Increased stability of short femoral stem through customized distribution of coefficient of friction in porous coating.
Finite element analysis
Optimized distribution
Porous coating
Short femoral stem
Stress shielding
Total hip arthroplasty
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
28 May 2024
28 May 2024
Historique:
received:
16
01
2024
accepted:
24
05
2024
medline:
29
5
2024
pubmed:
29
5
2024
entrez:
28
5
2024
Statut:
epublish
Résumé
Stress shielding and aseptic loosening are complications of short stem total hip arthroplasty, which may lead to hardware failure. Stems with increased porosity toward the distal end were discovered to be effective in reducing stress shielding, however, there is a lack of research on optimized porous distribution in stem's coating. This study aimed to optimize the distribution of the coefficient of friction of a metaphyseal femoral stem, aiming for reducing stress shielding in the proximal area. A finite element analysis model of an implanted, titanium alloy short-tapered wedge stem featuring a porous coating made of titanium was designed to simulate a static structural analysis of the femoral stem's behavior under axial loading in Analysis System Mechanical Software. For computational feasibility, 500 combinations of coefficients of friction were randomly sampled. Increased strains in proximal femur were found in 8.4% of the models, which had decreased coefficients of friction in middle medial areas of porous coating and increased in lateral proximal and lateral and medial distal areas. This study reported the importance of the interface between bone and middle medial and distal lateral areas of the porous coating in influencing the biomechanical behavior of the proximal femur, and potentially reducing stress shielding.
Identifiants
pubmed: 38806607
doi: 10.1038/s41598-024-63077-w
pii: 10.1038/s41598-024-63077-w
doi:
Substances chimiques
Titanium
D1JT611TNE
Coated Materials, Biocompatible
0
Alloys
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
12243Informations de copyright
© 2024. The Author(s).
Références
Ulivi, M. et al. Clinical performance, patient reported outcome, and radiological results of a short, tapered, porous, proximally coated cementless femoral stem: Results up to seven years of follow-up. J. Arthroplast. 33, 1133–1138. https://doi.org/10.1016/j.arth.2017.11.046 (2018).
doi: 10.1016/j.arth.2017.11.046
Hayashi, S. et al. Daily activity and initial bone mineral density are associated with periprosthetic bone mineral density after total HIP Arthroplasty. HIP Int. 26, 169–174. https://doi.org/10.5301/hipint.5000320 (2016).
doi: 10.5301/hipint.5000320
pubmed: 27013486
Albers, A. et al. Favorable results of a short, tapered, highly porous, proximally coated cementless femoral stem at a minimum 4-year follow-up. J. Arthroplast. https://doi.org/10.1016/j.arth.2015.08.020 (2015).
doi: 10.1016/j.arth.2015.08.020
Tatani, I., Solou, K. & Megas, P. Short femoral stems with metaphyseal or meta-diaphyseal fitting in total hip arthroplasty: A systematic review. Acta Orthop. Traumatol. Hellenica 73, 45–59 (2022).
Guo, J. et al. Comparison of tri-lock bone preservation stem and the conventional standard corail stem in primary total hip arthroplasty. Orthop. Surg. 13, 749–757. https://doi.org/10.1111/os.12946 (2021).
doi: 10.1111/os.12946
pubmed: 33675168
pmcid: 8126948
Lunn, D. E., Lampropoulos, A. & Stewart, T. D. Basic biomechanics of the hip. Orthop. Trauma 30, 239–246. https://doi.org/10.1016/j.mporth.2016.04.014 (2016).
doi: 10.1016/j.mporth.2016.04.014
Kolk, S. et al. Gait and gait-related activities of daily living after total hip arthroplasty: A systematic review. Clin. Biomech. 29, 705–718. https://doi.org/10.1016/j.clinbiomech.2014.05.008 (2014).
doi: 10.1016/j.clinbiomech.2014.05.008
Beaulieu, M. L., Lamontagne, M. & Beaulé, P. E. Lower limb biomechanics during gait do not return to normal following total hip arthroplasty. Gait Posture 32, 269–273. https://doi.org/10.1016/j.gaitpost.2010.05.007 (2010).
doi: 10.1016/j.gaitpost.2010.05.007
pubmed: 20541940
Bergmann, G. et al. Hip contact forces and gait patterns from routine activities. J. Bimech. 34, 859–871 (2001).
doi: 10.1016/S0021-9290(01)00040-9
Xu, C., Jian, C. & Yan, W. Development of a tension-side hollow femoral stem prosthesis and an in vitro static test. Chin. J. Surg. 26, 332–335 (2006).
