Finite element analysis methodology of patient-specific revision knee endoprostheses based on computed tomography data

Authors

DOI:

https://doi.org/10.20535/2521-1943.2025.9.2(105).336223

Keywords:

revision arthroplasty, patient-specific prostheses, knee joint, anatomical compatibility, 3D modeling, elastic-deformed state, strength, contact stress, load-bearing capacity

Abstract

Revision femoral knee joint replacement using patient-specific prostheses manufactured from titanium alloy via additive 3D printing technologies is considered. A relevant problem is ensuring optimal geometric compatibility of the prosthesis with the patient’s anatomical features, which minimizes the risk of complications and increases the longevity of the implant. Existing standardized prostheses often fail to account for individual variations, which can lead to complications and increased wear of components. The aim of this study is to develop and validate a methodology for assessing the load-bearing capacity of revision prostheses by creating a series of patient-specific simulation models of metal constructions for a typical revision case, followed by comparison of their stress-strain state and contact stresses with a two-layer biological bone model. Geometric data from 15 patients were collected using computed tomography in DICOM format, followed by model simplification and conversion into .stl files. For one patient, four variants of patient-specific prostheses with typical dimensions and shapes were modeled. Applied biomechanics problems were solved using the Ansys Student 2024 R2 software package. As a result, quantitative indicators of prosthesis stresses, contact zone stresses, and maximum displacements of the bone-prosthesis system were obtained. The study results can be used in orthopedic practice to select the optimal prosthesis geometry for improving the effectiveness of revision knee joint replacement.

References

  1. A. E. Loskutov, T. Siebel, A. E. Oleynik and D. A. Sinegubov, "Endoprotezirovaniye pri tyazhelom proyavlenii revmatoidnogo artrita", Ortopediya, travmatologiya i protezirovaniye, no. 4, pp. 114-116, 2002.
  2. S. Sharma, F. Nicol, R. Abu-Rajab, M. Hullin and S. McCreath, "Uncemented LCS meniscal bearing knee replacement used to revise a failed unicompartmental knee – 10 to 15 year survivorship analysis", Orthopaedic Proceedings, vol. 87-B, no. Supp. III, p. 342, 2005. DOI: https://doi.org/10.1302/0301-620X.87BSUPP_III.0870342d.
  3. T. I. Osadchuk, A. V. Kalashnikov and O. V. Khyts, "Gonarthrosis: prevalence and differential approach to endoprosthesis", Ukrainian Medical Journal, no. 6 (146), pp. 1-5, 2021. DOI: https://doi.org/10.32471/umj.1680-3051.146.222998.
  4. M. Burns, Automated Fabrication: Improving Productivity in Manufacturing. Lebanon, Indiana, USA: Prentice Hall, 1993, 369 p.
  5. R. Kikinis, S. D. Pieper and K. G. Vosburgh, "3D Slicer: A Platform for Subject-Specific Image Analysis, Visualization, and Clinical Support", in Intraoperative Imaging Image-Guided Therapy. New York, NY: Springer New York, 2014, pp. 277-289. DOI: https://doi.org/10.1007/978-1-4614-7657-3_19.
  6. Meshmixer, version 3.5.0. Apps.autodesk.com. Available: https://apps.autodesk.com/FUSION/en/Detail/Index?id=4108920185261935100&appLang=en&os=Win64.
  7. SolidWorks, version 2022. Solidworks.com. Available: https://www.solidworks.com/product/whats-new-2022.
  8. LEGION RK Revision Knee System. Smith & Nephew. Available: https://www.smith-nephew.com/en/health-care-professionals/products/orthopaedics/legion-rk#overview.
  9. Ansys Student, version 2024 R2. Ansys.com. Available: https://www.ansys.com/academic/students/ansys-student.
  10. E. F. Morgan, G. U. Unnikrisnan and A. I. Hussein, "Bone Mechanical Properties in Healthy and Diseased States", Annual Review of Biomedical Engineering, vol. 20, pp. 119-143, 2018. DOI: https://doi.org/10.1146/annurev-bioeng-062117-121139.
    | |
  11. P. Tao, J. Zhong, H. Li, Q. Hu, S. Gong and Q. Xu, "Microstructure, Mechanical Properties, and Constitutive Models for Ti-6Al-4V Alloy Fabricated by Selective Laser Melting (SLM)", Metals, vol. 9, no. 4, p. 447, 2019. DOI: https://doi.org/10.3390/met9040447.
    |
  12. L. B. Maslov, "Biomechanical model and numerical analysis of hip joint implant with linear elastic isotropic material", Proceedings of the Institution of Mechanical Engineers, vol. 235, no. 5, pp. 1053-1063, 2021.
  13. S. P. Timoshenko and J. Goodyer, Teoriya uprugosti. Moscow: Nauka, 1975, 576 p.
  14. ASTM Standard F1800-12. Standard Practice for Cyclic Fatigue Testing of Metal Tibial Tray Components of Total Knee Joint Replacements.

Published

2025-06-26

How to Cite

[1]
Y. Ovcharenko and M. Kryshchuk, “Finite element analysis methodology of patient-specific revision knee endoprostheses based on computed tomography data”, Mech. Adv. Technol., vol. 9, no. 2(105), pp. 210–221, Jun. 2025.

Issue

Section

Advanced Mechanical Engineering and Manufacturing Technologies