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The Customized Artificial Hip Cup: Design and Manufacturing of an Innovative Prosthesis

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Part of the book series: Lecture Notes in Applied and Computational Mechanics ((LNACM,volume 74))

Abstract

The demand for customized products has increased in recent years and will become even more important in the future. This trend is mainly observed for the medical technology sector influenced by the increasing manufacturing of patient-individual prostheses. In particular the manufacturing of customized hip cups is gaining in importance. Over 800,000 total hip replacements are performed worldwide each year. Despite this experience, the migration and loosening of the hip prosthesis especially of the cup due to the bone resorption caused by stress shielding is a current problem. Patient-specific hip cups can be used to counteract this. However, individual hip cups are only implanted for the treatment of great deformations or tumours because of the cost-intensive manufacturing. Within this project the remodelling process is calculated with a conventional prosthesis via finite element method (FEM) coupled with multi-body simulation (MBS). A migration of the cup in the proximal direction can be suggested. Based on these results an innovative and economic concept for the design and production of patient-individual hip cups for primary surgery by means of sheet metal forming is developed. In this two-stage process first standardized titanium sheet metal components are produced. Then a true-size enlargement of these components is executed by a modified adaptive rubber-die forming process. The development is accompanied by an FE simulation-based planning as well as a metal forming adapted design method. In this study the first part of the design method is demonstrated, which contains the deduction of a universal acetabular geometry, necessary for the production of the standardized component. Furthermore, high pressure sheet metal forming (HPF) will be introduced for the manufacturing of standardized components. Therefore an FE-simulation of the process is carried out for the design of the forming tool.

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References

  1. Schnabel, P., Borelli, S.: Endoprothesenregister: Höchsten Anforderungen genügen. Dtsch Arztebl 18(48), A 2598–A 2602 (2011)

    Google Scholar 

  2. Fraldi, M., Esposito, L., Perrella, G., Cutolo, A., Cowin, S.C.: Topological optimization in hip prosthesis design. Biomech. Model. Mechanobiol. 9, 389–402 (2010)

    Article  Google Scholar 

  3. Garellick, G., Karrholm, J., Rogmark, C., Rolfson, O., Herberts, P.: Annual report 2011: Swedish hip arthroplasty register (2012)

    Google Scholar 

  4. Garcia-Cimbrelo, E., Diaz-Martin, A., Madero, R., Munera, L.: Loosening of the cup after low-friction arthroplasty in patients with acetabular protrusion: The importance of the position of the cup. J. Bone Joint Surg. Br. 82, 108–115 (2000)

    Article  Google Scholar 

  5. Laursen, M.B., Nielsen, P.T., Søballe, K.: Bone remodelling around ha-coated acetabular cups: A dexa study with a 3-year follow-up in a randomised trial. Int. Orthop. 31, 199–204 (2007)

    Article  Google Scholar 

  6. Behrens, B.A., (ed).: Umformtechnik - Ein Wirtschaftszweig mit Potential: 19. Umformtechnisches Kolloquium Hannover [UKH], 27. und 28. Februar 2008, Hannover (2008)

    Google Scholar 

  7. Zäh, M., Hagemann, F.: Wirtschaftliche Fertigung mit Rapid-Technologien: Anwender-Leitfaden zur Auswahl geeigneter Verfahren. Kostengünstig produzieren. Hanser, München (2006)

    Book  Google Scholar 

  8. Hirt, G., Ziegler, S., Bambach, M.: Recent developments in incremental sheet forming for prototype and small series. ymposium “Current State and Future Trends of Metal Forming Technology in Automobile Industries”, 27.02.2008, Nagoya, Japan (2008) 69–80.

    Google Scholar 

  9. Meichsner, T.P.: Tool-in-tool Innovative und wandlungsfähige Großwerkzeuge für den Karosseriebau. In Behrens, B.A., ed.: Umformtechnik - Ein Wirtschaftszweig mit Potential, Hannover (2008) 129–136.

    Google Scholar 

  10. Tan, F.X., Li, M.Z., Cai, Z.Y.: Research on the process of multi-point forming for the customized titanium alloy cranial prosthesis. 3rd International Conference on Advanced Forming and Die Manufacturing Technology 187–188 (2007) 453–457.

    Google Scholar 

  11. Wolff, J.: Das Gesetz der Transformation der Knochen. 1. aufl., reprint [der ausg.] berlin, hirschwald, 1892 / hrsg.: Georg bergmann und georg duda edn. Pro Business, Berlin (2010).

    Google Scholar 

  12. Engh, C.A., McGovern, T.F., Bobyn, J.D., Harris, W.H.: A quantitative evaluation of periprosthetic bone-remodeling after cementless total hip arthroplasty. The Journal of bone and joint surgery. American volume 74 (1992) 1009–1020.

