scholarly journals The Comparative Analysis of a Novel Acetabular Component against Hemispherical Component in Case of Extensive Acetabular Bone Defects — A Study of Finite Element Analysis

10.5772/54561 ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 111 ◽  
Author(s):  
Wenhui Ma ◽  
Xuemin Zhang ◽  
Yingze Zhang
2021 ◽  
Vol 103-B (3) ◽  
pp. 492-499
Author(s):  
Eduardo Garcia-Rey ◽  
Laura Saldaña ◽  
Eduardo Garcia-Cimbrelo

Aims Bone stock restoration of acetabular bone defects using impaction bone grafting (IBG) in total hip arthroplasty may facilitate future re-revision in the event of failure of the reconstruction. We hypothesized that the acetabular bone defect during re-revision surgery after IBG was smaller than during the previous revision surgery. The clinical and radiological results of re-revisions with repeated use of IBG were also analyzed. Methods In a series of 382 acetabular revisions using IBG and a cemented component, 45 hips (45 patients) that had failed due to aseptic loosening were re-revised between 1992 and 2016. Acetabular bone defects graded according to Paprosky during the first and the re-revision surgery were compared. Clinical and radiological findings were analyzed over time. Survival analysis was performed using a competing risk analysis. Results Intraoperative bone defect during the initial revision included 19 Paprosky type IIIA and 29 Paprosky type IIIB hips; at re-revision, seven hips were Paprosky type II, 27 type IIIA and 11 were type IIIB (p = 0.020). The mean preoperative Harris Hip Score was 45.4 (SD 6.4), becoming 80.7 (SD 12.7) at the final follow-up. In all, 12 hips showed radiological migration of the acetabular component, and three required further revision surgery. The nine-year cumulative failure incidence (nine patients at risk) of the acetabular component for further revision surgery was 9.6% (95% confidence interval (CI) 2.9 to 21.0) for any cause, and 7.5% (95% CI 1.9 to 18.5) for aseptic loosening. Hips with a greater hip height had a higher risk for radiological migration (odds ratio 1.09, 95% CI 1.02 to 1.17; p = 0.008). Conclusion Bone stock restoration can be obtained using IBG in revision hip surgery. This technique is also useful in re-revision surgery; however, a better surgical technique including a closer distance to hip rotation centre could decrease the risk of radiological migration of the acetabular component. A longer follow-up is required to assess potential fixation deterioration. Cite this article: Bone Joint J 2021;103-B(3):492–499.


2011 ◽  
Vol 86 ◽  
pp. 100-103
Author(s):  
Qian Guo ◽  
Chao Lin ◽  
Wei Quan

This paper makes the emulate experimental research of cutting force in high-speed dry gear milling by flying cutter with finite element analysis method by using the established cutting force model yet, makes the comparative analysis for the result of simulation experiment and theoretical calculation, verifies the correctness of cutting force model and calculation method, makes the comparative analysis for the influencing relations and changing laws of cutting force and cutting parameters and so many factors, and reveals the cutting mechanism of high-speed dry gear milling by flying cutter initially. By the research of this paper, it provides basic theory for subsequent cutting machine technology of high-speed dry gear hobbing, and establishes the theoretical basis for the spread and exploitation of this technology.


2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Piotr Prochor ◽  
Eugeniusz Sajewicz

The aim of the research was to determine the optimal thread’s shape to be used in implants for direct skeletal attachment of limb prosthesis. In addition, by testing appropriate parameters’ modification of the suitable thread, an attempt was made to maximise its effectiveness. The analyses included three thread types described in the ISO standards: shallow, symmetrical, and asymmetrical. The obtained results suggest that shallow thread ensures the lowest equivalent and directional stress peaks generated in the bone as well as favourable stress patterns and profiles during implant loading in relation to symmetrical and asymmetrical threads. Moreover, shallow thread ensured the generation of single equivalent and directional stress peaks, while symmetrical and asymmetrical threads provided additional stress peak for equivalent as well as for each of directional peaks. Subsequently, optimisation of the shallow thread’s shape was conducted by changing two relevant thread’s parameters (flank angle and rounding arc) which influence the generated stress distribution. The highest reduction of stress peaks was obtained while reducing the rounding arc by 0.2 mm. Therefore, it can be stated that the proposed modification of the HA thread can lead to obtaining a higher biomechanical effectiveness of implants for direct skeletal attachment of limb prosthesis.


2016 ◽  
Vol 2 (1) ◽  
pp. 643-647 ◽  
Author(s):  
Josephine Mauck ◽  
Jan Wieding ◽  
Daniel Kluess ◽  
Rainer Bader

AbstractThe numerical simulation of bone remodelling provides a great opportunity to improve the choice of therapy in particular for complex bone defects. Despite this fact, its use in clinical practice is not yet expedient because of several unresolved problems. In this paper a new bone remodelling algorithm based on standard computer tomography datasets and finite element analysis is introduced.


2021 ◽  
Vol 10 (17) ◽  
pp. 3986
Author(s):  
Chia-Hsuan Lee ◽  
Arvind Mukundan ◽  
Szu-Chien Chang ◽  
Yin-Lai Wang ◽  
Shu-Hao Lu ◽  
...  

Finite element analysis (FEA) has always been an important tool in studying the influences of stress and deformation due to various loads on implants to the surrounding jaws. This study assessed the influence of two different types of dental implant model on stress dissipation in adjoining jaws and on the implant itself by utilizing FEA. This analysis aimed to examine the effects of increasing the number of fences along the implant and to compare the resulting stress distribution and deformation with surrounding bones. When a vertical force of 100 N was applied, the largest displacements found in the three-fenced and single-fenced models were 1.7469 and 2.5267, respectively, showing a drop of 30.8623%. The maximum stress found in the three-fenced and one-fenced models was 13.518 and 22.365 MPa, respectively, showing a drop of 39.557%. Moreover, when an oblique force at 35° was applied, a significant increase in deformation and stress was observed. However, the three-fenced model still had less stress and deformation compared with the single-fenced model. The FEA results suggested that as the number of fences increases, the stress dissipation increases, whereas deformation decreases considerably.


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