Skip to main content
Log in

Functionally graded materials reduce the stress shielding in the tibia bone for total ankle replacement

  • Published:
International Journal of Advances in Engineering Sciences and Applied Mathematics Aims and scope Submit manuscript

Abstract

Metals, ceramics, and polymers are commonly used as orthopedic implant materials. Conventionally, Cobalt Chromium (CoCr) alloys, Titanium (Ti) alloys, Alumina (Al2O3) ceramic, Hydroxyapatite (HA), and Polyetheretherketone (PEEK) are used. Bone resorption owing to stress shielding is one of the reasons for the failure of total ankle replacement (TAR). The stiffness mismatch between the tibia bone and the implant is responsible for stress shielding. It is hypothesized that stress shielding can be reduced by tailoring the implant material similar to the tibia bone by using functionally graded materials (FGMs). The aim of the study is to understand the effect of FGMs on the stress shielding of the tibia bone for TAR. Finite element (FE) models were prepared for, the natural bone, and the implanted bone with the tibial component made from CoCr alloy, Ti alloy, Al2O3 ceramic, FGM of Al2O3 ceramic at the bottom and PEEK at the top, and FGM of Ti at the bottom and HA at the top. Material properties for FGMs were assigned using Ansys APDL code. The results indicated that the highest stress shielding was present in the Al2O3 ceramic model. Whereas, the least stress shielding was in the Ti + HA FGM model. This implies that the stress shielding and subsequently the bone resorption can be reduced by using the FGMs. Thus, FGMs are advantageous when compared to conventional implant materials in order to reduce stress shielding.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Nag, S., Banerjee, R.: Fundamentals of Medical Implant Materials. In: ASM Handbook, Materials and Medical Devices, vol. 23, (2012)

  2. Huiskes, R., Weinans, H., Van Rietbergen, B.: The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin. Orthop. Relat. Res. 274, 124–134 (1992). https://doi.org/10.1097/00003086-199201000-00014

    Article  Google Scholar 

  3. Shepherd, D.E.T., Dearn, K.D.: Wear Processes in Polymer Implants. In: Durability and Reliability of Medical Polymers, pp. 143–163 (2012). https://doi.org/10.1533/9780857096517.2.143

  4. Ma, H., et al.: PEEK (Polyether-ether-ketone) and its composite materials in orthopedic implantation. Arab. J. Chem. 14(3), 102977 (2021). https://doi.org/10.1016/j.arabjc.2020.102977

    Article  MathSciNet  CAS  Google Scholar 

  5. Sola, A., Bellucci, D., Cannillo, V.: Functionally graded materials for orthopedic applications – An update on design and manufacturing. Biotechnol. Adv. 34(5), 504–531 (2016). https://doi.org/10.1016/j.biotechadv.2015.12.013

    Article  CAS  PubMed  Google Scholar 

  6. Mondal, S., Ghosh, R.: Influence of cancellous bone material and dead zone on stress-strain, bone stimulus and bone remodelling around the Tibia for total ankle replacement. Proc. Inst. Mech. Eng. Part H J. Eng. Med. 235(2) (2020). https://doi.org/10.1177/0954411920967775

  7. Huiskes, R., Weinans, H., Grootenboer, H.J., Dalstra, M., Fudala, B., Slooff, T.J.: Adaptive bone-remodeling theory applied to prosthetic-design analysis. J. Biomech. 20(11–12), 1135–1150 (1987). https://doi.org/10.1016/0021-9290(87)90030-3

    Article  CAS  PubMed  Google Scholar 

  8. Hedia, H.S., Shabara, M.A.N., Fouda, N.: A method of material optimization of cementless stem through functionally graded material. Int. J. Mech. Mater. Des. 1, 329–346 (2004). https://doi.org/10.1007/s10999-005-3307-4

    Article  Google Scholar 

  9. Rodrigues, D.S.de.O.S.: Biomechanics of the total ankle arthroplasty : Stress analysis and bone remodeling, Master’s thesis, Instituto Superior Técnico, Técnico Lisboa (2013)

  10. Moussa, A.A., Yadav, R.: Optimization of a functionally graded material stem in the femoral component of a cemented hip arthroplasty: influence of dimensionality of FGM. Hindawi J. Med. Eng. 2017, 3069351 (2017). https://doi.org/10.1155/2017/3069351

    Article  Google Scholar 

  11. Oshkour, A.A., Osman, N.A.A., Yau, Y.H., Tarlochan, F., Abas, W.A.B.W.: Design of new Generation femoral prostheses using functionally graded materials: A finite element analysis. Proc. Inst. Mech. Eng. Part H J. Eng. Med. 227(1), 3–17 (2013). https://doi.org/10.1177/0954411912459421

  12. Oshkour, A.A., Talebi, H., Seyed Shirazi, S.F., Yau, Y.H., Tarlochan, F., Abu Osman, N.A.: Effect of geometrical parameters on the performance of longitudinal functionally graded femoral prostheses. Artif. Organs 39(2), 156–164 (2015). https://doi.org/10.1111/aor.12315

  13. Ayatollahi, M.R., Davari, M.H., Shirazi, H.A.: To improve total knee prostheses performance using three-phase ceramic-based functionally graded biomaterials mechanical requirements of. Front. Mater. 6(May), 1–9 (2019). https://doi.org/10.3389/fmats.2019.00107

    Article  Google Scholar 

  14. Enab, T.A.: A comparative study of the performance of metallic and FGM tibia tray components in total knee replacement joints. Comput. Mater. Sci. 53(1), 94–100 (2012). https://doi.org/10.1016/j.commatsci.2011.09.032

    Article  CAS  Google Scholar 

  15. Bahraminasab, M., Sahari, B.B., Edwards, K.L., Farahmand, F., Hong, T.S., Naghibi, H.: Material tailoring of the femoral component in a total knee replacement to reduce the problem of aseptic loosening. Mater. Des. 52, 441–451 (2013). https://doi.org/10.1016/j.matdes.2013.05.066

    Article  CAS  Google Scholar 

  16. Jyoti, S., Mondal, Ghosh, R. Biomechanical analysis of three popular tibial designs for TAR with different implant-bone interfacial conditions and bone qualities: A finite element study. Med. Eng. Phys. 104(December 2021), 103812 (2022). https://doi.org/10.1016/j.medengphy.2022.103812

  17. Terrier, A., Larrea, X., Guerdat, J., Crevoisier, X.: Development and experimental validation of a finite element model of total ankle replacement. J. Biomech. 47(3), 742–745 (2014). https://doi.org/10.1016/j.jbiomech.2013.12.022

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the Indian Institute of Technology Mandi for proving the computation resources for this research and for supporting this work.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Contributions

Jyoti: Conceptualization, Visualization, Formal analysis, Investigation, Methodology, Software, Validation, and Writing-Original Draft. Rajesh Ghosh: Conceptualization, Visualization, Investigation, Resources, Supervision, Writing-Review and Editing. Both authors discussed the results and suggestions mentioned in the manuscript at all steps and have approved the final article.

Corresponding author

Correspondence to Rajesh Ghosh.

Ethics declarations

Conflict of  interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Statements of ethical approval

The authors hereby state that with regard to the submission of this research paper, appropriate approval has been taken from the patient according to the institutional policies and procedures. The patient undergoing treatment gave their informed consent to the collection and use of CT data for research purposes.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jyoti, Ghosh, R. Functionally graded materials reduce the stress shielding in the tibia bone for total ankle replacement. Int J Adv Eng Sci Appl Math (2024). https://doi.org/10.1007/s12572-023-00366-z

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12572-023-00366-z

Keywords

Navigation