Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty
Abstract Background The stability of acetabulum reconstructions using reinforcement rings and hooks is important for successful replacement surgery. The objective of this study was to biomechanically determine the effects of the hook on stress and the related micromotions of the acetabular reinforce...
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doaj-94d0071af1c146cd8039d0fbdee4631e2020-11-25T01:23:40ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-12-011311710.1186/s13018-018-1023-7Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplastyKoji Totoribe0Etsuo Chosa1Go Yamako2Xin Zhao3Koki Ouchi4Hiroaki Hamada5Gang Deng6Department of Orthopaedic Surgery, Faculty of Medicine, University of MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of MiyazakiDepartment of Mechanical Design Systems, Faculty of Engineering, University of MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of MiyazakiDepartment of Mechanical Design Systems, Faculty of Engineering, University of MiyazakiDepartment of Orthopaedic Surgery, Faculty of Medicine, University of MiyazakiDepartment of Mechanical Design Systems, Faculty of Engineering, University of MiyazakiAbstract Background The stability of acetabulum reconstructions using reinforcement rings and hooks is important for successful replacement surgery. The objective of this study was to biomechanically determine the effects of the hook on stress and the related micromotions of the acetabular reinforcement ring during the immediate postoperative period. Methods Acetabular reinforcement ring models were developed using a nonlinear, three-dimensional, finite element method. Using a pre-prepared template, we constructed without-hook and bone graft models of varying volumes and material properties. Results The stress on the inferior margin of the acetabulum was higher in the with-hook model than in the without-hook model, especially with increased bone graft volumes, and the stiffness of the bone graft material was decreased. Relative micromotions in the without-hook model were higher than in the with-hook models. The highest relative micromotion was observed in the model with increased bone graft volume and lower stiffness of bone graft material. Conclusions In biomechanical analyses, the hook effectively dispersed stress and improved the initial fixation strength of the acetabular reinforcement ring.http://link.springer.com/article/10.1186/s13018-018-1023-7Finite element methodTotal hip arthroplastyAcetabular reinforcement ringPrimary implant stability |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Koji Totoribe Etsuo Chosa Go Yamako Xin Zhao Koki Ouchi Hiroaki Hamada Gang Deng |
spellingShingle |
Koji Totoribe Etsuo Chosa Go Yamako Xin Zhao Koki Ouchi Hiroaki Hamada Gang Deng Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty Journal of Orthopaedic Surgery and Research Finite element method Total hip arthroplasty Acetabular reinforcement ring Primary implant stability |
author_facet |
Koji Totoribe Etsuo Chosa Go Yamako Xin Zhao Koki Ouchi Hiroaki Hamada Gang Deng |
author_sort |
Koji Totoribe |
title |
Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
title_short |
Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
title_full |
Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
title_fullStr |
Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
title_full_unstemmed |
Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
title_sort |
acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty |
publisher |
BMC |
series |
Journal of Orthopaedic Surgery and Research |
issn |
1749-799X |
publishDate |
2018-12-01 |
description |
Abstract Background The stability of acetabulum reconstructions using reinforcement rings and hooks is important for successful replacement surgery. The objective of this study was to biomechanically determine the effects of the hook on stress and the related micromotions of the acetabular reinforcement ring during the immediate postoperative period. Methods Acetabular reinforcement ring models were developed using a nonlinear, three-dimensional, finite element method. Using a pre-prepared template, we constructed without-hook and bone graft models of varying volumes and material properties. Results The stress on the inferior margin of the acetabulum was higher in the with-hook model than in the without-hook model, especially with increased bone graft volumes, and the stiffness of the bone graft material was decreased. Relative micromotions in the without-hook model were higher than in the with-hook models. The highest relative micromotion was observed in the model with increased bone graft volume and lower stiffness of bone graft material. Conclusions In biomechanical analyses, the hook effectively dispersed stress and improved the initial fixation strength of the acetabular reinforcement ring. |
topic |
Finite element method Total hip arthroplasty Acetabular reinforcement ring Primary implant stability |
url |
http://link.springer.com/article/10.1186/s13018-018-1023-7 |
work_keys_str_mv |
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