Search results

The purpose of this paper is to use numerical methods and modelling to estimate the effect of a passive, metallic (conducting) implant on eddy currents distribution in a human knee model. There exists a concern among wearers of such implants that they alter electromagnetic field (eddy currents) significantly and there is a need for standardization of that problem.

The numerical model of a human knee has been built on the base of Visual Human Project and electromagnetic field calculations were carried out using Meep FDTD engine. In total, two scenarios have been considered: the knee model with and without a metallic implant. The knee implant model has been prepared as the knee model with overestimated electrical parameters of bone tissues by titanium metal. Alternating eddy current distribution has then been evaluated for both models using FDTD low frequency algorithm.

The highest values of eddy currents occurred on the interface between skin and muscle tissues when the model without an implant is considered. However, when the bone tissues have been replaced with titanium metal, the highest values have occurred in the implant (about 100 times higher than the previous one). This means that an implant can be heated by external electromagnetic fields and that the location of the highest values of eddy currents can be shifted to the proximity of the implant. Moreover, one should realize that in this model the implant is like a knee bone with all anatomical details. It has emerged from this that the implant's shape and size are essential when evaluating its effect on eddy currents distribution.

The interaction of electromagnetic field with implants should be generally further investigated, at least for the presumable worst cases. Such investigation has already been done by some researches but they have been devoted to radio frequencies. The authors believe that the presented research will be helpful in the standardization process, when talking about low frequency electromagnetic field.

The presented methodology can be used in the development of computer aid diagnosis systems. Overestimation of electrical parameters of some parts of the model allows us to predict the distribution of electromagnetic field in the model under investigation very quickly. The results presented in the paper can be used during the standardization process.

The purpose of this paper is to investigate by means of finite element analysis (FEA), the effect of polyethylene insert thickness and implant material, under axial loading following TKA.

The 3D geometric model of bone was processed using the CT scan data by MIMICS (3matic Inc.), package. Implant components were 3D scanned and subsequently 3D modeled using ANSYS Spaceclaim and meshed in Hypermesh (Altair Hyperworks). The assembled, meshed bone-implant model was then input to ABAQUS for FE simulations, considering axial loading.

Polyethylene insert thickness was found to have very little or no significance (p>0.05) on the mechanical performance, namely, stress, strain and stress shielding of bone-implant system. Implant material was found to have a very significant effect (p<0.05) on the performance parameters and greatly reduced the high stress zones up to 60 percent on the tibial flange region and periprosthetic region of tibia.

Very few FEA studies have been done considering a full bone with heterogeneous material properties, to save computational time. Moreover, four different polyethylene insert thickness with a metal-backed and all-poly tibial tray was considered as the variables affecting the bone-implant system response, under static axial loading. The authors believe that considering a full bone shall lead to more precise outcomes, in terms of the response of bone-implant system, namely, stress, strains and stress shielding in the periprosthetic region, to loading.

This paper aims to review the latest applications in terms of three-dimensional printed (3DP) metal implants in orthopedics, and, importantly, the design of 3DP metal implants through a series of cases operated at The Second Hospital of Jilin University were presented.

This paper is available to practitioners who are use 3DP implants in orthopedics. This review began with the deficiency of traditional prostheses and basic concepts of 3DP implants. Then, representative 3DP clinical cases were summarized and compared, and the experiences using customized prostheses and directions for future potential development are also shown.

The results obtained from the follow-up of clinical applications of 3DP implants show that the 3D designed and printed metal implants could exhibit good bone defect matching, quick and safe joint functional rehabilitation as well as saving time in surgery, which achieved high patient satisfaction collectively.

Single center experiences of 3DP metal implants design were shared and the detailed technical points between various regions were compared and analyzed. In conclusion, the 3DP technology is infusive and will present huge potential to reform future orthopedic practice.

Focuses on a simple question: should Zimmer develop a gender-specific artificial knee? The decision is complicated because while the idea seems to make sense, there is little clinical evidence that a gender-specific knee produces superior patient outcomes, and orthopedic surgeons are likely to be skeptical of the innovation.

To teach new product strategy and growth strategy, and introduce students to the medical device industry.

The aim of this paper is to present the main results of a research project finished in 2008 which concerned the selective laser melted (SLM) prototype of a new kind of minimally invasive resurfacing hip arthroplasty (RHA) endoprosthesis with the original multi‐spiked connecting scaffold (MSC‐Scaffold). Previous attempts performed in pre‐Direct Metal Manufacturing (DMM) era demonstrated that it was impossible to manufacture suitable prototypes of this RHA endoprosthesis (especially of the MSC‐Scaffold) using traditional machining technologies. Owing to an extensive development of DMM technologies observed in recent years the manufacturing of such prototypes has become possible.

Computer aided design models of pre‐prototypes and the prototype of the RHA endoprosthesis with MSC‐Scaffold were designed and initially optimized within the claims and the general assumptions of international patents by Rogala. Prototyping in SLM technology was subcontracted to SLM Tech Center (Paderborn, Germany). Macroscopic and SEM microscopic evaluation of the MSC‐Scaffold was performed using SLM manufactured prototypes and paying special attention to the quality and precision of manufacturing.

It was found that SLM can be successfully applied to manufacturing of prototypes of the original minimally invasive RHA endoprosthesis. The manufacturing quality of the 3D spikes system of the MSC‐Scaffold, which mimics the interdigitations of articular subchondral bone, has been proved to be geometrically corresponding to the biological original. Nevertheless, some pores and non‐melted zones were found in SLM prototyped RHA endoprosthesis cross‐sections which need to be eliminated to minimize the potential risk of clinical failure.

