Kurtz,  S. M., 2000, “The influence of mechanical behavior on the wear of four clinically relevant polymeric biomaterials in a hip simulator,” J. Arthroplasty, 15, pp. 321–331.

Figures

Grahic Jump Location
Finite element meshes of the femoral component, tibial insert, and tibial base plate
Grahic Jump Location
Schematic showing boundary conditions for the Stanmore knee simulator (left). The schematic is superimposed over the photograph of the Stanmore simulator on the right.
Grahic Jump Location
Schematic showing the boundary conditions applied to the finite element model. The axial force and anterior/posterior (A/P) force were applied to the center of mass of the tibial baseplate, which was modeled as a rigid body. The tibial baseplate was constrained to move only in the sagittal plane (no motion in the medial/lateral direction). The flexion/extension boundary condition was applied to the elements representing the rigid femoral component; the remaining degrees of freedom for the femoral component were fixed.
Grahic Jump Location
Force and flexion angle inputs for the Stanmore knee simulator which were used in the finite element analysis
Grahic Jump Location
Fringe plots of the maximum values throughout loading cycle for: von Mises stress (A), contact stress (B), and von Mises strain (C)
Grahic Jump Location
Anterior-posterior displacement of tibial baseplate during finite element analysis
Grahic Jump Location
Worn tibial component specimen after wear testing in a Stanmore knee simulator

Tables

Errata

Discussions

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging and repositioning the boxes below.

Topic Collections

Sorry! You do not have access to this content. For assistance or to subscribe, please contact us:

  • TELEPHONE: 1-800-843-2763 (Toll-free in the USA)
  • EMAIL: asmedigitalcollection@asme.org
Sign In