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Population-Based and Personalized Design of Total knee Replacement prosthesis for Additive Manufacturing Based on Chinese Anthropometric Data

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Engineering 2021年第3期7卷 386-394页

作者： C.S.Chui K.S.Leung J.Qin D.Shi P.Augat R.M.Y.Wong S.K.H.Chow X.Y.Huang C.Y.Chen Y.X.Lai P.S.H.Yung L.Qin W.H.Cheung Department of Orthcpaedics and Traumatology Faculty of MdicineThe Chinese University of Hong KongHong Kong 999077China Genter for Transiational Medicine Resarch and Development herzhet Institues of Advaned TechnologyChinese Academy of ScenesShenzhen 518055China Department of Orthopedirs and Traumatology Nanjing Drum Tower Hospital The Affiliated HospitalNanjing University Medial SchoolNanjing 210008China Institute for Biomechanics Berufgenos senschaftliche Unfallklinik MurnauMurnanu am Staffelsee 82418Cermany Instinute for Biomechanic Paracelsus Medical University SazburgSatzburg 5020Austria

At present,most total knee replacement(TKR)prostheses on the market are designed according to the sizes of ***,extensive studies have indicated that human anatomies differ among different ethnicities.A number of reports have indicated that Chinese TKR patients do not match with available *** this study,computed tomography(CT)images of 52 knees of Chinese men and women were used for anthropometric *** and geometric measurements were definedand used for correlation *** parameters from the measurement results were *** geometries of knees were measured as coordinates.A deformable three-dimensional(3D)knee modelbased on anatomical coordinates correlating with the identified key parameters was generated.A pros-thesis was then designed according to the analyzed *** matching analysis,bone resectionanalysis,and cadaveric trials were conducted and compared with commercial products to validate theproposed *** femoral component designed by this study resulted in the highest accuracy(rootmean square point-to-surface(RMS PS),(1.08±0.20)mm)and lowest amount of resected bone volume(27412mm^(3))in comparison with two commercial knee *** study suggests a new approachfor population-based patient-specific femoral prosthesis design With a single,easilty acquired dimen-sion-namely,epicondyle width(ECW)-as input,a patient-specific femoral prosthesis can be designed according to the analyzed measured data and manufactured by additive manufacturing(AM)***,the reconstructed femoral condylar surface was compared with the femoral condylar surfacein the original CT scanning data The average RMS PS distance of the reconstructed femoral condylar surface among all data was(1.10±0.18)mm,which is comparable to other statistical shape modeling methods using multiple radiographs as input *** is a need to develop an anthropometric-based knee prosthesis for the Chinese *** on

关键词： Additive manufacturing Population-based design Total knee replacement knee prosthesis Anthropometric measurement

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Transfer film effects induced by 3D-printed polyether-ether-ketone with excellent tribological properties for joint prosthesis

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Bio-Design and Manufacturing 2024年第1期7卷 43-56页

作者： Yang Li Jibao Zheng Changning Sun Dichen Li State Key Laboratory for Manufacturing System Engineering School of Mechanical EngineeringXi’an Jiaotong UniversityXi’an 710054China National Medical Products Administration(NMPA)Key Laboratory for Research and Evaluation of Additive Manufacturing Medical Devices Xi’an Jiaotong UniversityXi’an 710054China

Based on the building principle of additive manufacturing,printing orientation mainly determines the tribological properties of joint *** this study,we created a polyether-ether-ketone(PEEK)joint prosthesis using fused filament fabrication and investigated the effects of printing orientation on its tribological properties using a pin-on-plate tribometer in 25% newborn calf *** ultrahigh molecular weight polyethylene transfer film is formed on the surface of PEEK due to the mechanical capture of wear debris by the 3D-printed groove morphology,which is significantly impacted by the printing orientation of *** the printing orientation was parallel to the sliding direction of friction,the number and size of the transfer film increased due to higher steady *** transfer film protected the matrix and reduced the friction coefficient and wear rate of friction pairs by 39.13%and 74.33%,***,our findings provide a novel perspective regarding the role of printing orientation in designing knee prostheses,facilitating its practical applications.

关键词： 3D printing orientation Transfer film Tribological properties Polyether-ether-ketone knee prosthesis

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Damage due to rolling in total knee replacement-The influence of tractive force

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Friction 2013年第2期1卷 178-185页

作者： Markus AWIMMER Lars BIRKEN Kay SELLENSCHLOH Erich SCHNEIDER Section of Tribology Rush University Medical CenterChicagoIL 60612USA Section of Biomechanics Hamburg University of TechnologyHamburg21071Germany

The femoral condyles of a knee prosthesis articulate with a combination of rolling and sliding on the tibial polyethylene *** is known about potential polyethylene damage due to rolling *** rolling does not exclude the presence of tangential surface loads,this study sought to investigate the influence of tractive rolling on the wear of polyethylene.A“wheel-on-flat”apparatus,consisting of a metal wheel and a polyethylene flat,mimicked contact conditions present in total knee *** increasingly tractive force under conditions of pure rolling was *** was found that under rolling kinematics a tangential surface load of up to 17%of the normal load could be transferred through the *** damage was dependent on the amount of tractive force and appeared more severe with higher *** the region of highest tractive force,wear features were identified that resembled perpendicular ridges on surfaces of retrieved tibial polyethylene *** suggests that tractive rolling may be a relevant wear mode in total knee replacement.

