DOI QR코드

DOI QR Code

Cement Type 맞춤형 인공고관절의 설계 변수 변화에 따른 Cement 두께 변화와 이에 대한 응력 분석

The Analysis of Stress and Variation of Cement Thickness as the Variation of Design Variables for Custom-Made Hip Implant

  • 박흥석 (한국과학기술연구원(KIST) 의과학연구센터) ;
  • 전흥재 (연세대학교 기계공학부) ;
  • 윤인찬 (한국과학기술연구원(KIST) 의과학연구센터) ;
  • 이문규 (한국과학기술연구원(KIST) 의과학연구센터) ;
  • 서덕찬 (한국과학기술연구원(KIST) 의과학연구센터) ;
  • 최귀원 (한국과학기술연구원(KIST) 의과학연구센터)
  • Park, Heung-Seok (Biomedical Research Center, Korea Institute of Science and Technology(KIST)) ;
  • Chun, Heoung-Jae (Department of Mechanical Engineering, Yonsei University) ;
  • Youn, In-Chan (Biomedical Research Center, Korea Institute of Science and Technology(KIST)) ;
  • Lee, Moon-Kyu (Biomedical Research Center, Korea Institute of Science and Technology(KIST)) ;
  • Seo, Duck-Chan (Biomedical Research Center, Korea Institute of Science and Technology(KIST)) ;
  • Choi, Kui-Won (Biomedical Research Center, Korea Institute of Science and Technology(KIST))
  • 발행 : 2006.12.12

초록

The choice of suitable hip implant is one of important factors in the total hip arthroplasty (THA). In clinical view point, an improper adaptation of hip implant might induce abnormal stress distribution to the bone, which can shorten the lifespan of replaced hip implant. Currently, interest in the custom-designed hip implants has increased as studies reveal the significance of geometric shape of patient's femur in modeling and designing the implants. In this study, we have developed custom-designed hip implant models with various sizes, and analyzed the stress distribution in the bone and bone cement using the Finite Element Method. It was found that minimizing the gap between implant stem and femoral cavity is crucial to minimize the stress concentration in the bone.

키워드

참고문헌

  1. Jeffrey N Katz, 'Total joint replacement In osteoarthritis,' Best Practice & Research Clinical Rheumatology, vol. 25, no. 1, pp.145-153,2006
  2. Makarand G. Joshi et al., 'Analysis of a femoral hip prosthesis designed to reduce stress shielding,' journal of biomechanics, vol. 33, no. 3, pp.1655-1662, 2000 https://doi.org/10.1016/S0021-9290(00)00110-X
  3. M.A. Perez et al., 'A comparative FEA of the debonding process in different concepts of cemented hip implants,' Medical Engineering & Physics, vol. 28, no. 6 pp.525-533, 2006 https://doi.org/10.1016/j.medengphy.2005.09.007
  4. Christopher M. Powers, Irving Y. Lee et aI., 'Effects of Distal Cement Voids on Cement Stress in Total Hip Arthroplasty,' The Journal of Arthroplasty, vol. 13, no. 7, pp.793-798, 1998 https://doi.org/10.1016/S0883-5403(98)90033-X
  5. Blake Latham, T. Goswami, 'Effect of geometric parameters in the design of hip implants paper IV,' Material and Design, vol. 25, no. 3, pp.715-722, 2004 https://doi.org/10.1016/j.matdes.2004.01.012
  6. Edward Ebrarnzadeh, Patricia L. Normand et aI., 'Long-term radiographic changes in cemented total hip arthroplasty with six designs of femoral components,' Biomaterials, vol. 24, no. 19, pp.3351-3363, 2003 https://doi.org/10.1016/S0142-9612(03)00187-X
  7. Jin Ho Che, Radiographic analysis of the size and shape oj proximal, M.D. thesis, Yonsei University, 2004
  8. E. Pyburn, T. Goswami, 'Finite element analysis of femoral components paper Ill- hip joints,' Material and Design, vol. 25, no. 8, pp.705-713, 2004 https://doi.org/10.1016/j.matdes.2004.01.009
  9. A. Ramos, J.A. Simoes, 'Tetrahedral versus hexahedral finite elements in numerical modelling of the proximal femur,' Medical Engineering & Physics, vol. 28, no. 9, pp. 916-924, 2005 https://doi.org/10.1016/j.medengphy.2005.12.006
  10. Katsuyuki Yamaguchi et al., 'Effects of discontinuation as well as intervention of cyclic therapy with etidronate on bone remodeling after cementless total hip arthroplasty,' bone, vol. 35,no.1, pp.217-223,2004 https://doi.org/10.1016/j.bone.2004.03.017
  11. J. Stolk, N. Verdonschot et aI., 'Finite element and experimental models of cemented hip joint reconstructions can produce similar bone and cement strains in pre-clinical tests,' Journal of Biomechanics, vol. 35, no. 4, pp.499-510, 2002 https://doi.org/10.1016/S0021-9290(01)00213-5
  12. M. Pawlikowski et aI., 'Process of hip joint prosthesis design including bone remodeling phenomenon,' computers and structures, vol. 81, no. 8, pp.887-893, 2003 https://doi.org/10.1016/S0045-7949(02)00428-5
  13. Peter S. Walker, 'Innovation in total hip replacement - when is new better?' clinical orthopaedics and related research, vol. 381, pp.9-25, 2000 https://doi.org/10.1097/00003086-200012000-00003