The effect of articular surface shape and tendon forces of total wrist arthroplasty systems:

Abstract

In order to better understand the behavior of the total wrist implant systems, finite element analysis (FEA) was used to model the articular surfaces of two unconstrained total wrist arthroplasty (TWA) devices. After creating models based on manufacturer specifications, simulations of flexion, extension, radial deviation, ulnar deviation and circumduction were run with simulated moments from surrounding tendons under displacement control. In addition, simulations were run under positioning that represented a pronated and supinated forearm as well as unstable conditions. Understanding implant behavior and capabilities as related to the shape of the articular surfaces is important for proper prescription of implants as well as determining future directions for the design of arthroplasty devices. © 2012 World Scientific Publishing Company.