Advertisement

Journal of Bionic Engineering

, Volume 15, Issue 3, pp 443–451 | Cite as

Finite Element Analysis of the Pelvis after Customized Prosthesis Reconstruction

  • Enchun Dong
  • Ling Wang
  • Taimoor Iqbal
  • Dichen Li
  • Yaxiong Liu
  • Jiankang He
  • Binghui Zhao
  • Yuan Li
Article
  • 71 Downloads

Abstract

Custom-made pelvic prostheses are normally employed to reconstruct the biomechanics of the pelvis for improving patient’s life quality. However, due to the large demand of biomechanical performance around the pelvic system, the customized prosthesis needs to be studied for its strength and stability. A hemi-pelvic finite element model, including a custom-made prosthesis and the surrounded main ligaments, was created to study the strength and stability of the system. Based on the developed finite element model, the relationship between the pre-stress of the screws and the biomechanical performance of the reconstructed pelvis was investigated. Results indicate that the pre-stress should not exceed 1000 N during surgery in order to prevent fatigue fractures from happening to screws. Moreover, four screws were removed from the pelvic system without affecting the fixing stability of the system, which provide surgical guidance for surgeons in terms of safety and fixation.

Keywords

customized hemi-pelvic prosthesis finite element analysis biomechanics screws pre-stress 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

Acknowledgments

This work was supported by the Program of the National Natural Science Foundation of China (Grant Nos. 51205303 and 51323007), the Fundamental Research Funds for the Central Universities, the Research Fund for the Doctoral Program of Higher Education of China (RFDP), and the Program of International Scientific & Technological Cooperation and Exchange Planning of Shaanxi Province (Grant No. 2017KW-ZD-02).

