Total Elbow Implant - Computer Assisted Design and Simulation

Article Preview

Abstract:

The elbow total implant is in appearance a simple orthopedic device, with few components and no complex mechanisms. In spite of the reported successful surgical interventions, there are still many medical reports which show that a certain percentage of the implants fails.In our work we conceptually approach a computer assisted design of a Coonrad-Morrey like total elbow implant and simulate the mechanical behavior by finite element analysis, for three different loads (10 N, 50 N, and 100 N). Materials used for simulation were Ti, TiNi and Ti6Al4V for the metallic components, and UHMWPE for bushing polymeric components. Through our results we confirmed the practical observations, namely that the hinge mechanism is an important region where the failures initiates from, as the highest stress is concentrated on the polymeric components.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

161-164

Citation:

Online since:

March 2015

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2015 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

* - Corresponding Author

[1] G.J. Puskas, B.F. Morrey, J. Sanchez-Sotelo, Aseptic loosening rate of the humeral stem in the Coonrad-Morrey total elbow arthroplasty. Does size matter? J. Shoulder Elbow Surg. 23 (2014) 76-81.

DOI: 10.1016/j.jse.2013.08.025

Google Scholar

[2] R. Dee, Total replacement arthroplasty of the elbow joint for rheumatoid arthritis: two cases. Proceedings of the Royal Society for Medicine, vol 63 (1970) 653-655.

DOI: 10.1177/003591577006300701

Google Scholar

[3] S.E. Park, J.Y. Kim, S.W. Cho, S.K. Rhee, S.Y. Kwon, Complications and revision rate compared by type of total elbow arthroplasty, J. Shoulder Elbow Surg. 22 (2013) 1121-1127.

DOI: 10.1016/j.jse.2013.03.003

Google Scholar

[4] W.H. Seitz Jr., H. Bismar, P.J. Evans, Failure of the hinge mechanism in total elbow arthroplasty, J. Shoulder Elbow Surg. 19 (2010) 368-375.

DOI: 10.1016/j.jse.2009.11.004

Google Scholar

[5] P. Mansat, N. Bonnevialle, M. Rongieres, M. Mansat, P. Bonnevialle, Experience with the Coonrad-Morrey total elbow arthroplasty: 78 consecutive total elbow arthroplasties reviewed with an average 5 years of follow-up. J. Shoulder Elbow Surg. 22 (2013).

DOI: 10.1016/j.jse.2013.07.042

Google Scholar

[6] H.C. Plaschke, T.M. Thillemann, S. Brorson, B.S. Olsen, Implant survival after total elbow arthroplasty: a retrospective study of 324 procedures performed grom 1980 to 2008, J. Shoulder Elbow Surg. 23 (2014) 829-836.

DOI: 10.1016/j.jse.2014.02.001

Google Scholar

[7] P. Mansat, N. Bonnevialle, M. Rongieres, M. Mansat, P. Bonnevialle, Results with a minimum of 10 years follow-up of the Coonrad/Morrey total elbow arthroplasty. Orthop. Traumatol. Surg. Res. 99 (2013) S337-S343.

DOI: 10.1016/j.otsr.2013.07.002

Google Scholar

[8] B.T.S. Fevang, S.A. Lie, L.I. Havelin, A. Skredderstuen, O. Furnes, Results after 562 total elbow replacements: A report from the Norwegian Arthroplasty Register, J. Shoulder Elbow Surg. 18 (2009) 449-456.

DOI: 10.1016/j.jse.2009.02.020

Google Scholar

[9] T.W. Duerig, A.R. Pelton, TiNi Shape Memory Alloys, in: G. Welsch, R. Boyer, E.W. Collings (Eds. ), Materials Properties Handbook: Titanium Alloys, ASM International, Materials Park, 1994, pp.1035-1048.

Google Scholar

[10] G.E. Welsch, Y.T. Lee, Ti-6Al-4V, in: G. Welsch, R. Boyer, E.W. Collings (Eds. ), Materials Properties Handbook: Titanium Alloys, ASM International, Materials Park, 1994, pp.483-636.

Google Scholar