1. Finite Element Assessment of the Screw and Cement Technique in Total Knee Arthroplasty
- Author
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Dong-Bin Qu, Yonggang Zhou, Hai-Yang Ma, Yin-qiao Du, Chong Zheng, Ji-Wei Luo, and Jing-yang Sun
- Subjects
Male ,musculoskeletal diseases ,Materials science ,Knee Joint ,Article Subject ,medicine.medical_treatment ,Bone Screws ,Finite Element Analysis ,0206 medical engineering ,Medial tibial plateau ,Total knee arthroplasty ,02 engineering and technology ,General Biochemistry, Genetics and Molecular Biology ,Stress (mechanics) ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Arthroplasty, Replacement, Knee ,Cement ,Orthodontics ,030222 orthopedics ,Tibia ,General Immunology and Microbiology ,Bone Cements ,General Medicine ,musculoskeletal system ,equipment and supplies ,Bone cement ,020601 biomedical engineering ,Arthroplasty ,Finite element method ,surgical procedures, operative ,medicine.anatomical_structure ,Medicine ,Cancellous bone ,Research Article - Abstract
Background. The screw and cement technique is a convenient method used to rebuild medial tibial plateau defects in primary total knee arthroplasty (TKA). The objective of this study was to perform a finite element assessment to determine the effect of different numbers of screws on the stability of TKA and to determine whether differences exist between two different insertion angles. Method. Six tibial finite element models with defects filled with screws and cement and one model with defects filled only with cement were generated. Contact stresses on the surface of cancellous bone in different areas were calculated. Results. Compared to the cement-only technique, the stress on the border of cancellous bone and bone cement decreased by 10% using the screw and cement technique. For bone defects with a 12% defect area and a 12-mm defect depth, the use of 1 screw achieved the greatest stability; for those with a 15% defect area and a 20-mm defect depth, 2 screws achieved the greatest stability. Conclusions. (1) The screw and cement technique is superior to the bone cement-only technique. For tibial defects in which the defect area comprises a large percentage but the depth is less than 5 mm, the screw and cement technique is recommended. (2) Vertical screws can achieve better stability than oblique screws. (3) Screws should be used in moderation for different defects; more is not always better.
- Published
- 2020
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