Evidence map›Paper›PMID 42729595›Full record

ArticleThe International journal, advanced manufacturing technology2026

Investigating the potential of auxetic structures in tibial insert toward multi-range load-carrying knee implant.

Ahmed ElZefzafy, Abdul Wasy Zia

Abstract read
In one paragraph

Article in The International journal, advanced manufacturing technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Ahmed ElZefzafyInstitute of Mechanical, Process and Energy Engineering (IMPEE), School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh, EH14 4AS UK.ORCID 0009-0009-2035-1696
Abdul Wasy ZiaInstitute of Mechanical, Process and Energy Engineering (IMPEE), School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh, EH14 4AS UK.ORCID 0000-0002-3748-4446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The artificial tibial insert degrades within the human body over service time as a metallic femoral surface continues articulating against it. The degradation rate depends on gait patterns and mainly on the human body weight, as tibial inserts normally lack subject-specific customisation. This article investigates the feasibility of gyroid, square anti-chiral, and triangular auxetic structures for tibial insert applications. The mechanical performance of new tibial designs is compared against a conventional (bulk) tibial insert through computational and experimental studies. The preliminary stress-strain and deformation behaviours are studied with ANSYS Workbench. Whereas the Instron machine is used for experimental studies to test the 3D printed conventional and auxetic structure-based tibial inserts designed in this work. The experimental studies are performed under a wide range of quasi-static and cyclic loading conditions to understand their mechanistic performance and suitability for knee joint functionality. Among gyroid, square anti-chiral and triangular auxetic structures, the triangular design has demonstrated exceptional load-bearing capabilities up to 20 kN, an adequate deflection up to 2.3 mm, along with 34.8% reduction in component weight. The enhanced elastic recovery supported by auxetic structures can provide knee safety under impact loads. In addition, it is perceived that the auxetic structures-based tibial insert provides tunable effective stiffness, demonstrating the significance of auxetic lattice design and their suitability for a wider range of body weights to ensure mechanical stability, medical safety, and implant longevity.

Indexed as

3D printingAuxetic structureFinite element analysisInstron 3367Knee implantTibial insert

Identifiers

PMID42729595
PMCPMC13562339

What OpenQuestion holds

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Registered trials

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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.