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Numerical analysis of the biomechanical complications accompanying the total hip replacement with NANOS-Prosthetic: bone remodelling and prosthesis migration

Autoren:A. Almohallami, B.-A. Behrens, A. Bouguecha, M. Lerch, S. Betancur, C. Stukenborg-Colsman, I. Nolte, K. Lucas
Kategorie:Zeitschriften/Aufsätze (reviewed)
Jahr:2015
Veröffentlichung:Current Directions in Biomedical Engineering. Band 1, Heft 1, Seiten 381–385
DOI:10.1515/cdbme-2015-0093
ISBN:2364-5504

Abstract

Aseptic loosening of the prosthesis is still a problem in artificial joint implants. The ýloosening can be caused by the resorption of the bone surrounding ýthe prosthesis according to stress shielding. A numerical model was developed and validated by means of DEXA-studies in order to ýanalyse the bone remodelling process in the periprosthetic bone. A total loss of about 3.7% of the bone density in the periprosthetic Femur with NANOS is computed. The bone remodelling calculation was validated by means of a DEXA-study with a 3-years-follow-up. The model was further developed in order to be able to calculate and consider the migration of the implants. This method was applied on the ýNANOS-implant with a computed total migration of about 0.43 mm. These calculations showed good results in comparison with a 2-year-follow-up clinical study, whereby a RSA-method was used to determine the stem migration in the bone. In order to ýstudy the mutual influence between the implant migration and the hip contact forces ý, a software is developed by our scientific group to couple a multi body simulation (MBS) of human lower limps with the FEA of the periprosthetic Femur.