Impaction loads resulting in intraoperative periprosthetic femoral fracture: A finite element study

Caleb Christos Ioannidis, Danè Dabirrahmani, Qing Li, Zhongpu Zhang, Junning Chen, Richard Appleyard

Research output: Contribution to journalConference paperpeer-review

Abstract

Intraoperative periprosthetic femoral fractures (IPPFF) occur in approximately 3-5% of all cementless total hip arthroplasty (THA) surgeries. This study aimed to identify the critical impaction load to cause an IPPFF during implant implementation. This critical load may be used as a guideline for surgeons as well as a parameter for the design of future surgical tools and procedures. This study concerned a single femur of a healthy 60 year old female with an anatomical femoral stem implant, thus the effects of patient specific variables (such as osteoporosis, amount of bone resorption, bone damage, implant geometry, age and gender) were not considered. The eXtended Finite Element Method (XFEM) was used to analyse the fracture. From CT scan data, a user-defined subroutine is used to assign heterogeneous isotropic material properties to the femur. It was computed that IPPFF would take place at an impaction load of 18.5 kN.

Original languageEnglish
Pages (from-to)299-304
Number of pages6
JournalApplied Mechanics and Materials
Volume553
DOIs
Publication statusPublished - 2014
Event1st Australasian Conference on Computational Mechanics, ACCM - 2013 - Sydney, Australia
Duration: 3 Oct 20134 Oct 2013

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