Abstract
This study was carried out to determine mechanical behavior and bone adaptation of total hip arthroplasty (THA) subject to concentrated and distributed muscle loads and hip contact forces during activities of walking and stair climbing. Finite element modeling of THA with different prostheses, activity and loading types was developed by adopting a statistical method. Two levels of prostheses, activity, and loading types were selected for the study. 23 factorial method was then pursued to design input and output data of finite element analysis. Maximum von Mises stresses were chosen to be output data on which statistical investigation was performed to investigate contribution and interaction of main factors on mechanical failure of cemented THA reconstructions by utilizing analysis of variance method (ANOVA). This study illustrated that the maximum von Mises stresses of THA showed considerable variation for main factors and their two-factor interactions.
Similar content being viewed by others
References
Niinomi M (2002) Recent metallic materials for biomedical applications. Metal Mat Trans A 33A:477–486
Charnley J (1961) Arthroplasty of the hip: a new operation. Lancet 277(7187):1129–1132
Huiskes R, Verdonschot NJJ (1997) Biomechanics of artificial joints: the hip. In: Mow VC, Hayes WC (eds) Basic orthopedic biomechanics. Lipincott-Raven, New York
Malchau H, Herberts P, Garellick G, Söderman P, Eisler T (2002) Prognosis of total hip replacement. In Proceedings of 69th annual meeting of American Academy Orthopaedic Surgeons, Dallas
Herberts P, Malchau H (2000) Long-term registration has improved the quality of hip replacement: a review of the Swedish THR register comparing 160,000 cases. Acta Orthop Scand 71(2):111–121
Wooley PH, Schwarz EM (2004) Aseptic loosening. Gene Ther 11:402–407
Sundfeld M, Carlsson LV, Johansson CB, Thomsen P, Gretzer C (2006) Aseptic loosening, not only a question of wear: a review of different theories. Acta Orth 77:2 177–197
MacInnes SJ, Gordon A, Wilkinson JM (2012) Risk factors for aseptic loosening following total hip arthroplasty. In: Fokter S (ed) Recent advances in arthroplasty. InTech, Rejika, pp 275–295
Stolk J, Verdonschot N, Huiskes R (2001) Hip-joint and abductor-muscle forces adequately represent in vivo loading of a cemented total hip reconstruction. J Biomech 34:917–926
Stolk J, Maher SA, Verdonschot N, Prendergast PJ, Huiskes R (2003) Can finite element models detect clinically inferior cemented hip implants? Cli Orth Rel Res 409:138–150
El’Sheikh HF, MacDonald BJ, Hashmi MSJ (2003) Finite element simulation of the hip joint during stumbling: a comparison between static and dynamic loading. J Mat Proc Tech 143–144:249–255
Duda GN, Schneider E. Chao EYS (1997) Internal forces and moments in the femur during walking. J Biomed 30:933–941
Duda GN, Heller M, Albinger J, Schulz O, Schneider E, Claes L (1998) Influence of muscles on femoral strain distribution. J Biomech 31:841–846
Polgar K, Gill HS, Viceconti M, Murray DW, O’Connor JJ (2003) Development and numerical validation of a finite element model of the muscle standardized femur. Proc Inst Mech Eng H 217:165–172
Polgar K, Gill HS, Viceconti M, Murray DW, O’Connor JJ (2003) Strain distribution within the human femur due to physiological and simplified loading: finite element analysis using the muscle standardized femur model. Proc Inst Mech Eng H 217:173–189
Jonkers I, Sauwen N, Lenaerts G, Mulier M, Van der Perre G, Jaecques S (2008) Relation between subject-specific hip joint loading, stress distribution in the proximal femur and bone mineral density changes after total hip replacement. J Biomech 41:3405–3413
Mcnamara BP, Cristofolini L, Toni A, Taylor D (1997) Relationship between bone-prosthesis bonding and load transfer in total rip reconstruction. J Biomech 30(6):621–630
