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Artificial composite tibiae have been widely used for mechanical evaluations of total knee arthoplasty (TKA) because of their low variability and wide availability. However, little information is available about whether artificial defects created during production significantly change the distribution of stress and micromotion within composite tibiae during a mechanical evaluation for TKA. The purpose of this study was to determine the effects of artificial defects on alterations in stress distribution and micromotion in composite tibiae during a mechanical evaluation for TKA using finite element (FE) analysis. The results showed that von Mises stresses near the artificial defect were approximately 1.6-fold higher than those on the same regions of composite tibiae without artificial defects.

However, the difference in von Mises stresses decreased gradually beginning 3 mm from the center of the artificial defect. Micromotion in composite tibiae with artificial defects was similar to that of tibiae without artificial defects. These findings suggest that stress/strain on the cortical bone surface should be measured at least 3 mm from artificial defect centers but that micromotion is not affected by the artificial defects during a mechanical evaluation for TKA using composite tibiae.

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참고문헌 (13건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Savin, G. N., “Stress Concentration Around Holes,” Pergamon Press, p. 171, 1961. 미소장
2 The role of bone in osteoarthritis 네이버 미소장
3 Carr, A. J., Robertsson, O., Graves, S., Price, A. J., Arden, N. K., et al., “Knee Replacement,” The Lancet, Vol. 379, No. 9823, pp. 1331-1340. 미소장
4 The epidemiology of total knee replacement in South Korea: national registry data. 네이버 미소장
5 Design and kinematics in total knee arthroplasty 네이버 미소장
6 Dynamic finite element knee simulation for evaluation of knee replacement mechanics 네이버 미소장
7 Strain shielding in proximal tibia of stemmed knee prosthesis: Experimental study 네이버 미소장
8 Heiner, A. D., “Structural Properties of Fourth-Generation Composite Femurs and Tibias,” Journal of Biomechanics, Vol. 41, No. 15, pp. 3282-3284, 2008. 미소장
9 Bäthis, H., Perlick, L., Tingart, M., Lüring, C., Zurakowski, D., and Grifka, J., “Alignment in Total Knee Arthroplasty a Comparison of Computer-Assisted Surgery with the Conventional Technique,”Journal of Bone & Joint Surgery, British Volume, Vol. 86, No. 5, pp. 682-687, 2004. 미소장
10 Full and surface tibial cementation in total knee arthroplasty: A biomechanical investigation of stress distribution and remodeling in the tibia 네이버 미소장
11 Savin, G. N., “Stress Concentration Around Holes,” Pergamon Press, pp. 529-541, 1961. 미소장
12 In vivo skeletal responses to porous-surfaced implants subjected to small induced motions. 네이버 미소장
13 Biomechanical evaluation of new total knee arthroplasty (TKA) enabling high deep flexion: Stand-sit-stand motion condition 소장