关键词： polyethylene wear knee prosthesis tractive rolling

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Use of mid-vastus approach in less invasive primary total knee arthroplasty

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Chinese Medical Journal 2008年第9期121卷 787-790页

作者： DAI Xue-song YU Xue-zhong WU Li-dong HE Rong-xin WANG Xiang-hua YAN Shi-gui Department of Orthopedics Second Affiliated Hospital School of Medicine Zhejiang University Hangzhou Zhejiang 310009 China

Background Total knee arthroplasties （TKR） combined with the concept of reduced trauma to tissue has been performed by many doctors. The aim of this study was to retrospectively assess the early results of a group of TKR with a mid-vastus approach, which was characterized as no patellar eversion, no disruption of suprapatellar pouch and extensor mechanism, and to compare the outcome with conventional operative techniques. Methods A total of 59 patients （67 knees） were followed. All patients received the same prosthesis of Genesis II posterior-stabilized total knees. Of them, 29 consecutive patients （34 knees） had a mid-vastus approach and were operated on with less invasive instruments and techniques. The mean follow-up duration was 11.6 months. Clinical evaluations were performed according to the Hospital for Special Surgery scores; radiographic assessment followed the guidelines of the knee Society. Postoperative recovery of quadriceps strength and the extensor mechanism was also evaluated. Results No prosthetic loosening or anterior knee pain was found at the latest follow-up; 1 patient had a superficial infection and postoperative stiffness of the knee who undertook a debridement and manipulation several months later. The angulations of tibial osteotomy were within normal range. The average preoperative and postoperative Hospital for Special Surgery scores were 57.9 points and 86.1 points respectively. The mean postoperative range of motion was 113.5^-. Most patients regained their quadriceps strength at the third or fourth month postoperatively. Conclusions The overall early results from using the mid-vastus approach were comparable with that of using a standard approach, and the exposure did not affect the accuracy of the tibial cut. The muscle maximal contraction strenath recovered araduallv after oDeration. The aDDroach was safe and Datients of this aroup obtained satisfactorv outcomes.

关键词： arthroplasty knee prosthesis minimally invasive surgical procedures outcome

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A preliminary report of patellofemoral arthroplasty in isolated patellofemoral arthritis

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Chinese Medical Journal 2010年第21期123卷 3020-3023页

作者： GAO Xiang XU Zheng-jian HE Rong-xin YAN Shi-gui WU Li-dong Department of Orthopaedics the Second Affiliated Hospital Medical School of Zhejiang University Hangzhou Zhejiang 310009 China

Background Isolated patellofemoral osteoarthritis is not uncommon. Surgical treatment of isolated patellofemoral arthritis remains controversial and poses a challenging treatment dilemma. The present study aimed to evaluate the short-term results of patellofemoral arthroplasty for patients with isolated patellofemoral *** We analyzed 11 patellofemoral arthroplasties performed from March 2006 to September 2009 in 11 patients with isolated patellofemoral arthritis. The patients comprised 2 males and 9 females with an average age of 53.7 years （range, 46-74 years）. Standard weightbearing radiographs were taken in the anteroposterior, lateral, and 45° axial *** knee pain and functional status were evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index （WOMAC） scales and American knee Society （AKS） scores. For comparison, 23 total knee arthroplasties in 23 patients with primary tibiofemoral osteoarthritis were matched according to age, gender, bilaterality and body mass *** duration of follow-up was 23.7 months （range, 12-47 months）.Results The majority of the 11 patients experienced improvement in their patellofemoral symptoms after patellofemoral arthroplasty. The WOMAC scores improved considerably by 7.4 points with respect to pain and by 5.2 points with respect to function. The AKS scores also improved considerably by 23.9 points with respect to pain and 44.3 points with respect to function. Although the clinical outcomes after patellofemoral arthroplasty were not better than those after total knee arthroplasty, patellofemoral arthroplasty exhibited advantages in the shorter operation time, lower blood loss and increased postoperative range of motion. At the latest follow-up, there was no clinical or radiographic evidence of patellofemoral maltracking, loosening or *** On the basis of our experience in this relatively small series of patients with a short-term follow-up,patellofemoral arthroplasty i

关键词： patellofemoral arthroplasty knee prosthesis osteoarthritis

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