scholarly journals Design Concepts of Polycarbonate-Based Intervertebral Lumbar Cages: Finite Element Analysis and Compression Testing

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
J. Obedt Figueroa-Cavazos ◽  
Eduardo Flores-Villalba ◽  
José A. Diaz-Elizondo ◽  
Oscar Martínez-Romero ◽  
Ciro A. Rodríguez ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Compression Testing ◽  
Patient Specific ◽  
Compressive Yield Strength ◽  
Element Analysis ◽  
Testing Conditions ◽  
Design Concepts ◽  
3D Printed ◽  
Manufacturing Parameters

This work explores the viability of 3D printed intervertebral lumbar cages based on biocompatible polycarbonate (PC-ISO® material). Several design concepts are proposed for the generation of patient-specific intervertebral lumbar cages. The 3D printed material achieved compressive yield strength of 55 MPa under a specific combination of manufacturing parameters. The literature recommends a reference load of 4,000 N for design of intervertebral lumbar cages. Under compression testing conditions, the proposed design concepts withstand between 7,500 and 10,000 N of load before showing yielding. Although some stress concentration regions were found during analysis, the overall viability of the proposed design concepts was validated.

scholarly journals Effect of coronal plane acetabular correction on joint contact pressure in Periacetabular osteotomy: a finite-element analysis

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Kenji Kitamura ◽  
Masanori Fujii ◽  
Miho Iwamoto ◽  
Satoshi Ikemura ◽  
Satoshi Hamai ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Contact Pressure ◽  
Periacetabular Osteotomy ◽  
Anterior Wall ◽  
Coronal Plane ◽  
Patient Specific ◽  
Element Analysis ◽  
Joint Contact ◽  
Joint Contact Pressure

Abstract Background The ideal acetabular position for optimizing hip joint biomechanics in periacetabular osteotomy (PAO) remains unclear. We aimed to determine the relationship between acetabular correction in the coronal plane and joint contact pressure (CP) and identify morphological factors associated with residual abnormal CP after correction. Methods Using CT images from 44 patients with hip dysplasia, we performed three patterns of virtual PAOs on patient-specific 3D hip models; the acetabulum was rotated laterally to the lateral center-edge angles (LCEA) of 30°, 35°, and 40°. Finite-element analysis was used to calculate the CP of the acetabular cartilage during a single-leg stance. Results Coronal correction to the LCEA of 30° decreased the median maximum CP 0.5-fold compared to preoperatively (p <  0.001). Additional correction to the LCEA of 40° further decreased CP in 15 hips (34%) but conversely increased CP in 29 hips (66%). The increase in CP was associated with greater preoperative extrusion index (p = 0.030) and roundness index (p = 0.038). Overall, virtual PAO failed to normalize CP in 11 hips (25%), and a small anterior wall index (p = 0.049) and a large roundness index (p = 0.003) were associated with residual abnormal CP. Conclusions The degree of acetabular correction in the coronal plane where CP is minimized varied among patients. Coronal plane correction alone failed to normalize CP in 25% of patients in this study. In patients with an anterior acetabular deficiency (anterior wall index < 0.21) and an aspherical femoral head (roundness index > 53.2%), coronal plane correction alone may not normalize CP. Further studies are needed to clarify the effectiveness of multiplanar correction, including in the sagittal and axial planes, in optimizing the hip joint’s contact mechanics.

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