Development of a Biomimetic Metallic Femoral Stem: Methodological Approach

Article Preview

Abstract:

In this communication, a new methodological approach is proposed to develop a biomimetic metallic femoral stem. The design of this stem starts with the definition of an outer skin by reproducing the shape and overall dimensions of a Stryker® femoral stem to be implanted in an artificial femur model from Sawbones®. In-house algorithms are then used to generate two types of porous structures inside the outer skin: either a stochastic cubic-based porous structure or an ordered diamond-type porous structure. Next, a model of the femur-stem assembly is developed using the finite element method. The fully dense Stryker stem replica and two porous stems are fabricated using selective laser melting technology. Then, comparative mechanical testing is carried out using the ISO 7206-4 (2010) guidelines. These tests are conducted on an intact artificial femur (reference case) and on the identical femurs, but now implanted with the fully dense and porous stems. Using digital image correlation tools, the results of four series of tests are compared to assess which implant design leads to the lowest stress shielding in the implanted femur. Finally, the experimentally measured strain fields are compared to the numerical predictions to validate the numerical models.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

1788-1793

Citation:

Online since:

November 2016

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2017 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

[1] S. Kurtz, K. Ong, E. Lau, F. Mowat, M. Halpern, Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030, J. Bone Joint Surg. 89 (2007) 780-785.

DOI: 10.2106/jbjs.f.00222

Google Scholar

[2] R. Huiskes, H. Weinans, B. V. Rietbergen, The Relationship Between Stress Shielding and Bone Resorption Around Total Hip Stems and the Effects of Flexible Materials, Clin. Orthop. Relat. R. 274 (1992) 124-134.

DOI: 10.1097/00003086-199201000-00014

Google Scholar

[3] J. D. Bobyn, R. M. Pilliar, H. U. Cameron, G. C. Weatherly, The Optimum Pore Size for the Fixation of Porous-Surfaced Metal Implants by the Ingrowth of Bone, Clin. Orthop. Relat. R. 150 (1980) 263-270.

DOI: 10.1097/00003086-198007000-00045

Google Scholar

[4] M. Abdel-Hady Gepreel, M. Niinomi, Biocompatibility of Ti-alloys for long-term implantation, J. Mech. Behav. Biomed. 20 (2013) 407-415.

DOI: 10.1016/j.jmbbm.2012.11.014

Google Scholar

[5] L. E. Murr, S. M. Gaytan, E. Martinez, F. Medina, R. B. Wicker, Next Generation Orthopaedic Implants by Additive Manufacturing Using Electron Beam Melting, Int. J. Biomater. 2012 (2012) 1-14.

DOI: 10.1155/2012/245727

Google Scholar

[6] S. Chanda, A. Dickinson, S. Gupta, M. Browne, Full-field in vitro measurements and in silico predictions of strain shielding in the implanted femur after total hip arthroplasty, Proc. Inst. Mech. Eng. H 229 (2015) 549-559.

DOI: 10.1177/0954411915591617

Google Scholar

[7] K. B. Hazlehurst, C. J. Wang, M. Stanford, 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 (2014).

DOI: 10.1016/j.medengphy.2014.02.008

Google Scholar

[8] C. Simoneau, V. Brailovski, P. Terriault, Design, manufacture and tensile properties of stochastic porous metallic structures, Mech. Mater. 94 (2016) 26-37.

DOI: 10.1016/j.mechmat.2015.11.010

Google Scholar

[9] Y. Jun, S. Park, Polygon-based 3D surgical planning system for hip operation, Int. J. Precis. Eng. Manuf. 12 (2011) 157-160.

DOI: 10.1007/s12541-011-0021-z

Google Scholar

[10] ISO - International Organization for Standardization. 2010, Part 4: Determination of endurance properties and performance of stemmed femoral components, in: Implants for surgery - Partial and total hip joint prostheses. ISO 7206-4: ISO - International Organization for Standardization.

DOI: 10.3403/02689178u

Google Scholar

[11] T. A. Gruen, G. M. McNeice, H. C. Amstutz, Modes of Failure, of Cemented Stem-type Femoral Components: A Radiographic Analysis of Loosening, Clin. Orthop. Relat. R. 141 (1979) 17-27.

DOI: 10.1097/00003086-197906000-00002

Google Scholar