Engineering Transactions, 65, 1, pp. 123–131, 2017

FEM analysis in the hip joint reconstructed with classical and modified hip resurfacing

AGH University of Science and Technology, Cracow, Poland

Tomasz MADEJ
AGH University of Science and Technology, Cracow, Poland

The aim of the work is personalized strength analysis using finite element method (FEM), carried out in the virtual hip joint supported by the hip resurfacing. The material for the procedure was the clinical case of patient, recommended to the resurfacing operation. The preoperative strength analysis was carried out on a numerical model of the patient's hip belt, reconstructed on the basis of computed tomography. The research material were implanted prostheses: BIRMINGHAM Hip Resurfacing System (BHR) and Birmingham Mid Head Resection (BMHR). The strength analysis was carried out using Femap NE / Nastran v.8.3. Huber-Mises-Hencky (HMH) hypothesis was assumed to determine and evaluation of stress and displacements in the structure of the prosthesis and periarticular tissues. The distributions of the stresses in the prosthesis and the surrounding tissues after resurfacing operation have not too large values. In the case under consideration, they do not exceed the physiological resistance of tissues and can stimulate bone formation processes.
Keywords: hip resurfacing; modelling; FEM analysis
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Anton A., Joseph D., McMinn D., Lundberg A., A two-year radiostereometric follow-up of the first generation Birmingham Mid Head Resection arthroplasty. Hip International, 24(4): 355–362, 2014, doi: 10.5301/hipint.5000136.

Aqil A., Sheikh H.Q., Masjedi M., Jeffers J., Cobb J., Birmingham Mid-Head Resection Periprosthetic Fracture, Clinics in Orthopedic Surgery, 7(3): 402–405, 2015, doi: 10.4055/cios.2015.7.3.402.

Beaule P.E., Amstutz H.C., Le Duff M., et al., Surface arthroplasty for osteonecrosis of the hip: hemiresurfacing versus metal on metal hybrid resurfacing, Journal of Arthroplasty, 19(8): 54–58, 2004, doi: 10.1016/j.arth.2004.09.007.

Bergmann G., Deuretzbacher G., Heller M., Graichen F., Rohlmann A., Strauss J., Duda G.N., Hip contact forces and gait patterns from routine activities. Journal of Biomechanics, 34(7): 859–871, 2001, doi: 10.1016/S0021-9290(01)00040-9.

Bergmann G., Graichen F., Rohlmann A., Bender A., Heinlein B., Duda G.N., Heller M.O., Morlock M.M., Realistic loads for testing hip implants, Bio-Medical Materials and Engineering, 20(2): 65–75, 2010, doi: 10.3233/BME-2010-0616.

Cooke N. J., Rodgers L., Rawlings D., McCaskie A.W., Holland J.P., Bone density of the femoral neck following Birmingham hip resurfacing, Acta Orthopaedica, 80(6): 660–665, 2009, doi: 10.3109/17453670903486992.

Garbuz D.S., Tanzer M., Greidanus N.V. et al., The John Charnley Award: Metal on metal hip resurfacing versus large diameter head metal on metal total hip arthroplasty: a randomized clinical trial, Clinical Orthopaedics and Related Research, 468(2): 318–325, 2010, doi: 10.1007/s11999-009-1029-x.

Jiang Y., Zhang K., Die J. et al., A systematic review of modern metal on metal total hip resurfacing vs. standard total hip arthroplasty in active young patients, Journal of Arthroplasty, 26(3): 419–426, 2011, doi: 10.1016/j.arth.2010.07.008.

Kishida Y., Sugano N., Nishii T., Miki H., Yamaguchi K., Yoshikawa H., Preservation of the bone mineral density of the femur after surface replacement of the hip, Journal of Bone & Joint Surgery (Br), 86-B: 185–189, 2004.

Little C.P., Ruiz A.L., Harding I.J., McLardy-Smith P., Gundle R., Murray D.W., Athanasou N.A., Osteonecrosis in retrieved femoral heads after failed resurfacing arthroplasty of the hip, Journal of Bone & Joint Surgery (Br), 87-B: 320–323, 2005, doi: 10.1302/0301-620X.87B3.15330.

Marker D.R., Strimbu K., McGrath M.S. et al., Resurfacing versus conventional total hip arthroplasty – review of comparative clinical and basic science studies, Bulletin of the NYU Hospital for Joint Diseases, 67(2): 120–127, 2009.

McMinn D.J.W., Daniel J., Pradhan C., Ziaee H., Avascular Necrosis in the Young Patient: A Trilogy of Arthroplasty Options, Orthopedics, 28(9): 945–947, 2005, doi: 10.3928/0147-7447-20050901-19.

Olsen M., Lewis P.M., Waddell J.P., Schemitsch E.H., A Biomechanical Investigation of Implant Alignment and Femoral Neck Notching With the Birmingham Mid-Head Resection, The Journal of Arthroplasty, 25(6): 112–117, 2010, doi: 10.1016/j.arth.2010.05.007.

Ong K.L., Kurtz S.M., Manley M.T., Rushton N., Mohammed N.A., Field R.E., Biomechanics of the Birmingham hip resurfacing arthroplasty, Journal of Bone & Joint Surgery (Br), 88-B: 1110–1115, 2006, doi: 10.1302/0301-620X.88B8.17567.

Quesada M.J., Marker D.R., Mont M.A., Metal on metal hip resurfacing: advantages and disadvantages, Journal of Arthroplasty, 23(7): 69–73, 2008, doi: 10.1016/j.arth.2008.06.015.

Revell M.P., McBryde C.W., Bhatnagar S., Pynsent P.B., Treacy R.B.C., Metal-on-Metal Hip Resurfacing in Osteonecrosis of the Femoral Head, Journal of Bone & Joint Surgery (Am), 88(3): 98–103, 2006, doi: 10.2106/JBJS.F.01070.

Ryniewicz A.M., Madej T., Ryniewicz A., Bojko Ł., The biometrological procedure preceeding the resurfacing, Metrology and Measurement Systems, 23(1): 97–106, 2016, doi: 10.1515/mms-2016-0002.

Ryniewicz A., Ryniewicz A.M., Madej T., Sładek J. Gąska A., Biometrological method of pelvis measurement and anatomical positioning of endoprosthesis of hip joint, Metrology and Measurement Systems, 20(1): 17–26, 2013.

Sharatha K.R., Boseb V.C., Birmingham mid-head resection arthroplasty of hip for avascular necrosis of femoral head – A minimum follow up of 2 years, Apollo Medicine, 9(4): 297–302, 2012, doi: 10.1016/j.apme.2012.10.001.

Ścigała K., Będziński R., Filipiak J., Chlebus E., Dybała B., Application of generative technologies in the design of reduced stiffness stems of hip joint endoprosthesis, Archives of Civil and Mechanical Engineering, 11(3): 753–767, 2011.

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