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A Systematic Approach to Total Knee Replacement Surgery: A Review

D. A. Mhamane, V. D. Shinde


The aim of this paper was to study a systematic pathway to achieve more accurate Total Knee Replacement (TKR) surgery along with computer aided pre-operative procedure. Many people suffering from bone problems and especially from knee joint problems.From all bone joints of human body the knee joint is the largest and most heavily-loaded joint of human body. This paper discusses knee anatomy, motions and various forces in knee and causes of knee pains. To relief from knee joint problems, total knee replacement surgery is one of thesolutions available. The knee implant surgeries have increased tremendously due to increase in its success and invasion of new technologies in implant manufacturing and surgical procedures. This paper focuses on the path to achieve accurate knee surgery, itconsists pre-operative steps such as CT/MRI scanning of knee joint, 3D modeling, finite element analysis (FEA) and manufacturing of knee implant along with biomaterials and its properties. 

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ECRI Institute. Total knee replacement using patient-specific templates. Emerging Technology Evidence Report. 2012; 1–30p.

Umadevi N., GeethalakshmiS.N. A brief study on human bone anatomy and bone fractures. IJCES International Journal of Computer Engineering Science. 2011; 1: 93– 104p.

Kini U., Nandeesh B. N. Physiology of bone formation, remodeling, and metabolism.Springer. 2012; 29–57p.

Manivasagam G, Dhinasekaran D, Rajamanickam A. Biomedical implants: Corrosion and its prevention-A review. Recent Patents on Corrosion Science. 2010; 2: 40–54p.

Lian Q., Li D., Jin Z., et al. Patient-specific design and biomechanical evaluation of a novel bipolar femoral hemi-knee prosthesis.Science Direct, Journal of Bionic Engineering. 2014; 11: 259–267p.

Anasane S., Pandey A., Rathi K. K., et al. Total knee prosthesis: Design, manufacture, and testing. International Conference on Total Engineering, Analysis and Manufacturing and Testing. 2007; 4: 354–360p.

Nautiyal A. N., Nain P.K.S., Kumar P.Study of knee-joint mechanism before implanting a knee prosthesis by modeling and finite element analysis of knee-joint bones. International Journal of Advanced Mechanical Engineering. 2014; 4: 721–727p.

Samadhiya S., Yadav A., Rawal B.R. Biomechanical analysis of different knee prosthesis biomaterials using fem. IOSR Journal of Mechanical and Civil Engineering (IOSR-JMCE). 2014; 11: 120–128p.

Kumbhalkar M. A., Nawghare U., Ghode R., et al. Modeling and finite element analysis of knee prosthesis with and without implant. Universal Journal of Computational Mathematics. 2013; 1: 56–66p.

Erdogan A.O., Gokay N.S., Gokce A. Preoperative planning of total knee replacement.Intech Publisher. 2013; 21–31p.

Rubin L. E., Murgo K. T. Brief report: Total knee arthroplasty performed with patient-specific, pre-operative ct-guided navigation. Rhode Island Medical Journal. 2013; 34– 37p.

Chung-S. W., Wei A. W., Man C. B. STL rapid prototyping bio-CAD model for CT medical image segmentation.Computers in Industry. 2010; 61: 187–197p.

Wei S., Lal P. Recent development on computer aided tissue engineering, A review. Computer Methods and Programs in Biomedicine. 2002; 67: 85–103p.

Dange J. J., Ansari M. A., Madvi J. B. Extraction and analysis of knee joint parameters by using CAD base solid modelling techniques.International Journal of Computer Applications. 2013; 1: 21–25p.

Ho K.C.T., Saevarsson S.K., Ramm H., et al. Computed tomography analysis of knee pose and geometry before and after total knee arthroplasty.Journal of Biomechanics.2012; 45: 2215–2222p.

Maji P. K., Banerjee P. S., Sinha A. Application of rapid prototyping and rapid tooling for development of patient-specific craniofacial implant: an investigative study.International Journal Advanced Manufacturing Technology. 2007; 36: 510–515p.

Sun W.,Starly B., Nam J., Darling A. Bio-CAD modeling and its applications in computer-aided tissue engineering.Computer-Aided Design. 2005; 37: 1097–1114p.

Mallesh G, Sanjay.S. J. Finite element modeling and analysis of prosthetic knee joint. International Journal of Emerging Technology and Advanced Engineering. 2012; 2: 264–269p.

Smykla A. Developing FEM models for difficult to describe3D structures by using STL files-the case study of the human femur modeling.Archives of Civil and Mechanical Engineering. 2006; 6: 5–20p.

Singh N. P. Investment casting of orthopedic implants, Anoverview of emerging technology. BONE-Zone Spring.2004; 47–49p.

Shah D. S., Ghyar R., Ravi B., et al. Morphological measurements of knee joints in Indian population: Comparison to current knee prostheses.Open Journal of Rheumatology and Autoimmune Diseases. 2014; 4: 75–85p.

Keller J. C. Physical and biological characteristics of implant materials.15th International Conference on Oral Biology (ICOB). 1999; 13: 5–7p.

Lohfeld S., McHugh P., Serban D., et al. Engineeringassisted surgery: A route for digital design and manufacturing of customized maxillofacial implants.Journal of Materials Processing Technology. 2007; 183: 333–338p.


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