Ceddia Mario, Solarino Giuseppe, Pulcrano Alessandro, Benedetto Antonella, Trentadue Bartolomeo
Department of Mechanics, Mathematics and Management, Politecnico di Bari University, 70125 Bari, Italy.
Department of Translational Biomedicine and Neuroscience, University of Bari, 70125 Bari, Italy.
Materials (Basel). 2025 Mar 15;18(6):1295. doi: 10.3390/ma18061295.
The treatment of Paprosky Type III acetabular defects is a significant challenge in orthopedic surgery, as standard components often do not fit properly. This study aims to evaluate the biomechanical efficacy of a custom 3D-printed PEEK acetabular prosthesis compared to a conventional titanium implant. A 3D model of the pelvis was created using a computed tomography scanner and a custom-made acetabular implant was designed. Finite element analysis (FEA) was performed using Ansys Workbench to evaluate the stress and strain distribution of two materials on the pelvic bone. The results showed that the titanium prosthesis model had less strain transmitted to the bone, while the PEEK model had better stress transmission and bone stimulation. The use of custom implants reduced the risk of stress shielding, potentially improving long-term bone health. Three-dimensional-printed acetabular prostheses therefore offer significant advantages over traditional implants, suggesting improved implant stability and reduced failure rates.
Paprosky III型髋臼缺损的治疗是骨科手术中的一项重大挑战,因为标准组件往往无法合适地适配。本研究旨在评估定制的3D打印聚醚醚酮(PEEK)髋臼假体与传统钛植入物相比的生物力学疗效。使用计算机断层扫描仪创建骨盆的3D模型,并设计定制的髋臼植入物。使用Ansys Workbench进行有限元分析(FEA),以评估两种材料在骨盆骨上的应力和应变分布。结果表明,钛假体模型传递到骨的应变较小,而PEEK模型具有更好的应力传递和骨刺激。使用定制植入物降低了应力遮挡的风险,有可能改善长期骨骼健康。因此,3D打印髋臼假体比传统植入物具有显著优势,表明植入物稳定性提高且失败率降低。