A parametric axisymmetric model study on the interface motions in porous-surfaced tibial implants.

The effects of a number of variables on the interface relative motions in porous-surfaced tibial implants are investigated using a simplified axisymmetric finite element model. The parameters considered are contact or link spacing, height of the central metal stem, presence of a circumferential metal flange, presence of a UHMWP articular plate resting freely on or fixed to the metal base, resting of the prosthesis edge on the cortical shell, and type of the metal alloy. In order to represent the immediate post-surgical situation with no bone ingrowth, the interface between the bone and porous-surfaced metal is modelled by frictionless rigid links oriented normal to the interface. Cases are also studied in which the horizontal interface is assumed to be fixed while the vertical interface remains frictionless. The magnitudes of the interface motion are negligibly affected by the variation in the link spacing from 0.3 mm to about 3.0 mm. The interface relative motion is predicted to decrease in cases with a shorter central metal stem, with the addition of a circumferential metal flange, with the use of more rigid prosthesis, and with the addition of a UHMWP articular plate.