Behrens Bernd-Arno, Bouguecha Anas, Stukenborg-Colsman Christina, Wefstaedt Patrick, Nolte Ingo
Institut für Umformtechnik und Umformmaschinen, Leibniz Universität Hannover.
Berl Munch Tierarztl Wochenschr. 2009 Sep-Oct;122(9-10):391-7.
After surgical treatment of severe hip diseases with artificial joint prostheses aseptic loosening of the implants can occur. Unphysiologic load distribution in the periprosthetic femur and stress shielding by the prosthesis can result in bone remodelling processes. In particular a cutback of the bone mass is followed by an aseptic loosening of the prosthesis. In this context the understanding of bone remodelling processes in the prothetically treated femur is of outstanding interest for the optimisation of canine hip joint prostheses in the future. Therefore the main aim of this sudy was the numerical investigation on the change in the load distribution in the canine periprosthetic femur and the resulting bone remodelling after implantation of the cemented stem Bioméchanique. The investigations within this study were carried out using the Finite Element Analysis (FEA). The calculated bone density of the periprosthetic femur and the evolution of the mass loss show relevant stress shielding areas in different analysis regions. Therefore possible regions of aseptic loosening are indicated particularly in the proximo-medial femur. The here demonstrated numerical results are in agreement with clinical findings. For this reason the FEA-based method is a valuable tool for the prediction of bone remodelling processes.
在使用人工关节假体对严重髋关节疾病进行手术治疗后,植入物可能会发生无菌性松动。假体周围股骨的非生理性负荷分布以及假体的应力遮挡会导致骨重塑过程。特别是骨量减少之后会出现假体无菌性松动。在此背景下,了解经假体治疗的股骨中的骨重塑过程对于未来优化犬髋关节假体具有至关重要的意义。因此,本研究的主要目的是对植入骨水泥柄Bioméchanique后犬假体周围股骨的负荷分布变化以及由此产生的骨重塑进行数值研究。本研究中的调查使用有限元分析(FEA)进行。计算得出的假体周围股骨骨密度和质量损失的演变表明,在不同分析区域存在相关的应力遮挡区域。因此,无菌性松动的可能区域尤其在股骨近端内侧被指出。此处展示的数值结果与临床发现一致。因此,基于有限元分析的方法是预测骨重塑过程的宝贵工具。