Finite Element Analysis of Stress and Displacement in the Distal Femur: A Comparative Study of Normal and Osteoarthritic Bone Under Knee Flexion

Osteoarthritis (OA) is a progressive degenerative joint disease that fundamentally alters the mechanical environment of the knee. This study utilizes a finite element framework to evaluate the biomechanical response of the distal femur in healthy and osteoarthritic conditions across critical functional postures. To isolate the bone’s inherent structural stiffness and avoid numerical artifacts, a free-body computational approach was implemented, omitting external surface fixations. The distal femur was modeled as a linearly elastic domain with material properties representing healthy tissue and OA-induced degradation. Simulations were performed under passive gravitational loading at knee flexion angles of 0∘,60∘, and 90∘. The results demonstrate that the mechanical response is highly sensitive to postural orientation, with peak von Mises stress consistently occurring at 60∘ of flexion for both models. Quantitative analysis revealed that the stiffer Normal bone attracted significantly higher internal stress, with a reduction of over 30% in peak stress magnitude observed in the OA model at the most critical flexion angle. Total displacement magnitudes remained relatively stable across conditions, suggesting that OA-induced material softening primarily influences internal stress redistribution rather than global structural sag under passive loads. These findings provide a quantitative index of skeletal vulnerability, supporting the development of patient-specific orthopedic treatments and rehabilitation strategies.