    Google Scholar 

  13. Kerner, J., Huiskes, R., van Lenthe, G.H., Weinans, H., van Rietbergen, B., Engh, C.A., Amis, A.A.: Correlation between pre-operative periprosthetic bone density and post-operative bone loss in tha can be explained by strain-adaptive remodelling. J. Biomech. 32, 695–703 (1999)

    Article  Google Scholar 

  14. Bouguecha, A.: Numerische und experimentelle Untersuchungen zum beanspruchsadaptiven Knochenumbau im periprotheischen caninen Femur. Volume 2007, Bd. 04 of Berichte aus dem IFUM. PZH, Produktionstechn. Zentrum, Garbsen (2007).

    Google Scholar 

  15. Behrens, B.A., Nolte, I., Wefstaedt, P., Stukenborg-Colsman, C., Bouguecha, A.: Numerical investigations on the strain-adaptive bone remodelling in the periprosthetic femur: Influence of the boundary conditions. BioMedical Engineering OnLine 8, 1–9 (2009)

    Article  Google Scholar 

  16. Bouguecha, A., Elgaly, I., Stukenborg-Colsman, C., Lerch, M., Nolte, I., Wefstaedt, P., Matthias, T., Behrens, B.A.: Numerical investigations of the strain-adaptive bone remodeling in the prosthetic pelvis. In: Magjarevic, R., Bamidis, P.D., Pallikarakis, N. (eds.) XII Mediterranean Conference on Medical and Biological Engineering and Computing 2010. IFMBE Proceedings, vol. 29, pp. 562–565. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  17. Bouguecha, A., Weigel, N., Betancur Escobar, S., Nolte, I., Wefsteadt, P., Stukenborg-Colsman, C., Behrens, B.A.: Influence of assumed boundary conditions derived from mbs on numerically simulated strain-adaptive bone remodeling in the pelvis after total hip replacement. In: Proceedings of the 50th EMBEC (2011)

    Google Scholar 

  18. Behrens, B.A., Escobar, S.B., Almohallami, A., Weigel, N., Vucetic, M., Stukenborg-Colsman, C., Lerch, M., Nolte, I., Lucas, K., Wefstaedt, P., Bouguecha, A.: Production of patient-individual hip cups by sheet metal forming: simulation-based planning and metal forming adapted design method. Adv. Mater. Res. 907, 253–264 (2014)

    Article  Google Scholar 

  19. Doege, E., Behrens, B.A.: Handbuch Umformtechnik: Grundlagen, Technologien, Maschinen. VDI-Buch. Springer, Heidelberg (2010)

    Book  Google Scholar 

  20. Betancur Escobar, S., Bouguecha, A., Almohallami, A., Niemeier, H., Nolte, I., Lucas, K., Stukenborg-Colsmann, C., Lerch, M., Behrens, B.A.: Patient-individual hip cups: Simulation-based design and sheet metal forming manufacturing. Biomedizinische Technik. Biomedical engineering (2013)

    Google Scholar 

  21. Ester, M., Sander, J.: Knowledge Discovery in Databases: Techniken und Anwendungen. Springer, Berlin (2000)

    Book  Google Scholar 

  22. Herrmann, H.: Data Mining. 1. aufl edn. Grin Verl, [München [u.a.]] (2004)

    Google Scholar 

  23. Bacher, J.: Clusteranalyse: Anwendungsorientierte Einführung. 2, erg. aufl edn. Oldenbourg, München and Wien (1996)

    Google Scholar 

  24. Backhaus, K.: Multivariate Analysemethoden: Eine anwendungsorientierte Einführung; mit 6 Tabellen. 11, überarb. aufl edn. Springer-Lehrbuch. Springer, Berlin [u.a.] (2006)

    Google Scholar 

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Acknowledgments

The study is carried out in the framework of the Collaborative Research Center 599 “Sustainable degradable and permanent implants out of metallic and ceramic materials” and is a part of the subproject D13 “Development, metal-forming and evaluation of patient-individual acetabular components”. The authors would like to thank the German Research Foundation (DFG) for the financial support.

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Correspondence to Stefanie Betancur Escobar .

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Betancur Escobar, S. et al. (2015). The Customized Artificial Hip Cup: Design and Manufacturing of an Innovative Prosthesis. In: Lenarz, T., Wriggers, P. (eds) Biomedical Technology. Lecture Notes in Applied and Computational Mechanics, vol 74. Springer, Cham. https://doi.org/10.1007/978-3-319-10981-7_4

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  • DOI: https://doi.org/10.1007/978-3-319-10981-7_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10980-0

  • Online ISBN: 978-3-319-10981-7

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