Study of Micromotion in Modular Acetabular Components During Gait and Subluxation: A Finite Element Investigation

2008 ◽  
Vol 130 (2) ◽  
Author(s):  
F. Amirouche ◽  
F. Romero ◽  
M. Gonzalez ◽  
L. Aram
Keyword(s):  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Gait Cycle ◽  
Polyethylene Wear ◽  
Element Model ◽  
Element Analysis ◽  
Total Hip ◽  
Normal Gait ◽  
Acetabular Components

Polyethylene wear after total hip arthroplasty may occur as a result of normal gait and as a result of subluxation and relocation with impact. Relocation of a subluxed hip may impart a moment to the cup creating sliding as well as compression at the cup liner interface. The purpose of the current study is to quantify, by a validated finite element model, the forces generated in a hip arthroplasty as a result of subluxation relocation and compare them to the forces generated during normal gait. The micromotion between the liner and acetabular shell was quantified by computing the sliding track and the deformation at several points of the interface. A finite element analysis of polyethylene liner stress and liner/cup micromotion in total hip arthroplasty was performed under two dynamic profiles. The first profile was a gait loading profile simulating the force vectors developed in the hip arthroplasty during normal gait. The second profile is generated during subluxation and subsequent relocation of the femoral head. The forces generated by subluxation relocation of a total hip arthroplasty can exceed those forces generated during normal gait. The induced micromotion at the cup polyethylene interface as a result of subluxation can exceed micromotion as a result of the normal gait cycle. This may play a significant role in the generation of backsided wear. Minimizing joint subluxation by restoring balance to the hip joint after arthroplasty should be explored as a strategy to minimize backsided wear.

Finite element model of a novel short stemmed total hip arthroplasty implant developed from cross sectional CT scans

2013 ◽  
Vol 21 (5) ◽  
pp. 493-500 ◽  
Author(s):  
Matthias Lerch ◽  
Nelly Weigel ◽  
Henning Windhagen ◽  
Max Ettinger ◽  
Fritz Thorey ◽  
...  
Keyword(s):  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Finite Element Model ◽  
Hip Arthroplasty ◽  
Element Model ◽  
Ct Scans ◽  
Cross Sectional ◽  
Total Hip

Total hip arthroplasty-finite element analysis validation

2002 ◽  
Author(s):  
D. Leone ◽  
L. Breglia ◽  
J. Gander ◽  
J. Ibets ◽  
C. Teeling ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Element Analysis ◽  
Total Hip

scholarly journals Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora. Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.

scholarly journals Short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora.Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

Experimental and Finite Element Investigation of Cementless Cup/Bone Interface After Total Hip Arthroplasty

2004 ◽  
Author(s):  
Ivan Zivkovic ◽  
Farid Amirouche ◽  
Francisco Romero ◽  
Mark Gonzalez
Keyword(s):  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Bone Ingrowth ◽  
Element Model ◽  
Loading Conditions ◽  
Acetabular Cup ◽  
Bone Interface ◽  
Total Hip ◽  
Cementless Cup

Permanent fixation of a cementless total hip arthroplasty requires bone ingrowth into the femoral and acetabular components. Early micromotion at the acetabular cup/bone interface can preclude ingrowth threatening long term fixation. To better characterize micromotion of the interface under loading conditions, an experimental and finite element (FE) study was undertaken. In this study cadaver hemi-pelvises were implanted with cementless acetabular cups and subjected to cyclical axial load and torque. Detailed finite element model, validated with experimental results, was developed to further analyze the conditions affecting the initial stability and loosening of the interface for different loading conditions.

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