Abdelgaied, A, Brockett, CL, Liu, F et al. (3 more authors) (2014) The effect of insert conformity and material on total knee replacement wear. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 228 (1). 98 - 106. ISSN 0954-4119
Abstract
The mean average life is increasing; therefore, there is a need to increase the lifetime of the prostheses. To fulfil this requirement, new prosthetic designs and materials are being introduced. Two of the design parameters that may affect wear of total knee replacements, and hence the expected lifetime, are the insert conformity and material. Computational models have been used extensively for wear prediction and optimisation of artificial knee designs. The objective of the present study was to use a previously validated non-dimensional wear coefficient-based computational wear model to investigate the effect of insert conformity and material on the predicted wear in total knee replacements. Four different inserts (curved, lipped, partial flat and custom flat), with different conformity levels, were tested against the same femoral and under two different kinematic inputs (intermediate and high), with different levels of cross-shear. The insert bearing materials were either conventional or moderately cross-linked ultra-high molecular weight polyethylene (UHMWPE). Wear predictions were validated against the experimental data from Leeds knee simulation tests. The predicted wear rates for the curved insert (most conformed) were more than three times those for the flat insert (least conformed). In addition, the computationally predicted average volumetric wear rates for moderately cross-linked UHMWPE bearings were less than half of their corresponding conventional UHMWPE bearings. Moreover, the wear of the moderately cross-linked UHMWPE was shown to be less dependent on the degree of cross-shear, compared to conventional UHMWPE. These results along with supporting experimental studies provide insight into the design variables, which may reduce wear in knee replacements.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2013 IMechE. This is an open access article under the terms of the Creative Commons Attribution CC BY License |
Keywords: | Total knee replacements; insert conformity; wear; conventional ultra-high molecular weight polyethylene; moderately cross-linked ultra-high molecular weight polyethylene |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Engineering & Physical Sciences (Leeds) > School of Mechanical Engineering (Leeds) > Institute of Medical and Biological Engineering (iMBE) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 14 Aug 2014 10:59 |
Last Modified: | 14 Aug 2014 10:59 |
Published Version: | http://dx.doi.org/10.1177/0954411913513251 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/0954411913513251 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:79910 |