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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.

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.

The purpose of this study was to realize finite element simulation in order to dynamically determine the area of the contact, the contact pressure and the strain energy density (identified as a damage function) for three different activities – normal walking, ascending stairs and descending stairs – that could be considered to define the level of the activity of the patient.

The finite element model uses a modern contact mechanism that includes friction between the metallic femoral condyles or femoral head (considered rigid) and the tibial polyethylene insert or acetabular cup (considering a non-linear behaviour).

For all three activities, the finite element analyses were performed, and a damage score was computed. Finally, a cumulative damage score (that accounts for all three activities) was determined, and the areas where the fatigue wear is likely to occur were identified.

A closer look at the distribution of the damage score reveals that the maximum damage is likely to occur not at the contact surface, but in the subsurface.

The purpose of this paper is to propose and evaluate the selection of materials for the selective laser sintering (SLS) process, which is used for low-volume production in the engineering (e.g. light weight machines, architectural modelling, high performance application, manufacturing of fuel cell, etc.), medical and many others (e.g. art and hobbies, etc.) with a keen focus on meeting customer requirements.

The work starts with understanding the optimal process parameters, an appropriate consolidation mechanism to control microstructure, and selection of appropriate materials satisfying the property requirement for specific application area that leads to optimization of materials.

Fabricating the parts using optimal process parameters, appropriate consolidation mechanism and selecting the appropriate material considering the property requirement of applications can improve part characteristics, increase acceptability, sustainability, life cycle and reliability of the SLS-fabricated parts.

The newly proposed material selection system based on properties requirement of applications has been proven, especially in cases where non-experts or student need to select SLS process materials according to the property requirement of applications. The selection of materials based on property requirement of application may be used by practitioners from not only the engineering field, medical field and many others like art and hobbies but also academics who wish to select materials of SLS process for different applications.

The paper aims to focus on the individual contribution of water to the lubrication regimes in articular joints because understanding of these regimes is crucial not only for the treatment of diseases like osteoarthritis but also for the development of new implants to have a longer service cycle.

Cartilage specimen and the synovial fluid were both isolated from bovine knee joints that are enclosed by a synovial membrane under sterile conditions of a biosafety Level 2 (BSL2) cabinet. Subchondral bone was removed from the cartilage because it not only creates a stable base to place the specimen on the holder, but it also acts as a primary shock absorber protecting the overlaying cartilage under high-impact loads. A specimen holder specially designed for tests and was attached to the linear oscillation (SRV) test machine. The SRV test machine provides a reciprocating sliding motion between the cartilage samples that are submerged into the selected biological media. The entire system can be mounted on the BSL2 cabinet, sealed with the convoluted gaiter and transported to the SRV machine with a specifically designed handle for the entire system. The process ensures sterile conditions for tests on biological samples that are highly sensitive to the environmental conditions.

A remarkably low coefficient of friction value for distilled water constitutes more evidence to support the assumption of the impact of water in the friction behaviour of the cartilage-against-cartilage contact. As the fluid in articular cartilage (AC) effectively serves as a synovial fluid reserve and 70-80 per cent of its composition is distilled water, it can be stated that the tribotest system mimics the natural working conditions of an actual knee joint adequately.

Time and limited availability of the animal-driven samples led to a focus on certain parameters mentioned in the approach. A planned scan of parameter matrix, such as variation of load and speed, would allow deeper knowledge on the lubrication regimes.

Study of relevant tribological contact in human joints might give ideas on new designs for artificial joints.

Understanding of lubrication regimes is crucial not only for the treatment of diseases like osteoarthritis but also for the development of new implants to adapt motion of related joint.

Exclusion of water and application as the primary lubricant in the test system brings a new perspective to joint lubrication.

