Skip to main content
SpringerLink
Log in

Biomechanical Evaluation of Load Transfer and Stability in a Corrugated Hip Stem: A Comparative Analysis

  • Chapter
  • First Online:
Additive Manufacturing of Bio-implants

Part of the book series: Biomedical Materials for Multi-functional Applications ((BMMA))

  • 62 Accesses

Abstract

Total hip replacements (THR) frequently encounter significant rates of disaster and a limited functioning lifespan of around 6–10 years. These failures are often attributed to improper implant positioning, postsurgical instability, and suboptimal loading during various phases of gait. Revision surgeries, necessitating a number of femoral drilling surgeries to remove and replace the currently installed implant, are commonly recommended within a couple of years post-hip replacement. The associated pain and trauma pose considerable challenges with current hip implants. In this study, we developed an innovative corrugated hip implant with optimized dimensions according to ASTM standards, incorporating grooves for guided insertion and removal, requiring a single femoral drilling and positioning procedure. Biocompatible titanium alloy (Ti6Al4V) was chosen as the implant material, and the innovative implant was virtually put into a femur model. to evaluate its stability and loading characteristics. Post-surgery stability and load transfer are critical factors determining the success of a hip stem. A three-dimensional model of the hip stem was constructed to analyze load transfer and micro-motion. Various materials with different mechanical properties were utilized to simulate the bone–implant structure. Micro-motion at the bone–stem interface was evaluated through finite element analysis (FEA) employing a frictional contact condition. Simultaneously, the load transfer mechanism of the implanted construct was assessed and compared to the intact condition. Also, a comparative analysis was conducted between bonded and contact models to investigate load transfer and stability. The results indicated minimal micro-motion between the femur and implant, low stresses within the elastic limits of both the implant and bone, and homogeneous stress distribution. Unlike conventional hip implants, these findings are crucial for promoting bone growth, enhancing implant stability, and reducing implant wear.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Evans JT, Evans JP, Walker RW, Blom AW, Whitehouse MR, Sayers A (2019) How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet (London, England) 2019. https://doi.org/10.1016/S0140-6736(18)31665-9

  2. Fitzpatrick R, Shortall E, Sculpher M, Murray D, Morris R, Lodge M, et al (1998) Primary total hip replacement surgery: a systematic review of outcomes and modelling of cost-effectiveness associated with different prostheses. Health Technol Assess (Rockv).https://doi.org/10.3310/hta2200

  3. Total Hip Replacement—OrthoInfo—AAOS n.d. https://orthoinfo.aaos.org/en/treatment/total-hip-replacement/. Accessed August 11, 2021

  4. Increased Rate of Total Joint Replacements Predicted From 2020 to 2040—Rheumatology Advisor n.d. https://www.rheumatologyadvisor.com/home/topics/osteoarthritis/increased-rate-of-total-joint-replacements-predicted-from-2020-to-2040/. Accessed August 11, 2021

  5. Singh JA, Yu S, Chen L, Cleveland JD (2019) Rates of total joint replacement in the United States: future projections to 2020–2040 using the national inpatient sample. J Rheumatol 46:1134–1140. https://doi.org/10.3899/JRHEUM.170990

    Article  PubMed  Google Scholar 

  6. Kremers HM, Larson DR, Crowson CS, Kremers WK, Washington RE, Steiner CA et al (2014) Prevalence of total hip and knee replacement in the United States. J Bone Jt Surg Am. https://doi.org/10.2106/JBJS.N.01141

    Article  Google Scholar 

  7. Total Hip Arthroplasty for Femoral Neck Fracture: What Are the Contemporary Reasons for Failure? | Elsevier Enhanced Reader n.d. https://reader.elsevier.com/reader/sd/pii/S0883540321001340?token=2FEF05FC8DFDBD0E2CC7A5EC993CCBBA02AA32963D8E8A5E15039683B3CA925427B2912C7C576219C3AA366F3BCEA052&originRegion=eu-west-1&originCreation=20210914103326. Accessed September 14, 2021

  8. Losina E, Barrett J, Mahomed NN, Baron JA, Katz JN (2004) Early failures of total hip replacement: effect of surgeon volume. Arthritis Rheum.https://doi.org/10.1002/art.20148

  9. Corbett KL, Losina E, Nti AA, Prokopetz JJZ, Katz JN (2010) Population-based rates of revision of primary total hip arthroplasty: a systematic review. PLoS ONE. https://doi.org/10.1371/journal.pone.0013520

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gupta V, Chanda A (2022) Finite element analysis of a hybrid corrugated hip implant for stability and loading during gait phases. Biomed Phys Eng Express 8:035028. https://doi.org/10.1088/2057-1976/AC669C

    Article  Google Scholar 

  11. Heap M, Munglani R, Klinck J, Males A (1993) Elderly patients’ preferences concerning life-support treatment. Anaesthesia 48:1027–1033. https://doi.org/10.1111/(ISSN)1365-2044

    Article  CAS  PubMed  Google Scholar 

  12. Fischer HBJ, Simanski CJP, Kehlet H, Bonnet F, Camu F, McCloy HRF et al (2005) A procedure-specific systematic review and consensus recommendations for analgesia after total hip replacement. Anaesthesia 60:1189–1202. https://doi.org/10.1111/J.1365-2044.2005.04382.X