Zhen, P. et al. Primary total hip arthroplasty using a short bone-conserving stem in young adult osteoporotic patients with Dorr type C femoral bone. J. Orthop. Surg. Res. https://doi.org/10.1186/s13018-020-01985-z (2021).
doi: 10.1186/s13018-020-01985-z
pubmed: 33773575
pmcid: 8004420
Tatani, I. et al. Short-term clinical and radiological results of two different design metaphyseal fitting femoral stems in total hip arthroplasty: A prospective, randomized trial. J. Orthop. Surg. Res. https://doi.org/10.1186/s13018-021-02465-8 (2021).
doi: 10.1186/s13018-021-02465-8
pubmed: 34001204
pmcid: 8127309
Migliorini, F. et al. Short stems for total hip replacement among middle-aged patients. Int. Orthop. 44, 847–855. https://doi.org/10.1007/s00264-020-04516-x (2020).
doi: 10.1007/s00264-020-04516-x
pubmed: 32193611
Tatani, I. et al. Comparison of two metaphyseal-fitting (short) femoral stems in primary total hip arthroplasty: Study protocol for a prospective randomized clinical trial with additional biomechanical testing and finite element analysis. Trials 20, 359. https://doi.org/10.1186/s13063-019-3445-x (2019).
doi: 10.1186/s13063-019-3445-x
pubmed: 31208433
pmcid: 6580512
Khanuja, H., Vakil, J., Goddard, M. & Mont, M. Cementless femoral fixation in total hip arthroplasty. J Bone Joint Surg 93-A:500–509. J. Bone Joint Surg. Am. 93, 500–509. https://doi.org/10.2106/JBJS.J.00774 (2011).
doi: 10.2106/JBJS.J.00774
pubmed: 21368083
Kim, Y.-H., Kim, J.-S. & Cho, S.-H. Strain distribution in the proximal human femur. J. Bone Joint Surg. 83, 295–301. https://doi.org/10.1302/0301-620X.83B2.10108 (2001).
doi: 10.1302/0301-620X.83B2.10108
Tatani, I. et al. Comparative analysis of the biomechanical behavior of two different design metaphyseal-fitting short stems using digital image correlation. Biomed. Eng. Online 19, 65. https://doi.org/10.1186/s12938-020-00806-y (2020).
doi: 10.1186/s12938-020-00806-y
pubmed: 32814586
pmcid: 7437017
Bertollo, N. et al. Effect of Surgical fit on integration of cancellous bone and implant cortical bone shear strength for a porous titanium. J. Arthroplast. 26, 1000–1007. https://doi.org/10.1016/j.arth.2010.12.007 (2011).
doi: 10.1016/j.arth.2010.12.007
Gallart, X. et al. Trabecular Titanium™ cups and augments in revision total hip arthroplasty: Clinical results, radiology and survival outcomes. HIP Int. 26, 486–491. https://doi.org/10.5301/hipint.5000378 (2016).
doi: 10.5301/hipint.5000378
pubmed: 27229161
Arabnejad, S., Johnston, B., Tanzer, M. & Pasini, D. Fully porous 3D printed titanium femoral stem to reduce stress-shielding following total hip arthroplasty. J. Orthop. Res. 35, 1774–1783. https://doi.org/10.1002/jor.23445 (2017).
doi: 10.1002/jor.23445
pubmed: 27664796
Harrison, N., McHugh, P. E., Curtin, W. & Mc Donnell, P. Micromotion and friction evaluation of a novel surface architecture for improved primary fixation of cementless orthopaedic implants. J. Mech. Behav. Biomed. Mater. 21, 37–46. https://doi.org/10.1016/j.jmbbm.2013.01.017 (2013).
doi: 10.1016/j.jmbbm.2013.01.017
pubmed: 23455331
Mehboob, H. et al. A novel design, analysis and 3D printing of Ti-6Al-4V alloy bio-inspired porous femoral stem. J. Mater. Sci. Mater. Med. 31, 78. https://doi.org/10.1007/s10856-020-06420-7 (2020).
doi: 10.1007/s10856-020-06420-7
pubmed: 32816091
pmcid: 7441076
Liu, B. et al. Femoral stems with porous lattice structures: A review. Front. Bioeng. Biotechnol. 9, 2539 (2021).
doi: 10.3389/fbioe.2021.772539
Chen, F. et al. Bone morphogenetic protein 7 enhances the osteogenic differentiation of human dermal-derived CD105+ fibroblast cells through the Smad and MAPK pathways. Int. J. Mol. Med. https://doi.org/10.3892/ijmm.2018.3938 (2018).
doi: 10.3892/ijmm.2018.3938
pubmed: 30628667
pmcid: 6365031
Wang, S. et al. On the design and properties of porous femoral stems with adjustable stiffness gradient. Med. Eng. Phys. 81, 30–38. https://doi.org/10.1016/j.medengphy.2020.05.003 (2020).
doi: 10.1016/j.medengphy.2020.05.003
pubmed: 32505662
Limmahakhun, S. et al. Stiffness and strength tailoring of cobalt chromium graded cellular structures for stress-shielding reduction. Mater. Des. 114, 633–641. https://doi.org/10.1016/j.matdes.2016.11.090 (2017).
doi: 10.1016/j.matdes.2016.11.090
Hazlehurst, K. B., Wang, C. J. & Stanford, M. A numerical investigation into the influence of the properties of cobalt chrome cellular structures on the load transfer to the periprosthetic femur following total hip arthroplasty. Med. Eng. Phys. 36, 458–466. https://doi.org/10.1016/j.medengphy.2014.02.008 (2014).
