Optimization Characteristics of Revision Knee Joint Endo-Prostheses

Authors

DOI:

https://doi.org/10.20535/2521-1943.2025.9.4(107).339387

Keywords:

revision arthroplasty, patient-specific prostheses, knee joint, 3D modeling, strength, anatomical compatibility

Abstract

The study addresses the problem of reducing the mass of patient-specific revision knee joint endoprostheses while preserving their load-bearing capacity through the introduction of internal cavities. The relevance of this research is driven by the need to decrease mechanical loading on bone tissue, improve patient comfort, and reduce titanium alloy consumption in the production of individualized implants. Additive manufacturing technologies, in particular selective laser melting (SLM), allow the creation of complex internal geometries that are unattainable by conventional machining methods. The aim of this work is to determine the optimal balance between mass reduction and preservation of strength characteristics by means of finite element analysis of two hollow stem configurations based on a 75 mm long reinforced stem. Numerical simulations were conducted using the Ansys Student 2024 R2 software package. Quantitative results demonstrated mass reduction of 25–35% accompanied by a corresponding increase in maximum stresses of 6–20%, depending on cavity configuration. The findings confirm the feasibility of achieving a substantial reduction in implant weight with an acceptable increase in stresses that does not exceed the structural safety margin.

References

  1. R. Huiskes, H. Weinans, and B. van Rietbergen, “The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials”, Clin. Orthop. Relat. Res., Vol. 274, pp. 124–134, 1992, doi: https://doi.org/10.1097/00003086-199201000-00014.
  2. X. P. Tan et al., “Metallic powder-bed based 3D printing of cellular scaffolds for orthopaedic implants: A state-of-the-art review on manufacturing, topological design, mechanical properties and biocompatibility”, Mater. Sci. Eng. C, Vol. 76, pp. 1328–1343, 2017, doi: https://doi.org/10.1016/j.msec.2017.02.094.
  3. 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, doi: https://doi.org/10.20535/2521-1943.2025.9.2(105).336223.
  4. 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, F. A. Jolesz, Ed. New York, NY: Springer, pp. 277–289, 2014, doi: https://doi.org/10.1007/978-1-4614-7657-3_19.
  5. Autodesk Inc. (2021). Meshmixer (Version 3.5) [Software]. Available: https://www.meshmixer.com.
  6. Dassault Systèmes. (2022). SolidWorks [Software]. Waltham, MA. https://files.solidworks.com/Supportfiles/Whats_New/2022/English/WhatsNew.pdf.
  7. Smith & Nephew Inc. (2024). LEGION Revision Knee System: Product Specifications. [Online]. Available: https://www.smith-nephew.com/professional/products-and-solutions/orthopaedic-reconstruction/knee/legion-revision-knee-system/.
  8. J. Kranz, D. Herzog, and C. Emmelmann, “Design guidelines for laser additive manufacturing of lightweight structures in Ti-6Al-4V”, J. Laser Appl., Vol. 27(S1), S14001, 2015, doi: https://doi.org/10.2351/1.4885235.
  9. Jing Zhang and Yeon-Gil Jung, Additive Manufacturing: Materials, Processes, Quantifications and Applications. [edition una-vailable]. Elsevier Science, 2018. Available at: https://www.perlego.com/book/1829154/additive-manufacturing-materials-processes-quantifications-and-applications-pdf (Accessed: 15 October 2022).
  10. Fraunhofer ILT, Design for Additive Manufacturing: Guidelines for Laser Powder Bed Fusion. Aachen, Germany: Fraunhofer-Institut für Lasertechnik, pp. 100–102, 2018.
  11. Materialise NV, 2023, Design Guidelines for Metal 3D Printing: Titanium (Ti6Al4V). [Online]. Available: https://www.materialise.com.
  12. Danish Technological Institute, Design Guide for Additive Manufacturing (Ti-6Al-4V). Taastrup, Denmark: DTI, 2021.
  13. E. F. Morgan, G. U. Unnikrisnan, and A. I. Hussein, “Bone mechanical properties in healthy and diseased states”, Annu. Rev. Biomed. Eng., Vol. 20, pp. 119–143, 2018, doi: https://doi.org/10.1146/annurev-bioeng-062117-121139.
  14. P. Tao et al., “Microstructure, mechanical properties, and constitutive models for Ti-6Al-4V alloy fabricated by selective laser melting (SLM)”, Metals, Vol. 9, No. 4, art. No. 447, 2019, doi: https://doi.org/10.3390/met9040447.

Published

2025-12-29

How to Cite

[1]
Y. Ovcharenko, “Optimization Characteristics of Revision Knee Joint Endo-Prostheses”, Mech. Adv. Technol., vol. 9, no. 4(107), pp. 409–414, Dec. 2025.

Issue

Section

Mechanics