    Article  CAS  PubMed  Google Scholar 

  13. Gallo J, Gibon E, Goodman SB (2017) Implants for joint replacement of the hip and knee. Mater Dev Bone Disord.https://doi.org/10.1016/B978-0-12-802792-9.00004-5

  14. Ray GS, Ekelund P, Nemes S, Rolfson O, Mohaddes M (2019) Changes in health-related quality of life are associated with patient satisfaction following total hip replacement: an analysis of 69,083 patients in the Swedish Hip Arthroplasty Register 91:48–52. http://www.TandfonlineCom/Action/AuthorSubmission?JournalCode=iort20&page=instructions. https://doi.org/10.1080/17453674.2019.1685284.

  15. Baharuddin MY, Salleh SH, Hamedi M, Zulkifly AH, Lee MH, Mohd Noor A et al (2014) Primary stability recognition of the newly designed cementless femoral stem using digital signal processing. Biomed Res Int. https://doi.org/10.1155/2014/478248

    Article  PubMed  PubMed Central  Google Scholar 

  16. Piazza SJ, Delp SL (2001) Three-dimensional dynamic simulation of total knee replacement motion during a step-up task. J Biomech Eng. https://doi.org/10.1115/1.1406950

    Article  PubMed  Google Scholar 

  17. Patient-specific finite element analysis of femurs with cemented hip implants | Elsevier Enhanced Reader n.d. https://reader.elsevier.com/reader/sd/pii/S0268003318305382?token=7E9B21631325FA0328606F860B557AA7034660740388C648EC34F3714555BFDBFC87A2F1123613AAE1C288976C0FA231&originRegion=eu-west-1&originCreation=20210914105324. Accessed September 14, 2021

  18. Finite element wear prediction using adaptive meshing at the modular taper interface of hip implants | Elsevier Enhanced Reader n.d. https://reader.elsevier.com/reader/sd/pii/S1751616117304666?token=FE2654E1B1D3162FD1CCF752C45DA405195887A1AD4945011CE240DC3DC4C88163CA8ED8AD90ADCD36309BACE3CACB1F&originRegion=eu-west-1&originCreation=20210914105229. Accessed September 14, 2021

  19. Loppini M, Grappiolo G (2018) Uncemented short stems in primary total hip arthroplasty: the state of the art. EFORT Open Rev. https://doi.org/10.1302/2058-5241.3.170052

    Article  PubMed  PubMed Central  Google Scholar 

  20. Latham B, Goswami T (2004) Effect of geometric parameters in the design of hip implants paper IV. Mater Des. https://doi.org/10.1016/j.matdes.2004.01.012

    Article  Google Scholar 

  21. Ridzwan MIZ, Shuib S, Hassan AY, Shokri AA, Mohammad Ibrahim MN (2007) Problem of stress shielding and improvement to the hip implant designs: a review. J Med Sci. https://doi.org/10.3923/jms.2007.460.467

    Article  Google Scholar 

  22. Bozic KJ, Rubash HE (2004) The painful total hip replacement. Clin Orthop Relat Res. https://doi.org/10.1097/00003086-200403000-00004

    Article  PubMed  Google Scholar 

  23. Kyriakopoulos G, Poultsides L, Christofilopoulos P (2018) Total hip arthroplasty through an anterior approach. 3:574–83. https://doi.org/10.1302/2058-5241.3.180023

  24. Jun Y, Choi K (2010) Design of patient-specific hip implants based on the 3D geometry of the human femur. Adv Eng Softw.https://doi.org/10.1016/j.advengsoft.2009.10.016

  25. A predictive framework of the tribological impact of physical activities on metal-on-plastic hip implants | Elsevier Enhanced Reader n.d. https://reader.elsevier.com/reader/sd/pii/S2352573820300421?token=88A508B4AFBB35FBC31A7FDDF85CE4E00838C13EB6FE3C076F59BB159D25A9F82CFE5C56D59B8F3DC2E99D3333DDA541&originRegion=eu-west-1&originCreation=20210914105637. Accessed September 14, 2021

  26. Burn E, Edwards CJ, Murray DW, Silman A, Cooper C, Arden NK et al (2019) Lifetime risk of knee and hip replacement following a diagnosis of RA: Findings from a cohort of 13 961 patients from England. Rheumatol (United Kingdom) 58:1950–1954. https://doi.org/10.1093/rheumatology/kez143

    Article  Google Scholar 

  27. Values T, Hip T, Materials P (2005) Standard specification for total hip joint prosthesis and hip endoprosthesis bearing surfaces made of metallic, ceramic, and polymeric. Components. https://doi.org/10.1520/F2033-05.2

    Article  Google Scholar 

  28. Dickinson AS, Taylor AC, Ozturk H, Browne M (2011) Experimental validation of a finite element model of the proximal femur using digital image correlation and a composite bone model. J Biomech Eng. https://doi.org/10.1115/1.4003129

    Article  PubMed  Google Scholar 

  29. (ASTM) AS for T and M. Standard Specification for Femoral Prostheses — Metallic Implants 1. ASTM Int 2004. https://doi.org/10.1520/F2068-09.2.

