Total ankle replacement (TAR) implants are an effective option to restore the range of motion of the ankle joint for arthritic patients. An effective tool for analyzing these implants’ mechanical performance and longevity in-silico is finite element analysis (FEA). ABAQUS FEA was used to statically analyze the von Mises stress and contact pressure on the articulating surface of the bearing component in two newly installed fixed-bearing total ankle replacement implants (the Wright Medical INBONE II and the Exactech Vantage). This bearing component rotates on the talar component to induce primary ankle joint motion of plantarflexion and dorsiflexion. The stress response was analyzed on this bearing component since it is made of the least strong material in the implant assembly (ultra-high molecular weight polyethylene (UHMWPE). This bearing component commonly fails and is the cause for surgeon revisions. Six different FEA models for various gait percentages during stance (10%, 20%, 30%, 40%, 50%, and 60%) were created. They varied in magnitude of the compressive load and the ankle dorsiflexion/plantarflexion angle. This study captured the variation in stress magnitudes based on the portion of the stance phase. The results indicated that the stress distribution on the articulating surface increased as compressive load increased, and the largest magnitudes occurred at high dorsiflexion angles (15-30°). The von Mises stress and contact pressure tended to occur in regions where the thickness of the bearing was the least. Additionally, high contact pressures were examined in areas near the talar component's edge or at the bearing's edges. To the author’s knowledge, this is the first study available to the research community that analyzes the Vantage implant with FEA. This study lays an essential foundation for future researchers in presenting a thorough literature review of TAR and for a simple model setup to capture the stress distributions of two TAR implants. This study provides valuable information that can be beneficial to medical company designers and orthopedic surgeons in understanding the stress response of TAR patients.
| Identifer | oai:union.ndltd.org:CALPOLY/oai:digitalcommons.calpoly.edu:theses-4433 |
| Date | 01 March 2024 |
| Creators | Jain, Timothy S. |
| Publisher | DigitalCommons@CalPoly |
| Source Sets | California Polytechnic State University |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Master's Theses |
Page generated in 0.0026 seconds