Design and Structural Modelling of Patient-Specific 3D-printed Knee Femur and Tibia Implants

Abstract

Arthritis is a degenerative joint condition that progressively damages the knee, leading to pain, stiffness, and limited mobility. To alleviate these symptoms and restore joint functionality, total knee arthroplasty (TKA) is performed. This procedure becomes necessary due to either sudden trauma to the knee or gradual wear and tear of the meniscus and cartilage. TKA involves meticulous planning, precise bone cutting, and the placement of prosthetic components made from high-density polyethylene and metal alloys. However, traditional methods creating customized knee implants are expensive and time-intensive. This study explores the challenges in manufacturing personalized knee implants for TKA and evaluates the potential of three-dimensional (3D) printing technology in this process. Variations in knee joint anatomy across populations complicate surgery, as optimal outcomes rely on precise alignment and implant dimensions. A preoperative computed tomography (CT) scan identifies the region of interest (ROI), such as the knee joint. The scan data is then processed using computer-aided design (CAD) software to generate a printable file. The patient’s CT scan data is converted into a standard triangulation language (STL) file and CAD models of the knee joint. Errors such as overlapping triangles or open loops in the STL file are corrected, and unwanted geometries near the ROI are removed. Resection techniques are applied to create CAD models tailored to the patient’s bone morphology. Fused Deposition Modeling (FDM) is then used to produce prototypes of the knee joint and implants. Despite visible layer lines in the printed prototypes, challenges encountered during the process were effectively resolved.