References

  1. [1]
    Hao Z X, Wan C, Gao X F, Ji T, Wang H S. The effect of screw fixation type on a modular hemi-pelvic prosthesis: A 3-D finite element model. Disability and Rehabilitation: Assistive Technology, 2013, 8, 125–128.Google Scholar
  2. [2]
    Jia Y W, Cheng L M, Yu G R, Du C F, Yang Z Y, Yu Y, Ding Z Q. A finite element analysis of the pelvic reconstruction using fibular transplantation fixed with four different rodscrew systems after type ? resection. Chinese Medical Journal, 2008, 121, 321–326.Google Scholar
  3. [3]
    Hua Z K, Fan Y W, Cao Q H, Wu X B. Biomechanical study on the novel biomimetic hemi-pelvis prosthesis. Journal of Bionic Engineering, 2013, 10, 506–513.CrossRefGoogle Scholar
  4. [4]
    Wang B, Sun P D, Xie X B, Wu W D, Tu J, Ouyang J, Shen J N. A novel combined hemipelvic endoprosthesis for periacetabular tumours involving sacroiliac joint: A finite element study. International Orthopaedics, 2015, 39, 2253–2259.CrossRefGoogle Scholar
  5. [5]
    Zhou Y, Min L, Liu Y, Shi R, Zhang W L, Zhang H, Duan H, Tu C Q. Finite element analysis of the pelvis after modular hemipelvic endoprosthesis reconstruction. International Orthopaedics, 2013, 37, 653–658.CrossRefGoogle Scholar
  6. [6]
    Kitagawa Y, Ek E T, Choong P F M. Pelvic reconstruction using saddle prosthesis following limb salvage operation for periacetabular tumour. Journal of Orthopaedic Surgery, 2006, 14, 155–162.CrossRefGoogle Scholar
  7. [7]
    Cottias P, Jeanrot C, Vinh T S, Tomeo B, Anract P. Complications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors. Journal of Surgical Oncology, 2001, 78, 90–100.CrossRefGoogle Scholar
  8. [8]
    Mavrogenis A F, Soultanis K, Patapis P, Guerra G, Fabbri N, Ruggieri P, Papagelopoulos P J. Pelvic resections. Orthopedics, 2013, 35, 232–243.Google Scholar
  9. [9]
    Dai K R, Yan M N, Zhu Z N, Sun Y H. Computer-aided custom-made hemipelvic prosthesis used in extensive pelvic lesions. The Journal of Arthroplasty, 2007, 7, 981–986.CrossRefGoogle Scholar
  10. [10]
    Iqbal T, Shi L, Wang L, Liu Y X, Li D C, Qin M, Jin Z G. Development of finite element model for customized prostheses design for patient with pelvic bone tumor. Journal of Engineering in Medicine, 2017, 231, 525–533.CrossRefGoogle Scholar
  11. [11]
    Colen S, Dalemans A, Schouwenaars A, Mulier M. Outcome of custom-made IMP femoral components of total hip arthroplasty a follow-up of 15 to 22 years. The Journal of Arthroplasty, 2014, 29, 397–400.CrossRefGoogle Scholar
  12. [12]
    Ji T, Guo W, Tang X D, Yang Y. Reconstruction of type II+III pelvic resection with a modular hemipelvic endoprosthesis: A finite element analysis study. Orthopaedic Surgery, 2010, 4, 272–277.CrossRefGoogle Scholar
  13. [13]
    Fan Y P, Lei J Y, Zhu F, Li Z Q, Chen W Y, Liu X M. Biomechanical analysis of the fixation system for T-shaped acetabular fracture. Computational and Mathematical Methods in Medicine, 2015, 2015, 1–10.CrossRefGoogle Scholar
  14. [14]
    Böhme J, Shim V, Höch A, Mütze M, Müller C, Josten C. Clinical implementation of finite element models in pelvic ring surgery for prediction of implant behavior: A case report. Clinical Biomechanics, 2012, 27, 872–878.CrossRefGoogle Scholar
  15. [15]
    Bellini C M, Galbusera F, Ceroni R G, Raimondi M. Loss in mechanical contact of cementless acetabular prostheses due to post-operative weight bearing: A biomechanical model. Medical Engineering & Physics, 2007, 27, 175–181.CrossRefGoogle Scholar
  16. [16]
    Er M S, Eroglu M, Verim O, Altinel L. Finite element analysis of the pelvis after modular hemipelvic endoprosthesis reconstruction. International Orthopaedics, 2013, 37, 2097–2098.CrossRefGoogle Scholar
  17. [17]
    Ji T, Gao X F, Guo W. Construction of a three-dimensional finite element model of the pelvic ring. Journal of Clinical Rehabilitative Tissue Engineering Research, 2009, 13, 1625–1628.Google Scholar
  18. [18]
    Leung A S, Gordon L M, Skrinskas T, Szwedowski T, Whyne C M. Effects of bone density alterations on strain patterns in the pelvis: Application of a finite element model. Engineering in Medicine, 2009, 223, 965–979.CrossRefGoogle Scholar
  19. [19]
    Palastanga N, Soames R W. Anatomy and Human Movement: Structure and Function, 6th ed., Churchill Livingstone, Edinburgh, UK, 2012.Google Scholar
  20. [20]
    Andersen R C, O’Toole R V, Nascone J W, Sciadini M F, Frisch H M, Turen C W. Modified stoppa approach for acetabular fractures with anterior and posterior column displacement: Quantification of radiographic reduction and analysis of interobserver variability. Journal of Orthopaedic Trauma, 2010, 24, 271–278.CrossRefGoogle Scholar
  21. [21]
    Hao Z, Wan C, Gao X, Ji T. The effect of boundary condition on the biomechanics of a human pelvic joint under an axial compressive load: A three-dimensional finite element model. Journal of Biomechanical Engineering, 2011, 8, 965–979.Google Scholar
  22. [22]
    Dalstra M, Huiskes R. Load transfer across the pelvic bone. Journal of Biomechanics, 1995, 28, 715–724.CrossRefGoogle Scholar
  23. [23]
    Hosseini S, Hudak R, Penhaker M, Majernik J. Fatigue of Ti-6Al-4V. Biomedical Engineering Technical Applications in Medicine, 2012, 17, 75–92.Google Scholar
  24. [24]
    Long M, Rack H J. Titanium alloys in total joint replacement — A materials science perspective. Biomaterials, 1998, 19, 1627–1639.CrossRefGoogle Scholar
  25. [25]
    Zioupos P, Gresle M, Winwood K. Fatigue strength of human cortical bone: Age, physical, and material heterogeneity effects. Journal of Biomedical Materials Research, 2008, 86, 627–636.CrossRefGoogle Scholar
  26. [26]
    Phillips A T M, Pankaj P, Howie C R, Usmani A S, Simpson A H R W. Finite element modelling of the pelvis: Inclusion of muscular and ligamentous boundary conditions. Medical Engineering & Physics, 2007, 29, 739–748.CrossRefGoogle Scholar
  27. [27]
    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, 2001, 34, 859–871.CrossRefGoogle Scholar
  28. [28]
    Bergmann G, Graichen F, Rohlmann A. Hip joint loading during walking and running, measured in two patients. Journal of Biomechanics, 1993, 26, 969–990.CrossRefGoogle Scholar

Copyright information

© Jilin University 2018

Authors and Affiliations

  • Enchun Dong
    • 1
  • Ling Wang
    • 1
  • Taimoor Iqbal
    • 1
  • Dichen Li
    • 1
  • Yaxiong Liu
    • 1
  • Jiankang He
    • 1
  • Binghui Zhao
    • 2
  • Yuan Li
    • 2
  1. 1.State Key Laboratory for Manufacturing System EngineeringXi’an Jiaotong UniversityXi’anChina
  2. 2.Tianjin Medical Device Supervision and Testing CenterTianjinChina

Personalised recommendations