The presented case study was performed with a limited number of samples. More research needs to be performed on the rapid prototyped samples including microstructural and mechanical tests. The results may enable the optimization of the SLM manufacturing process of the prototypes of the minimally invasive RHA endoprosthesis with MSC‐Scaffold.

The SLM can be considered as potentially suitable for the fabrication of patient‐fitted minimally invasive RHA endoprostheses with MSC‐Scaffold.

For the first time, largely owing to SLM technology, it was possible to manufacture the prototype of the original minimally invasive RHA endoprosthesis with MSC‐Scaffold suitable for further research.

The purpose of this paper is to establish a methodology for the design and development of patient-specific elbow implant with an elastic modulus close to that of the human bone. One of the most preferred implant material is titanium alloy which is about 8 to 9 times higher in strength than that of the human bone and is the closest than other metallic biomedical materials.

The methodology begins with the design of the implant from patient-specific computed tomography information and incorporates the manufacturing of the implant via a novel rapid prototyping assisted microwave sintering process.

The elastic modulus and the flexural strength of the implant were observed to be comparable to that of human elbow bones. The fatigue test depicts that the implant survives the one million cycles under physiological loading conditions. Other mechanical properties such as impact energy absorption, hardness and life cycle tests were also evaluated. The implant surface promotes human cell growth and adhesion and does not cause any adverse or undesired effects i.e. no cytotoxicity.

Stress shielding, and therefore, aseptic loosening of the implant shall be avoided. In the event of any trauma post-implantation, the implant would not hurt the patient.

The present study describes a methodology for the first time to be able to obtain the strength required for the medical implant without sacrificing the fatigue life requirement.

The purpose of this paper is to study the functionality of additively manufactured (AM) parts, mainly depending on their dimensional accuracy and surface finish. However, the products manufactured using AM usually suffer from defects like roughness or uneven surfaces. This paper discusses the various surface quality improvement techniques, including how to reduce surface defects, surface roughness and dimensional accuracy of AM parts.

There are many different types of popular AM methods. Unfortunately, these AM methods are susceptible to different kinds of surface defects in the product. As a result, pre- and postprocessing efforts and control of various AM process parameters are needed to improve the surface quality and reduce surface roughness.

In this paper, the various surface quality improvement methods are categorized based on the type of materials, working principles of AM and types of finishing processes. They have been divided into chemical, thermal, mechanical and hybrid-based categories.

The review has evaluated the possibility of various surface finishing methods for enhancing the surface quality of AM parts. It has also discussed the research perspective of these methods for surface finishing of AM parts at micro- to nanolevel surface roughness and better dimensional accuracy.

This paper represents a comprehensive review of surface quality improvement methods for both metals and polymer-based AM parts.

This bibliography is offered as a practical guide to published papers, conference proceedings papers and theses/dissertations on the finite element (FE) and boundary element (BE) applications in different fields of biomechanics between 1976 and 1991. The aim of this paper is to help the users of FE and BE techniques to get better value from a large collection of papers on the subjects. Categories in biomechanics included in this survey are: orthopaedic mechanics, dental mechanics, cardiovascular mechanics, soft tissue mechanics, biological flow, impact injury, and other fields of applications. More than 900 references are listed.

The purpose of this paper is to develop a process chain for design and manufacture of endplates of intervertebral disc implants, with specific emphasis on designing footprint profiles and matching endplate geometry.

Existing techniques for acquiring patient‐specific information from CT scan data was and a user‐friendly software solution was developed to facilitate pre‐surgical planning and semi‐automated design. The steps in the process chain were validated experimentally by manufacturing Ti6Al4 V endplates by means of Direct Metal Laser Sintering to match vertebrae of a cadaver and were tested for accuracy of the implant‐to‐bone fitment.

Intervertebral disc endplates were successfully designed and rapid manufactured using a biocompatible material. Accuracy within 0.37 mm was achieved. User‐friendly, semi‐automated design software offers an opportunity for surgeons to become more easily involved in the design process and speeds up the process to more accurately develop a custom‐made implant.

This research is limited to the design and manufacture of the bone‐implant contacting interface. Other design features, such as keels which are commonly used for implant fixation as well as the functionality of the implant joint mechanics were not considered as there may be several feasible design alternatives.

This research may change the way that current intervertebral disc implants are designed and manufactured.

Apart from other areas of application (cranial, maxillofacial, hip, knee, foot) and recent research on customized disc nucleus replacement, very little work has been done to develop patient‐specific implants for the spine. This research was conducted to contribute and provide much needed progress in this area of application.

This study aims to design a femoral component with minimum volume and maximum safety coefficient. Total knee prosthesis is a well-established therapy in arthroplasty applications. And in particular, with respect to damaged or weakened cartilage, new prostheses are being manufactured from bio-materials which are compatible with the human body to replace these damages. A new universal method (design method requiring optimum volume and safety [DMROVAS]) was propounded to find the optimum design parameters of tibial component.

The design montage was analyzed via the finite element method (FEM). To ensure the stability of the prosthesis, the maximum stress angle and magnitude of the force on the knee were taken into consideration. In the analysis process, results revealed two different maximum stress areas which were supported by case reports in the literature. Variations of maximum stress, safety factor and weight were revealed by FEM analysis, and ANOVA was used to determine the F force percentage for each of the design parameters.

Optimal design parameter levels were chosen for the individual’s minimum weight. Stress maps were constructed to optimize design choices that enabled further enhancement of the design models. The safety factor variation (SFV) of 5.73 was obtained for the volume of 39,219 mL for a region which had maximum stress. At the same time, for a maximum SFV and at the same time an average weight, values of 37,308 mL and 5.8 for volume and SFV were attained, respectively, using statistical methods.

This proposed optimal design development method is new and one that can be used for many biomechanical products and universal industrial designs.