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Quantifying multidirectional sliding motions in total knee replacements.
M.A. Hamilton, M.C. Sucec, B.J. Fregly, S.A. Banks, W.G. Sawyer
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This manuscript describes a formulaic method to predict the severity of crossing
motions experienced by ultra-high-molecular-weight polyethylene (UHMWPE) under sliding conditions across a bearing surface. A statistical
model for evaluating the distribution of sliding about this orientation is described. This model compares favorably to published experimental
data on UHMWPE under multidirectional pin-on-disk testing. These algorithms are applied to the tibial component of a total knee replacement
using patient-specific kinematics for gait and stair-rise activities collected using fluoroscopy. A dynamic contact model is used to calculate
contact pressures and slip velocities on individual surface elements from this kinematic data. The most significant degree of crossing motion
intensity was observed in the lateral compartments for both gait and stair-rise activities. This coincided with the location of maximum
tribological intensity. The maximum crossing motions are characteristic of 4° and 9° of bi-directional crossing motion for gait and stair
respectively.
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