Evidence map›Paper›PMID 35045842›Full record

ArticleBMC musculoskeletal disorders2022

Finite element stress analysis of the bearing component and bone resected surfaces for total ankle replacement with different implant material combinations.

Jian Yu, Dahang Zhao, Wen-Ming Chen, Pengfei Chu, Shuo Wang, Chao Zhang, Jiazhang Huang, Xu Wang, Xin Ma

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. [Biomechanical characteristics and clinical application of three-dimensional printed osteotomy guide plate combined with Ilizarov technique in treatment of rigid clubfoot].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  4. Article
  5. Article
  6. [Finite element analysis of artificial ankle elastic improved inserts].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Jian Yu *Department of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China.
Dahang Zhao *Department of Orthopedics, Ruijin Hospital, Shanghai Jiaotong University, 197 Ruijin Er Lu, Shanghai, 200020, China.
Wen-Ming Chen *Academy for Engineering and Technology, Fudan University, 220 Handan Lu, Shanghai, China.
Pengfei ChuAcademy for Engineering and Technology, Fudan University, 220 Handan Lu, Shanghai, China.
Shuo WangDepartment of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China.
Chao ZhangDepartment of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China.
Jiazhang HuangDepartment of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China.
Xu WangDepartment of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China.
Xin MaDepartment of Orthopedics, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Lu, Shanghai, 200040, China. xin_ma@foxmail.com.
Fudan University · CNHuashan Hospital · CNRuijin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA proper combination of implant materials for Total Ankle Replacement (TAR) may reduce stress at the bearing component and the resected surfaces of the tibia and talus, thus avoiding implant failure of the bearing component or aseptic loosening at the bone-implant interface.

methodsA comprehensive finite element foot model implanted with the INBONE II implant system was created and the loading at the second peak of ground reaction force was simulated. Twelve material combinations including four materials for tibial and talar components (Ceramic, CoCrMo, Ti6Al4V, CFR-PEEK) and three materials for bearing components (CFR-PEEK, PEEK, and UHMWPE) were analyzed. Von Mises stress at the top and articular surfaces of the bearing component and the resected surfaces of the tibia and talus were recorded.

resultsThe stress at both the top and articular surfaces of the bearing component could be greatly reduced with more compliant bearing materials (44.76 to 72.77% difference of peak stress value), and to a lesser extent with more compliant materials for the tibial and talar components (0.94 to 28.09% difference of peak stress value). Peak stresses at both the tibial and talar bone-implant interface could be reduced more strongly by using tibial and talar component materials with smaller material stiffness (7.31 to 66.95% difference of peak stress value) compared with bearing materials with smaller material stiffness (1.11 to 24.77% difference of peak stress value).

conclusionsImplant components with smaller material stiffness provided a stress reduction at the bearing component and resected surfaces of the tibia and talus. The selection of CFR-PEEK as the material of tibial and talar components and UHMWPE as the material of the bearing component seemed to be a promising material combination for TAR implants. Wear testing and long-term failure analysis of TAR implants with these materials should be included in future studies.

Indexed as

Arthroplasty, Replacement, AnkleBone and BonesBone-Implant InterfaceFinite Element AnalysisHumansProsthesis DesignStress, MechanicalComputational modelingFinite element methodImplant designImplant material selectionTotal ankle arthroplastyTotal ankle replacement

Identifiers

PMID35045842
PMCPMC8772082
OpenAlexW4205469492

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.