  30. Gupta S, Gupta V, Chanda A (2022) Biomechanical modeling of novel high expansion auxetic skin grafts. Int j Numer Method Biomed Eng 38:e3586. https://doi.org/10.1002/cnm.3586

    Article  PubMed  Google Scholar 

  31. Gupta V, Singh G, Gupta S, Chanda A (2023) Expansion potential of auxetic prosthetic skin grafts: a review. Eng Res Express 5. https://doi.org/10.1088/2631-8695/accfe5

  32. Gupta V, Singh G, Chanda A (2022) Development and testing of skin grafts models with varying slit orientations. Mater Today Proc 62:3462–3467. https://doi.org/10.1016/j.matpr.2022.04.282

    Article  Google Scholar 

  33. Wang E, Nelson T, Rauch R (2004) Back to elements—Tetrahedra vs . Hexahedra. CAD-FEM GmbH, Munich, Ger

    Google Scholar 

  34. Sieniawski J, Ziaja W, Kubiak K, Motyk M (2013) Microstructure and mechanical properties of high strength two-phase titanium alloys. Titan Alloy Adv Prop Control, https://doi.org/10.5772/56197

  35. Bergmann G, Bender A, Dymke J, Duda G, Damm P (2016) Standardized loads acting in hip implants. PLoS ONE. https://doi.org/10.1371/journal.pone.0155612

    Article  PubMed  PubMed Central  Google Scholar 

  36. Rawal BR, Ribeiro R, Malhotra R, Bhatnagar N (2012) Design and manufacturing of femoral stems for the Indian population. J Manuf Process. https://doi.org/10.1016/j.jmapro.2011.12.004

    Article  Google Scholar 

  37. Gupta V, Chanda A (2022) Expansion potential of skin grafts with novel I-shaped auxetic incisions. Biomed Phys Eng Express 8:100071. https://doi.org/10.1088/2057-1976/ac3b72

    Article  Google Scholar 

  38. Gupta V, Chanda A (2022) Expansion potential of skin grafts with alternating slit based auxetic incisions. Forces Mech 7:100092. https://doi.org/10.1016/j.finmec.2022.100092

    Article  Google Scholar 

  39. Chanda A, Chatterjee S, Gupta V (2020) Soft composite based hyperelastic model for anisotropic tissue characterization. J Compos Mater 54:4525–4534. https://doi.org/10.1177/0021998320935560

    Article  Google Scholar 

  40. Gupta V, Gupta S, Chanda A (2022) Expansion potential of skin grafts with novel rotating triangle shaped auxetic incisions. Emerg Mater Res 11:1–9. https://doi.org/10.1680/jemmr.22.00026

    Article  CAS  Google Scholar 

  41. Gupta V, Chanda A (2022) Biomechanics of skin grafts: effect of pattern size, spacing and orientation. Eng Res Express 4:015006. https://doi.org/10.1088/2631-8695/ac48cb

    Article  Google Scholar 

  42. Singh G, Gupta V, Chanda A (2020) Mechanical characterization of rotating triangle shaped auxetic skin graft simulants. Facta Univ Ser Mech Eng 1–16. https://doi.org/10.22190/FUME220226038S

  43. Mattei L, Di Puccio F, Piccigallo B, Ciulli E (2011) Lubrication and wear modelling of artificial hip joints: a review. Tribol Int. https://doi.org/10.1016/j.triboint.2010.06.010

    Article  Google Scholar 

Download references

Funding

No funding was received for this work.

Author information

Authors and Affiliations

  1. Centre for Biomedical Engineering, Indian Institute of Technology (IIT) Delhi, New Delhi, 110016, India

    Vivek Gupta, Gurpreet Singh & Arnab Chanda

  2. Department of Biomedical Engineering, All India Institute of Medical Sciences (AIIMS) Delhi, New Delhi, 110029, India

    Arnab Chanda

Authors
  1. Vivek Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gurpreet Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arnab Chanda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arnab Chanda .

Editor information

Editors and Affiliations

  1. Department of Mechanical Engineering, Khalsa College of Engineering and Technology, Amritsar, Punjab, India

    Amit Mahajan

  2. Department of Mechanical Engineering, Khalsa College of Engineering and Technology, Amritsar, Punjab, India

    Sandeep Devgan

  3. Institut Clément Ader, Toulouse University, Toulouse, France

    Redouane Zitoune

Ethics declarations

Conflict of Interest

The authors declare no conflict of interest with respect to the research, authorship, and/or publication of this article.

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gupta, V., Singh, G., Chanda, A. (2024). Biomechanical Evaluation of Load Transfer and Stability in a Corrugated Hip Stem: A Comparative Analysis. In: Mahajan, A., Devgan, S., Zitoune, R. (eds) Additive Manufacturing of Bio-implants. Biomedical Materials for Multi-functional Applications. Springer, Singapore. https://doi.org/10.1007/978-981-99-6972-2_10

Download citation

Publish with us

Policies and ethics

Search

Navigation