Contact stress analysis of surface guided knee implant using finite element modeling

Abstract

After Total Knee Arthroplasty, contact stresses at the surface and stresses at the implant-cement-bone interface are directly related to the joint contact forces. These stresses are a major factor in wear and fatigue, aseptic loosening, stress shielding and osteoporosis. Implant contact stresses influence the wear and fatigue damage of the Ultra High Molecular Weight Polyethylene (UHMWPE) articulating surface, decreasing the longevity of the implant. The contact stresses are influenced by the kinematics, the bearing congruency of the articulating surfaces and insert thickness. Thus, various studies have focused on the prediction and optimization of kinematics at the joint interface, contact areas, and stresses in different knee implant designs. As a result, the successful total knee replacement designs depend on joint kinematics and the contact stresses. The objective of this study was to perform contact stress analysis on a newly designed surface guided knee implant, in order to evaluate the design with respect to the potential of polyethylene wear. In order to test the performance of this design, Finite Element Modeling (FEM) was used as a good medium to analyze the design’s specifications, and to evaluate the results of the stress analysis of the design. For validation and also comparison with previous studies, results of this study were compared with those of related work with similar loading and constraints. Based on the gathered data from FE analysis of the design, it can be concluded that the new surface guided knee implant shows lower peak contact pressure than other previously evaluated implants.