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Finite Element Analysis of the Pelvis after Customized Prosthesis Reconstruction

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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.

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References

  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. 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. 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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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. 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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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. 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.

    Article  Google Scholar 

  19. Palastanga N, Soames R W. Anatomy and Human Movement: Structure and Function, 6th ed., Churchill Livingstone, Edinburgh, UK, 2012.

    Google Scholar 

  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.

    Article  Google Scholar 

  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. Dalstra M, Huiskes R. Load transfer across the pelvic bone. Journal of Biomechanics, 1995, 28, 715–724.

    Article  Google Scholar 

  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. Long M, Rack H J. Titanium alloys in total joint replacement — A materials science perspective. Biomaterials, 1998, 19, 1627–1639.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

Download references

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).

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Correspondence to Ling Wang.

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Dong, E., Wang, L., Iqbal, T. et al. Finite Element Analysis of the Pelvis after Customized Prosthesis Reconstruction. J Bionic Eng 15, 443–451 (2018). https://doi.org/10.1007/s42235-018-0035-7

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  • DOI: https://doi.org/10.1007/s42235-018-0035-7

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