Influence of Assumed Boundary Conditions Derived from MBS on Numerically Simulated Strain-Adaptive Bone Remodeling in the Pelvis after Total Hip Replacement

verfasst von
A. Bouguecha, N. Weigel, S. Betancur Escobar, I. Nolte, P. Wefstaedt, C. Stukenborg-Colsman, B. A. Behrens
Abstract

Total hip replacement (THR) is a routine procedure mostly used for the treatment of primary osteoarthrosis of the hip joint. Despite good clinical results aseptic loosening caused by strain-adaptive remodeling processes of bone tissue is the main cause for failure of the implant. As a consequence the migration of the cup can be significant [1]. The presented study is an extension of our previous research work, where remodeling processes were already calculated in the prosthetic pelvis using a static load case [2]. In the present study the same finite element (FE) model has been used but the hip joint forces were derived from the multi-body simulation (MBS) of the gait cycle of a human test subject with normal walking speed. Hence, a more realistic load case is used which is supposed to affect the simulation result. This is due to our investigations in the femur [3], where a significant different simulation result for the bone mass loss has been computed comparing static load cases and the more realistic loads applied from a study of Bergmann et al. [4]. The comparison of the simulation result of the static and the dynamic load cases confirms the assumptions of a lower decrease of the average bone density in the pelvis with the dynamic load case. Furthermore, a variation in the resorption area is determined as well. On the basis of the final density distribution in the acetabulum the loading situation of a migrated prosthesis should be determined with the MBS model to estimate the influence of the cup position on the hip resultant.

Organisationseinheit(en)
Institut für Umformtechnik und Umformmaschinen
Externe Organisation(en)
Stiftung Tierärztliche Hochschule Hannover
Medizinische Hochschule Hannover (MHH)
Typ
Artikel
Journal
IFMBE Proceedings
Band
37
Seiten
339-342
Anzahl der Seiten
4
ISSN
1680-0737
Publikationsdatum
09.11.2011
Publikationsstatus
Veröffentlicht
Peer-reviewed
Ja
ASJC Scopus Sachgebiete
Bioengineering, Biomedizintechnik
Elektronische Version(en)
https://doi.org/10.1007/978-3-642-23508-5_88 (Zugang: Unbekannt)
 

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