The influence of tibial component malalignment on bone strain in revision total knee replacement

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The management of bone loss in revision total knee replacement.

The management of bone loss in revision replacement of the knee remains a challenge despite an array of options available to the surgeon. Bone loss may occur as a result of the original disease, the design of the prosthesis, the mechanism of failure or technical error at initial surgery. The aim of revision surgery is to relieve pain and improve function while addressing the mechanism of failur...

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Computational study on the effect of malalignment of the tibial component on the biomechanics of total knee arthroplasty

OBJECTIVES Malalignment of the tibial component could influence the long-term survival of a total knee arthroplasty (TKA). The object of this study was to investigate the biomechanical effect of varus and valgus malalignment on the tibial component under stance-phase gait cycle loading conditions. METHODS Validated finite element models for varus and valgus malalignment by 3° and 5° were deve...

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The influence of stem length and fixation on initial femoral component stability in revision total knee replacement

OBJECTIVES Orthopaedic surgeons use stems in revision knee surgery to obtain stability when metaphyseal bone is missing. No consensus exists regarding stem size or method of fixation. This in vitro study investigated the influence of stem length and method of fixation on the pattern and level of relative motion at the bone-implant interface at a range of functional flexion angles. METHODS A c...

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Tibial component rotation in total knee arthroplasty

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[Total knee replacement following high tibial osteotomy].

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ژورنال

عنوان ژورنال: Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine

سال: 2016

ISSN: 0954-4119,2041-3033

DOI: 10.1177/0954411916638684