Biomechanical rationale of acetabular wall augmentation method for joint replacement in condition of osteoporosis

Authors

  • Volodymyr Filipenko
  • Stanislav Bondarenko
  • Volodymyr Tankut
  • Mandus Akonjom
  • Oleksandr Yaresko

DOI:

https://doi.org/10.15674/0030-59872016224-30

Keywords:

mathematical model, osteoporosis, walking phases, arthroplasty

Abstract

Osteoporosis worsens the qualitative and quantitative characteristics of bone, which is a hostile environment for the stable long-fixation of acetabular component in hip joint endoprosthesis. Despite the large number of biomechanical studies of the stress-strain distribution in the acetabular component after hip arthroplasty, fixation of cup under osteoporotic conditions remains controversial and not studied well.

Object: biomechanical reasoning for methods of acetabular wall augmentation during hip joint arthroplasty under the conditions of osteoporosis.

Methods: in thisstudyfinite element method has been used. Pelvis and hip joint simulation in the different walking phases after total hip arthroplasty has been performed. We consider three phases for two cases of arthroplasty. The work is a continuation of earlier research conducted on a mathematical model of the pelvis, which made some changes. Simulation of left hip joint arthroplasty with endoprosthesis «Zimmer» with polyethylene liner. Bone density characteristic of the acetabular part has been changed as for osteoporosis. Also for the second option in osteoporotic acetabular zone cylindrical shape autotransplantats with a diameter of 6 mm and a length of 6 to 13 mm modeled. Results revealed that level of stress-strain state of the acetabulum in all phases of walking increases after arthroplasty in terms of osteoporosis as compared to normal model and in the case of walls augmentation using autotransplantat it is reduced.

Conclusion:it has been proved the feasibility of bone autotransplantat using for acetabular walls augmentation during hip joint arthroplasty.

References

  1. Fini M, Carpi A, Borsari V, Tschon M, Nicolini A, Sartori M, Mechanick J, Giardino R. Bone remodeling, humoral networks and smart biomaterial technology for osteoporosis. Front Biosci (Schol Ed). 2010;1,2:468–82.
  2. Fini M, Giavaresi G, Torricelli P, Borsari V, Giardino R, Nicolini A, Carpi A. Osteoporosis and biomaterial osteointegration. Biomed Pharmacother. 2004;58(9):487–93.
  3. Sartori M, Giavaresi G, Parrilli A, Ferrari A, Aldini NN, Morra M, Cassinelli C, Bollati D, Fini M. Collagen type I coating stimulates bone regeneration and osteointegration of titanium implants in the osteopenic rat. International Orthopaedics. 2015;39(10):2041–52. doi: 10.1007/s00264-015-2926-0.
  4. Korzh M, Povorozniuk V, Dedukh N, Zupanets I. Osteoporosis: epidemiology, clinical features, diagnosis, prevention, treatment. Kharkov: Golden Pages, 2002. 646 p.
  5. Schwarzkopf R, Manzano G, Woolwine S, Slover J. Salvage Treatment of Hip Fractures After Failure of Surgical Fixation: A Systematic Review. Orthopaedic Knowledge Online Journal. 2015;13:3. doi: 10.5435/OKOJ-13-3-3.
  6. Loskutov A, Degtiar A, Synyehubov D, Altanets A. Choosing of acetabular component at cementless THA in patients with osteoporosis. Collective Papers of XVIth Congress of Orthopaedists and Traumatologists of Ukraine, 2013. p. 89.
  7. Shilnikov VA, Tikhilov RM, Denisov AO, Shubnyakov II. Total hip replacement with pseudoarthrosis of the femoral neck. Abstract book of poster papers: 36th SIСОТ Orthopaedic World Congress, 17-19 September 2015, Guangzhou, China. Access to materials: http://www.sicot.org/sites/default/files/images/Guangzhou/Abstract%20Book%20-%20Posters.pdf.
  8. Korzh NА, Filipenko VА, Tankut VА, Bondarenko SЕ. Use of tantalum coated cups in the acetabular wall defects and osteoporosis. Collective Papers of IXth Congress of Orthopaedists and Traumatologists of Belarus, Minsk, Belarus, October 16-17, 2014, pp. 260-6.
  9. Gonzalez M. Cementless Acetabular Revision with Rim Acetabular Defects: Experimental and FEA Investigation.// THESIS Submitted as a partial fulfillment of the requirements for the degree of Doctor of Philosophy in Mechanical Engineering in the Graduate College of the University of Illinois at Chicago, 2014
  10. Zivkovic I, Gonzalez M, Amirouche F. The effect of under-reaming on the cup/bone interface of a press fit hip replacement. J Biomech Eng, 2010 Apr;132(4):041008. doi: 10.1115/1.2913228.
  11. Barreto S, Folgado J, Fernandes PR, Monteiro J. The influence of the pelvic bone on the computational results of the acetabular component of a total hip prosthesis. J Biomech Eng. 2010; 132(5):054503. doi: 10.1115/1.4001031.
  12. Amirouche F, Solitro G, Broviak S, Goldstein W, Gonzalez M, Barmada R. Primary cup stability in THA with augmentation of acetabular defect. A comparison of healthy and osteoporotic bone. Orthop Traumatol Surg Res. 2015 Oct;101(6):667-73. doi: 10.1016/j.otsr.2015.07.007.
  13. Wirth AJ, Muller R, van Lenthe GH. Computational analyses of small endosseous implants in osteoporotic bone. Eur Cell Mater.2010;20:58–71.
  14. Jimenez-Palomar I, Shipov A, Shahar R, Barber AH. Mechanical behavior of osteoporotic bone at sub-lamellar length scales. Fron Mater. 2015;2(9):1–7. doi: 10.3389/fmats.2015.00009.
  15. Fradet L, Vachon A, Levasseur A, Arnoux PJ, Petit Y. Prediction of bone anisotropic mechanical properties in osteoporotic human vertebral body from microstructural parameters. Comput Methods Biomech Biomed Engin. 2013;16 Suppl 1:326-7. doi: 10.1080/10255842.2013.815944.
  16. Tyazhelov O, Filipenko V, Yaresko O, Bondarenko S. A mathematical model of the pelvis for calculation of its stress-strain state. Orthopaedics, Traumatology and Prosthetics. 2015;(1):25–33. doi: 10.15674/0030-59872015125-33.
  17. Filipenko V, Tankut V, Bondarenko S, Staude V, Yaresko O. Stress-strain state of pelvis and hip models on different phases of step. Orthopaedics, Traumatology and Prosthetics. 2015;(4):31–7. doi: 10.15674/0030-59872015431-36.

How to Cite

Filipenko, V., Bondarenko, S., Tankut, V., Akonjom, M., & Yaresko, O. (2016). Biomechanical rationale of acetabular wall augmentation method for joint replacement in condition of osteoporosis. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 24–30. https://doi.org/10.15674/0030-59872016224-30

Issue

Section

ORIGINAL ARTICLES