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The Posterior Tibial Slope Effect to Gap Difference on a Single Radius System for Total Knee Arthroplasty Based on the Computer-Aided Design Approach

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Proceedings of the 4th International Conference on Experimental and Computational Mechanics in Engineering (ICECME 2022)

Part of the book series: Lecture Notes in Mechanical Engineering ((LNME))

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Abstract

Total knee arthroplasty (TKA) is one of the most successful ways of treating pain and functional limitations due to osteoarthritis. Asians and Middle Easterners need a large range of flexi angles for religious, social, and cultural activities. Prayer activities and seiza required flexible angle from 150° to 165°. To support these activities, a TKA high flexion (high-flex) type is required. The application of high-flex TKA causes a difference between extension gap and flexion gap, called gap difference. Gap difference is strongly influenced by posterior tibial slope (PTS) and single radius system, and it causes TKA instability. This study aims to analyze the stability of AKJ with GD measurement on a single radius system with a computer-aided design (CAD) approach to prayer, social, and cultural activities for Asians, especially in Indonesia. This study uses the CAD approach with stages that are implant scanning, surface processing, curve processing, components improvement, and gap difference measurement. This study has successfully tested the stability of the model against the difference between gap extension and gap flexion. TKA model with a maximum of PTS 6° can be recommended for the purposes of Asian activities, especially Indonesians in religious, social, and cultural activities. In the future, stability tests will be needed for the movement of anterior–posterior translation.

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Acknowledgements

The authors thank to Deputy for Strengthening Research and Development, the Ministry of Research and Technology and Higher Education, Republic of Indonesia, for research funding under Doctoral Research Grants of number: 017/ES/PG.02.00.PT/2022 and 18752/UN7.6.1/PP/2022.

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Authors and Affiliations

  1. Department of Mechanical Engineering, Faculty of Engineering, Wahid Hasyim University, Semarang, Central Java, Indonesia

    Darmanto Darmanto

  2. Department of Mechanical Engineering, Faculty of Engineering, Diponegoro University, Semarang, Central Java, Indonesia

    Rifky Ismail, Jamari Jamari & Athanasius Priharyoto Bayuseno

  3. Department of Orthopaedic and Traumatology, Dr. Kariadi Hospital, Semarang, Central Java, Indonesia

    Robin Novriansyah

  4. Center for Biomechanics Biomaterials Biomechatronics and Biosignal Processing (CBIOM3S), Diponegoro University, Semarang, Central Java, Indonesia

    Robin Novriansyah & Rifky Ismail

  5. Department of Industrial Engineering, Faculty of Industrial Technology, University of Atma Jaya Yogyakarta, Yogyakarta, Indonesia

    Paulus Wisnu Anggoro

Authors
  1. Darmanto Darmanto
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  2. Robin Novriansyah
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  3. Rifky Ismail
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  4. Jamari Jamari
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  5. Athanasius Priharyoto Bayuseno
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  6. Paulus Wisnu Anggoro
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Corresponding author

Correspondence to Darmanto Darmanto .

Editor information

Editors and Affiliations

  1. Department of Mechanical Engineering, Syiah Kuala University, Darussalam, Indonesia

    Irwansyah

  2. Department of Mechanical Engineering, Syiah Kuala University, Darussalam, Indonesia

    Mohd. Iqbal

  3. Department of Mechanical Engineering, Syiah Kuala University, Darussalam, Indonesia

    Syifaul Huzni

  4. Department of Mechanical Engineering, Syiah Kuala University, Darussalam, Indonesia

    Akhyar

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Darmanto, D., Novriansyah, R., Ismail, R., Jamari, J., Bayuseno, A.P., Anggoro, P.W. (2024). The Posterior Tibial Slope Effect to Gap Difference on a Single Radius System for Total Knee Arthroplasty Based on the Computer-Aided Design Approach. In: Irwansyah, Iqbal, M., Huzni, S., Akhyar (eds) Proceedings of the 4th International Conference on Experimental and Computational Mechanics in Engineering. ICECME 2022. Lecture Notes in Mechanical Engineering. Springer, Singapore. https://doi.org/10.1007/978-981-99-7495-5_1

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  • DOI: https://doi.org/10.1007/978-981-99-7495-5_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-7494-8

  • Online ISBN: 978-981-99-7495-5

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