Joshi MG, Advani SG, Miller F, Santare MH (2000) Analysis of a femoral hip prosthesis designed to reduce stress shielding. J Biomech 33:1655–1662
Watanabe Y, Shiba N, Matsuo S, Higuchi F, Tagawa Y, Inoue A (2000) Biomechanical study of the resurfacing hip arthroplasty finite element analysis of the femoral component. J Arthroplast 15(4):1–7
Stolk J, Verdonschot N, Huiskes R (2002) Stair climbing is more detrimental to the cement in hip replacement than walking. Clin Orthop Relat Res 405:294–305
Pawlikowski M, Skalski K, Haraburda M (2003) Process of hip joint prosthesis design including bone remodeling phenomenon. Com Struct 81:887–893
Senalp AZ, Kayabasi O, Kurtaran H (2007) Static, dynamic and fatigue behavior of newly designed stem shapes for hip prosthesis using finite element analysis. Mat Des 28:1577–1583
Boyle C, Kim IY (2011) Comparison of different hip prosthesis shapes considering micro-level bone remodeling and stress-shielding criteria using three-dimensional design space topology optimization. J Biomech 44:1722–1728
Ramos A, Completo A, Relvas C, Simoes JA (2012) Design process of a novel cemented hip femoral stem concept. Mat Des 33:313–321
Bouziane MM, Benbarek S, Tabeti SMH, Bouiadjra BB, Serier B, Achour T (2014) Finite element analysis of the mechanical behavior of the different cemented hip femoral prostheses. Key Eng Mat 577–578:349–352
Sofuoglu H, Cetin ME (2015) An investigation on mechanical failure of hip joint using finite element method. Biomed Tech 60:603–616
Montgomery DC (1991) Design and analysis of experiments. Wiley, New York
Cristofolini L, Viceconti M, Cappello A, Toni A (1996) Mechanical validation of whole bone composite femur models. J Biomech 29(4):525–535
Viceconti M, Casali M, Massari B, Cristofolini L, Bassini S, Toni A (1996) The ‘standardized femur program’ proposal for a reference geometry to be used for the creation of finite element models of the femur. J Biomech 29(9):1241
Papini M, Zdero R, Zalzal P, Schemitsch EH (2007) The biomechanics of human femurs in axial and torsional loading: comparison of finite element analysis, human cadaveric femurs, and synthetic femurs. J Biomech Eng 129(1):12–19
Cetin ME (2012) The investigatıon of a human hip joint under the effect of different loading by using finite element method. MSc thesis (in Turkish), Karadeniz Technical University, Trabzon
Cetin ME, Sofuoglu H (2012) The investigation of a 3-dimensional human hip joint subjected to distributed load by using finite element method (in Turkish). Sakarya University J Sci 16(3):377–387
ANSYS Release 15, ANSYS mechanical APDL element reference, pp 701–997
Okyar AF, Bayoglu R (2012) The effect of loading in mechanical response predictions of bone lengthening. Med Eng Phy 34(9):1362–1367
Bayoglu R, Okyar AF (2015) Implementation of boundary conditions in modeling the femur is critical for the evaluation of distal intramedullary nailing. Med Eng Phy 37(11):1053–1060
Heller MO, Bergmann G, Kassi JP, Claes L, Haas NP, Duda GN (2005) Determination of muscle loading at the hip joint for use in pre-clinical testing. J Biomech 38:1155–1163
Viceconti M, Ansaloni M, Baleani M, Toni A (2003) The muscle standardized femur: a step forward in the replication of numerical studies in biomechanics. Proc Inst Mech Eng H 217(2):105–110
Prendergast PJ (1997) Finite element models in tissue mechanics and orthopedic implant design. Clin Biomech 12(6):343–366
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Rights and permissions
About this article
Cite this article
Cetin, M.E., Sofuoglu, H. A statistical approach to explore cemented total hip reconstruction performance. Australas Phys Eng Sci Med 41, 177–188 (2018). https://doi.org/10.1007/s13246-018-0627-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13246-018-0627-x