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Bionic reconstruction of tension trabeculae in short-stem hip arthroplasty: a finite element analysis

文献类型:期刊论文

作者Ding, Zhentao; Wang J(王晶); Wang, Yanhua; Zhang, Xiaomeng; Xun Y(郇勇); Zhang, Dianying
刊名BMC MUSCULOSKELETAL DISORDERS
出版日期2023-02-02
卷号24期号:1页码:11
关键词Short-stem hip arthroplasty Stress shielding Hip biomechanics Bionic reconstruction Tension screw Finite element analysis
DOI10.1186/s12891-023-06205-3
通讯作者Huan, Yong(huany@lnm.imech.ac.cn) ; Zhang, Dianying(zdy8016@163.com)
英文摘要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.
分类号Q3
WOS关键词FOLLOW-UP ; MUSCLE FORCES ; BONE LOSS ; IMPLANT ; DENSITY ; BIOMECHANICS ; SENSITIVITY ; FIXATION ; FEMUR ; LOAD
WOS研究方向Orthopedics ; Rheumatology
语种英语
WOS记录号WOS:000922864600002
其他责任者Huan, Yong ; Zhang, Dianying
源URL[http://dspace.imech.ac.cn/handle/311007/91604]  
专题力学研究所_非线性力学国家重点实验室
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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.
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.

入库方式: OAI收割

来源:力学研究所

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