预测多孔新型髋骨内骨生长:有限元分析与机械调节算法的结合。
Prediction of bone ingrowth into a porous novel hip-stem: A finite element analysis integrated with mechanoregulatory algorithm.
机构信息
Department of Mechanical Engineering, Indian Institute of Engineering Science and Technology, Shibpur, Howrah, West Bengal, India.
Department of Mechanical Engineering, Indian Institute of Technology, Delhi, Delhi, India.
出版信息
Proc Inst Mech Eng H. 2024 Oct;238(10):992-1004. doi: 10.1177/09544119241286958. Epub 2024 Oct 14.
Bone ingrowth into a porous implant is necessary for its long-term fixation. Although attempts have been made to quantify the peri-implant bone growth using finite element (FE) analysis integrated with mechanoregulatory algorithms, bone ingrowth into a porous cellular hip stem has scarcely been investigated. Using a three-dimensional (3D) FE model and mechanobiology-based numerical framework, the objective of this study was to predict the spatial distribution of evolutionary bone ingrowth into an uncemented novel porous hip stem proposed earlier by the authors. A CT-based FE macromodel of the implant-bone structure was developed. The bone material properties were assigned based on CT grey value. Peak musculoskeletal loading conditions, corresponding to level walking and stair climbing, were applied. The geometry of the implant-bone macromodel was divided into multiple submodels. A suitable mapping framework was used to transfer maximum nodal displacements from the FE macromodel to the cut boundaries of the FE submodels. CT grey value-based bone materials properties were assigned to the submodels. Thereafter, the submodels were solved and simulations of bone ingrowth were carried out using mechanoregulatory principle. A gradual increase in the average Young's modulus, from 1200 to 1500 MPa, of the bone tissue layer was observed considering all the submodels. The distal submodel exhibited 82% of bone ingrowth, whereas the proximal submodel experienced 65% bone ingrowth. Equilibrium in the bone ingrowth process was achieved in 7 weeks postoperatively, with a notable amount of bone ingrowth that should lead to biological fixation of the novel hip stem.
骨长入多孔植入物是其长期固定的必要条件。尽管已经尝试使用有限元(FE)分析结合机械调节算法来量化种植体周围骨的生长,但对多孔细胞髋骨柄的骨长入研究甚少。本研究使用三维(3D)FE 模型和基于生物力学的数值框架,旨在预测作者先前提出的未固定新型多孔髋骨柄的骨长入的空间分布。建立了基于 CT 的植入物-骨结构的 FE 宏观模型。根据 CT 灰度值分配骨材料特性。施加与水平行走和爬楼梯相对应的最大肌肉骨骼加载条件。将植入物-骨宏观模型的几何形状分为多个子模型。使用合适的映射框架将最大节点位移从 FE 宏观模型传递到 FE 子模型的切割边界。将基于 CT 灰度值的骨材料特性分配给子模型。然后,根据机械调节原理对子模型进行求解和骨长入模拟。考虑到所有子模型,骨组织层的平均杨氏模量从 1200 增加到 1500MPa。远端子模型表现出 82%的骨长入,而近端子模型经历了 65%的骨长入。术后 7 周达到骨长入过程的平衡,有大量的骨长入,这应该导致新型髋骨柄的生物学固定。