GS2-9 FINITE ELEMENT ANALYSIS OF PRIMARY STABILITY ON SHORT STEM HIP IMPLANT(GS2: Orthopaedic Biomechanics II)

Author(s):  
Keisuke Sasagawa ◽  
Kota Sakurai ◽  
Masafumi Oda ◽  
Keiko Katsuyama ◽  
Toshiaki Hara ◽  
...  
2013 ◽  
Vol 2013.50 (0) ◽  
pp. 031201-031202
Author(s):  
Keisuke SASAGAWA ◽  
Masafumi ODA ◽  
Keiko KATSUYAMA ◽  
Katsuya NAKATA ◽  
Toshiaki HARA ◽  
...  

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  

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.


2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  

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.


Author(s):  
Razan Alaqeely ◽  
Mohammad AlDosari ◽  
Nadir Babay ◽  
Al-Hussain Abdulbari ◽  
Ala Ba Hadi ◽  
...  

Abstract Osseodensification is used to densify natural bone and increase dental implant stability. This work aims to compare, using finite element analysis, the stress generated on different jawbone areas between conventional drilling (OD) and osseodensification drilling (CD). Cone-beam CT scans of four different edentulous patients were obtained. Implant insertion and removal in the four bone models were simulated for the two different drilling techniques. Materials distribution was set as homogeneous throughout each part. In the OD technique, a new densified region was formed with new material properties based on a relation between density and elasticity. Material distribution of the densified regions was assumed to be a non-homogenous linear pattern and its gradual variation complies with the graph-related slope equations. Von-Mises stress for cortical and trabecular bone was significantly higher in the CD model in comparison to their values in the OD, as densified regions have absorbed most of the stresses and restricted their propagation. The same phenomenon was observed in the implant pull-out bone model. The OD technique was found to affect the primary stability of dental implants positively. The bone types present in different jawbone regions react differently to this technique according to the percentage of trabecular bone to cortical bone.


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