doi: 10.1016/j.medengphy.2014.02.008
pubmed: 24613500
Tai, C.-L. et al. Biomechanical comparison of newly designed stemless prosthesis and conventional hip prosthesis–an experimental study. Biomed. Mater. Eng. 15, 239–249 (2005).
pubmed: 15912004
Ganapathi, M., Evans, S. & Roberts, P. Strain pattern following surface replacement of the hip. Proc. Inst. Mech. Eng. H 222, 13–18. https://doi.org/10.1243/09544119JEIM322 (2008).
doi: 10.1243/09544119JEIM322
pubmed: 18335714
Waide, V. et al. Experimental investigation of bone remodelling using composite femurs. Clin. Biomech. 18, 523–536. https://doi.org/10.1016/S0268-0033(03)00072-X (2003).
doi: 10.1016/S0268-0033(03)00072-X
Umeda, N. et al. Correlation between femoral neck version and strain on the femurafter insertion of femoral prosthesis. J. Orthop. Sci. 8, 381–386. https://doi.org/10.1007/s10776-002-0635-2 (2003).
doi: 10.1007/s10776-002-0635-2
pubmed: 12768482
Hnat, W. P. et al. The effect of modular tapered fluted stems on proximal stress shielding in the human femur. J. Arthroplast. 24, 957–962. https://doi.org/10.1016/j.arth.2008.07.013 (2009).
doi: 10.1016/j.arth.2008.07.013
Wang, J., He, Y. & Danninger, H. Influence of porosity on behavior of sintered Fe-1.5Mo-0.7C the sliding wear steels. J. Mater. Eng. Perform. 12, 339–344. https://doi.org/10.1361/105994903770343204 (2003).
doi: 10.1361/105994903770343204
Yalçın, B. & Yalçin, B. Effect of porosity on the mechanical properties and wear performance of 2% copper reinforced sintered steel used in shock absorber piston production. JMST 25, 577–582 (2009).
Sarmadi, H., Kokabi, A. H. & Seyed Reihani, S. M. Friction and wear performance of copper–graphite surface composites fabricated by friction stir processing (FSP). Wear 304, 1–12. https://doi.org/10.1016/j.wear.2013.04.023 (2013).
doi: 10.1016/j.wear.2013.04.023
Davy, D. T. et al. Telemetric force measurements across the hip after total arthroplasty. JBJS 70, 45–50 (1988).
doi: 10.2106/00004623-198870010-00008
Maharaj, P. S. R. S., Maheswaran, R. & Vasanthanathan, A. Numerical analysis of fractured femur bone with prosthetic bone plates. In Procedia Engineering 1242–1251 (Elsevier Ltd, 2013).
Cristofilini, L. & Viceconti, M. Strain measurements in femurs implemented with hip prostheses. In XIV IMECO World Congress Book of Abstracts (ed. Halttunen, J.) 249–254 (Finnish Society of Automation Publications, 1997).
Salaha, Z. F. M. et al. Biomechanical effects of the porous structure of gyroid and voronoi hip implants: A finite element analysis using an experimentally validated model. Materials 16, 3298. https://doi.org/10.3390/ma16093298 (2023).
doi: 10.3390/ma16093298
pubmed: 37176180
pmcid: 10179376
Park, J.-M. et al. Three dimensional finite element analysis of the stress distribution around the mandibular posterior implant during non-working movement according to the amount of cantilever. J. Adv. Prosthodont. 6, 361. https://doi.org/10.4047/jap.2014.6.5.361 (2014).
doi: 10.4047/jap.2014.6.5.361
pubmed: 25352958
pmcid: 4211052
Tatani, I. The Use of Short Metaphyseal Stems in Primary Hip Osteoarthritis: Finite Element Analysis Model, Experimental Biomechanical Testing and Prospective, Randomized (Univarsity of Patras, 2021).
Gruen, T. A., McNeice, G. M. & Amstutz, H. C. “Modes of Failure” of cemented stem-type femoral components: A radiographic analysis of loosening. Clin. Orthop. Relat. Res. 141, 17–27 (1979).
Chen, W. et al Topology-optimized design of microporous filling prosthesis. In Proceedings of the 2nd International Conference on Biomedical Engineering and Bioinformatics 148–153 (ACM, 2018).
Li, G. et al. In vitro and in vivo study of additive manufactured porous Ti6Al4V scaffolds for repairing bone defects. Sci. Rep. 6, 34072. https://doi.org/10.1038/srep34072 (2016).
doi: 10.1038/srep34072
pubmed: 27667204
pmcid: 5036184
Hudák, R. et al. Additive manufacturing of porous Ti6Al4V alloy: Geometry analysis and mechanical properties testing. Appl. Sci. 11, 2611. https://doi.org/10.3390/app11062611 (2021).
doi: 10.3390/app11062611
Longjohn, D. B. & Dorr, L. D. Mini-Symposium: Total Hip Replacement (iii) Proximal Fixation Stems Yield Optimal Fixation (Elsevier, 1998).