Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.

Knee osteoarthritis (KOA) is a degenerative joint disease predominantly affecting the elderly and is often managed through knee replacement surgeries. West Asians, who frequently engage in activities involving bending and kneeling during their prayers, tend to exhibit distinct bone anatomy compared...

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Main Authors: Shady A Alshewaier, Mohamed Yacin Sikkandar, Ali Ahmed Ali Almakrami, S Sabarunisha Begum, Ahmad Alassaf, Ibrahim AlMohimeed, S Meenatchi Sundaram, Dheeraj Poojary, Natteri M Sudharsan, Eddie Y K Ng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0311210
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author Shady A Alshewaier
Mohamed Yacin Sikkandar
Ali Ahmed Ali Almakrami
S Sabarunisha Begum
Ahmad Alassaf
Ibrahim AlMohimeed
S Meenatchi Sundaram
Dheeraj Poojary
Natteri M Sudharsan
Eddie Y K Ng
author_facet Shady A Alshewaier
Mohamed Yacin Sikkandar
Ali Ahmed Ali Almakrami
S Sabarunisha Begum
Ahmad Alassaf
Ibrahim AlMohimeed
S Meenatchi Sundaram
Dheeraj Poojary
Natteri M Sudharsan
Eddie Y K Ng
author_sort Shady A Alshewaier
collection DOAJ
description Knee osteoarthritis (KOA) is a degenerative joint disease predominantly affecting the elderly and is often managed through knee replacement surgeries. West Asians, who frequently engage in activities involving bending and kneeling during their prayers, tend to exhibit distinct bone anatomy compared to the Caucasian population. This research posits that patient-specific, customized knee implants with articular cartilages may lead to reduced post-surgical discomfort and a better implant fit compared to conventional standard implants. This study presents a novel concept and approach for the development of a customized total knee implant with articular cartilages, specifically tailored to simulate loading conditions using finite element analysis (FEA) for the Saudi Arabian population. The research analyses patient-specific customized knee implants with articular cartilages under both pre- and post-implant conditions using a finite element model (FEM). Computed tomography (CT) images of patients were utilized to create a solid model, which was then analysed under various constraints and conditions. The meshing process employed tetrahedral elements, converging with 76,197 nodes and 43,009 elements. The analysis was conducted under different body weights, specifically 75-80 kg and 100-105 kg. Two sets of force and moment were applied: the first with a force of 1000 N and a moment of 1.5 N-m, and the second with a force of 750 N and a moment of 0.8 N-m. The results indicated a 5% reduction in stress with implants designed for a 100 kg body weight, along with a significant reduction in ligament strain when compared to conventional knee joint stresses. This study offers a promising pathway toward reducing post-surgical discomfort. The proposed innovative solution has the potential to revolutionize total knee implant technology, offering enhanced functionality and improved patient outcomes for the Saudi Arabian population.
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spelling doaj-art-812b17453224438abdf6327581fea8582025-02-09T05:30:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031121010.1371/journal.pone.0311210Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.Shady A AlshewaierMohamed Yacin SikkandarAli Ahmed Ali AlmakramiS Sabarunisha BegumAhmad AlassafIbrahim AlMohimeedS Meenatchi SundaramDheeraj PoojaryNatteri M SudharsanEddie Y K NgKnee osteoarthritis (KOA) is a degenerative joint disease predominantly affecting the elderly and is often managed through knee replacement surgeries. West Asians, who frequently engage in activities involving bending and kneeling during their prayers, tend to exhibit distinct bone anatomy compared to the Caucasian population. This research posits that patient-specific, customized knee implants with articular cartilages may lead to reduced post-surgical discomfort and a better implant fit compared to conventional standard implants. This study presents a novel concept and approach for the development of a customized total knee implant with articular cartilages, specifically tailored to simulate loading conditions using finite element analysis (FEA) for the Saudi Arabian population. The research analyses patient-specific customized knee implants with articular cartilages under both pre- and post-implant conditions using a finite element model (FEM). Computed tomography (CT) images of patients were utilized to create a solid model, which was then analysed under various constraints and conditions. The meshing process employed tetrahedral elements, converging with 76,197 nodes and 43,009 elements. The analysis was conducted under different body weights, specifically 75-80 kg and 100-105 kg. Two sets of force and moment were applied: the first with a force of 1000 N and a moment of 1.5 N-m, and the second with a force of 750 N and a moment of 0.8 N-m. The results indicated a 5% reduction in stress with implants designed for a 100 kg body weight, along with a significant reduction in ligament strain when compared to conventional knee joint stresses. This study offers a promising pathway toward reducing post-surgical discomfort. The proposed innovative solution has the potential to revolutionize total knee implant technology, offering enhanced functionality and improved patient outcomes for the Saudi Arabian population.https://doi.org/10.1371/journal.pone.0311210
spellingShingle Shady A Alshewaier
Mohamed Yacin Sikkandar
Ali Ahmed Ali Almakrami
S Sabarunisha Begum
Ahmad Alassaf
Ibrahim AlMohimeed
S Meenatchi Sundaram
Dheeraj Poojary
Natteri M Sudharsan
Eddie Y K Ng
Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
PLoS ONE
title Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
title_full Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
title_fullStr Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
title_full_unstemmed Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
title_short Investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis.
title_sort investigation of customized total knee implant with articular cartilage under loading conditions using finite element analysis
url https://doi.org/10.1371/journal.pone.0311210
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