Computational Analysis on Bone Adaptation in Resurfacing Hip Arthroplasty with Valgus-Varus Placement

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Recent Trends in Manufacturing and Materials Towards Industry 4.0

Abstract

Resurfacing Hip Arthroplasty (RHA) is one of the solutions for young adults with hip osteoarthritis disease (OA). Despite the positive outcomes that were achieved after RHA, the method also has its risks and complications. Early bone failure might occur as consequences from the insertion of improper implant placement. In this study, an inhomogeneous material model of femoral bone was developed from CT-based images and reconstructed to represent resurfacing hip arthroplasty. Different placement of implant was assigned to investigate the effects of the placement to the bone adaptation. Comparison of the Drucker-Prager equivalent stress between the femur bone models with the presence of implant in varus and valgus was analyzed, hence to understand the possibility of bone failures after arthroplasty. A RHA implant was assigned with material properties of cobalt-chromium. The finite element study was simulating the condition of normal walking, with the loading magnitude applied was based on the patient’s body weight. The RHA implant placement is found to have a notable influence to the bone conditions especially on the varus +18° placement with stress increment up to 36.31% in the lateral region of the femur, also 31.61 and 19.34% in the medial region of the femur. Thus, the femoral bone models implanted in varus placement shows a higher possibility of bone failures in all conditions.

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Acknowledgements

This research was supported by Universiti Teknologi MARA, UiTM under Grant No. 600-IRMI/PERDANA 5/3 BESTARI (103/2018). We thank and acknowledge the Ministry of Education, Malaysia, and our colleagues from the Faculty of Medicine, UiTM also Research Institute for Applied Mechanics, Kyushu University, who provided insight and expertise that greatly assisted the research.

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Correspondence to Abdul Halim Abdullah .

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Izmin, N.A.N., Hazwani, F., Todo, M., Abdullah, A.H. (2021). Computational Analysis on Bone Adaptation in Resurfacing Hip Arthroplasty with Valgus-Varus Placement. In: Osman Zahid, M.N., Abdul Sani, A.S., Mohamad Yasin, M.R., Ismail, Z., Che Lah, N.A., Mohd Turan, F. (eds) Recent Trends in Manufacturing and Materials Towards Industry 4.0. Lecture Notes in Mechanical Engineering. Springer, Singapore. https://doi.org/10.1007/978-981-15-9505-9_18

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  • DOI: https://doi.org/10.1007/978-981-15-9505-9_18

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