Biomechanical optimization of subject-specific implant positioning for femoral head resurfacing to reduce fracture risk

Brad Miles, Elizabeth Kolos*, Richard Appleyard, Willy Theodore, Keke Zheng, Qing Li, Andrew J. Ruys

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Peri-prosthetic femoral neck fracture after femoral head resurfacing can be either patient-related or surgical technique-related. The study aimed to develop a patient-specific finite element modelling technique that can reliably predict an optimal implant position and give minimal strain in the peri-prosthetic bone tissue, thereby reducing the risk of peri-prosthetic femoral neck fracture. The subject-specific finite element modelling was integrated with optimization techniques including design of experiments to best possibly position the implant for achieving minimal strain for femoral head resurfacing. Sample space was defined by varying the floating point to find the extremes at which the cylindrical reaming operation actually cuts into the femoral neck causing a notch during hip resurfacing surgery. The study showed that the location of the maximum strain, for all non-notching positions, was on the superior femoral neck, in the peri-prosthetic bone tissue. It demonstrated that varus positioning resulted in a higher strain, while valgus positioning reduced the strain, and further that neutral version had a lower strain.

Original languageEnglish
Pages (from-to)668-674
Number of pages7
JournalProceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine
Volume230
Issue number7
DOIs
Publication statusPublished - 1 Jul 2016

Keywords

  • design of experiments
  • Femoral head resurfacing
  • finite element analysis
  • goal-driven optimization

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