A magnetorheological knee prosthesis is presented that automatically adapts knee damping to the gait of the amputee using only local sensing of knee force, torque, and position. To assess the clinical effects of the user‐adaptive knee prosthesis, kinematic gait data were collected on four unilateral trans‐femoral amputees. Using the user‐adaptive knee and a conventional, non‐adaptive knee, gait kinematics were evaluated on both affected and unaffected sides. Results were compared to the kinematics of 12 age, weight and height matched normals. We find that the user‐adaptive knee successfully controls early stance damping, enabling amputee to undergo biologically‐realistic, early stance knee flexion. These results indicate that a user‐adaptive control scheme and local mechanical sensing are all that is required for amputees to walk with an increased level of biological realism compared to mechanically passive prosthetic systems.

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.

A “hands‐on” robotic system for total knee replacement (TKR) surgery is presented. Computed tomography (CT) based software is used to accurately plan the procedure pre‐operatively. Intra‐operatively, the surgeon guides a small, special‐purpose robot, called Acrobot^®, which is mounted on a gross positioning device. The Acrobot uses active constraint control, which constrains the motion to a pre‐defined region, and thus allows the surgeon to safely cut the knee bones to fit a TKR prosthesis with high precision. A non‐invasive anatomical registration method is used. The system has undergone early clinical trials with very promising outcomes.

This paper aims to achieve rapid design and manufacturing of personalized total knee femoral component.

On the basis of a patient’s bone model, a matching personalized knee femoral component was rapidly designed with the help of computer-aided design method, then manufactured directly and rapidly by selective laser melting (SLM). Considered SLM as manufacturing technology, CoCrMo-alloyed powder that meets ASTM F75 standard is made of femoral component under optimal processing parameters. The feasibility of SLM forming through conducting experimental test of mechanical properties, surface roughness, biological corrosion resistance was analyzed.

The result showed that the tensile strength, yield strength, hardness and biological corrosion resistance of CoCrMo-alloyed personalized femoral component fulfill knee joint prosthesis standard through post-processing.

Traditional standardized prosthesis implantation manufacturing approach was changed by computer-aided design and personalized SLM direct manufacturing, and provided a new way for personalized implanted prosthesis to response manufacturing rapidly.

There are over 40 million amputees globally with more than 185,000 Americans losing their limbs every year. For most of the world, prosthetic devices remain too expensive and uncomfortable. This paper aims to outline advancements made by a multidisciplinary research group, interested in advancing the restoration of human motion through accessible lower limb prostheses.

Customization, comfort and functionality are the most important metrics reported by prosthetists and patients. The work of this paper presents the design and manufacturing of a custom made, cost-effective and functional three-dimensional (3D) printed transtibial prosthesis monocoque design. The design of the prosthesis integrates 3D imaging, modelling and optimization techniques coupled with additive manufacturing.

The successful fabrication of a functional monocoque prosthesis through 3D printing indicates the workflow may be a solution to the worldwide accessibility crisis. The digital workflow developed in this work offers great potential for providing prosthetic devices to rural communities, which lack access to skilled prosthetic physicians. The authors found that using the workflow together with 3D printing, this study can create custom monocoque prostheses (Figure 16). These prostheses are comfortable, functional and properly aligned. In comparison with traditional prosthetic devices, the authors slowered the average cost, weight and time of production by 95%, 55% and 95%, respectively.

This novel digital design and manufacturing workflow has the potential to democratize and globally proliferate access to prosthetic devices, which restore the patient’s mobility, quality of life and health. LIMBER’s toolbox can reach places where proper prosthetic and orthotic care is not available. The digital workflow reduces the cost of making custom devices by an order of magnitude, enabling broader reach, faster access and improved comfort. This is particularly important for children who grow quickly and need new devices every few months or years, timely access is both physically and psychologically important.

In this manuscript, the authors show the application of digital design techniques for fabricating prosthetic devices. The proposed workflow implements several advantageous changes and, most importantly, digitally blends the three components of a transtibial prosthesis into a single, 3D printable monocoque device. The development of a novel unibody transtibial device that is properly aligned and adjusted digitally, greatly reduces the number of visits an amputee must make to a clinic to have a certified prosthetist adjust and modify their prosthesis. The authors believe this novel workflow has the potential to ease the worldwide accessibility crisis for prostheses.