| Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis | |
Ding, Zhentao; Wang J(王晶) ; Wang, Yanhua; Zhang, Xiaomeng; Xun Y(郇勇); Zhang, Dianying
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| Corresponding Author | Huan, Yong([email protected]) ; Zhang, Dianying([email protected]) |
| Source Publication | BMC MUSCULOSKELETAL DISORDERS
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| 2023-02-02 | |
| Volume | 24Issue:1Pages:11 |
| Abstract | BackgroundShort-stem hip arthroplasty (SHA) is characterized by metaphyseal load transfer that effectively preserves the bone stock, but still suffers from stress shielding in the proximal femur. We designed a tension screw to mimic tension trabeculae in the new bionic collum femoris preserving (BCFP) short stem for bionic reconstruction, aiming to restore the biomechanics of hip joint.MethodsNative femur finite element model was constructed to investigate the biomechanics of hip joint based on computed tomography (CT) data. The maximum absolute principal stress/strain cloud chart allowed the direction of stress/strain to be assessed. Six BCFP models with different screw angles (5 degrees, 10 degrees, 15 degrees, 20 degrees, 25 degrees, and 30 degrees) and the Corail model were created. The stress/strain distribution and overall stiffness were compared between each of the BCFP and Corail implanted models.ResultsThe native model visualized the transfer pathways of tensile and compressive stress. The BCFP stems showed significantly higher stress and strain distribution in the greater trochanteric region compared to conventional total hip arthroplasty (THA). In particular, the BCFP-5 degrees stem demonstrated the highest average strain in both medial and lateral regions and the overall stiffness was closest to the intact femur.ConclusionsStress transfer pathways of trabecular architecture provide biomechanical insight that serves as the basis for bionic reconstruction. The tension screw improves load transfer pattern in the proximal femur and prevents stress reduction in the greater trochanteric region. The BCFP-5 degrees stem minimizes the stress shielding effect and presents a more bionic mechanical performance. |
| Keyword | Short-stem hip arthroplasty Stress shielding Hip biomechanics Bionic reconstruction Tension screw Finite element analysis |
| DOI | 10.1186/s12891-023-06205-3 |
| Indexed By | SCI |
| Language | 英语 |
| WOS ID | WOS:000922864600002 |
| WOS Keyword | FOLLOW-UP ; MUSCLE FORCES ; BONE LOSS ; IMPLANT ; DENSITY ; BIOMECHANICS ; SENSITIVITY ; FIXATION ; FEMUR ; LOAD |
| WOS Research Area | Orthopedics ; Rheumatology |
| WOS Subject | Orthopedics ; Rheumatology |
| Classification | Q3 |
| Ranking | 1 |
| Contributor | Huan, Yong ; Zhang, Dianying |
| Citation statistics | |
| Document Type | 期刊论文 |
| Identifier | http://dspace.imech.ac.cn/handle/311007/91605 |
| Collection | 非线性力学国家重点实验室 |
| Recommended Citation GB/T 7714 | Ding, Zhentao,Wang J,Wang, Yanhua,et al. Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis[J]. BMC MUSCULOSKELETAL DISORDERS,2023,24,1,:11.Rp_Au:Huan, Yong, Zhang, Dianying |
| APA | Ding, Zhentao,王晶,Wang, Yanhua,Zhang, Xiaomeng,郇勇,&Zhang, Dianying.(2023).Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis.BMC MUSCULOSKELETAL DISORDERS,24(1),11. |
| MLA | Ding, Zhentao,et al."Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis".BMC MUSCULOSKELETAL DISORDERS 24.1(2023):11. |
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| Jp2023A013.pdf（4127KB） | 期刊论文 | 出版稿 | 开放获取 | CC BY-NC-SA | View Download | |
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