Abstract
The most common problem in implants and prosthesis used in the field of
orthopedics and dentistry is the loosening. Implants and prosthesis are unable
to function due to this problem. Postoperative follow-up and early detection of
this loosening problem is very important. Since the methods used in the
orthopedics are already having a low success in identifying relaxation, an
alternative method has to be developed. In this study, the determination of
postoperative loosening using vibration method was evaluated via finite element
method. Modeling of femoral bone and hip prosthesis were evaluated by harmonic
response analysis. The effect of the changing properties of the material in the
femoral bone was also included in the analysis. As a result of this study, the
frequency and amplitude values decreased as the degree of loosening decreased.
Thus, it was observed that the vibration method could be successful despite the
change in bone density in the postoperative follow-up.
References
- [1] Malchau H., Herberts P., Eisler T., Garellick G., Soderman P., “The Swedish Total Hip Replacement Register” J. Bone Joint Surg. Am., 86-A(2), 2-20, (2002).
- [2] Dreinhofer K. E., “Indications for total hip replacement: comparison of assessments of orthopaedic surgeons and referring physicians”, Ann. Rheum. Dis., 65(10), 1346-1350, (2006).
- [3] Georgiou A. P., Cunningham J. L., “Accurate diagnosis of hip prosthesis loosening using a vibrational technique”, Clinical Biomechanics, 16(4), 315-323, (2001).
- [4] Ike H., Inaba Y., Kobayashi N., Hirata Y., Yukizawa Y., Aoki C., Choe H., Saito T., “Comparison between mechanical stress and bone mineral density in the femur after total hip arthroplasty by using subject-specific finite element analyses”, Computer Methods in Biomechanics and Biomedical Engineering, 18(10), 1056-1065, (2014).
- [5] Rho J. Y., Hobatho M. C., Ashman R. B., “Relations of Mechanical-Properties to Density and Ct Numbers in Human Bone”, Med. Eng. Phys., 17(5), 347-355, (1995).
- [6] Oshkour A. A., Abu Osman N. A., Bayat M., Afshar R., Berto F., “Three-dimensional finite element analyses of functionally graded femoral prostheses with different geometrical configurations”, Materials & Design, 56, 998-1008, 2014.
- [7] Goshulak P., Samiezadeh S., Aziz M. S. R., Bougherara H., Zdero R., Schemitsch E. H., “The biomechanical effect of anteversion and modular neck offset on stress shielding for short-stem versus conventional long-stem hip implants”, Med. Eng. Phys., 38(3), 232-240, (2016).
- [8] Jaecques S. V. N., Pastrav C., Zahariuc A., Perre G. V. D., “Analysis of the fixation quality of cementless hip prostheses using a vibrational technique”, ISMA, Leuven, Belgium, 20-22 September 2004.
- [9] Kassi J.-P., Heller M. O., Stoeckle U., Perka C., Duda G. N., “Stair climbing is more critical than walking in pre-clinical assessment of primary stability in cementless THA in vitro”, J. Biomech., 38(5), 1143-1154, 2005.
- [10] Pastrav L. C., Jaecques S. V. N., Jonkers I., Perre G., Mulier M., “In vivo evaluation of a vibration analysis technique for the per-operative monitoring of the fixation of hip prostheses”, J. Orthop. Surg. Res., 4(1), 10, (2009).
- [11] Puers R., Catrysse M., Vandevoorde G., Collier R. J., Louridas E., Burny F., Donkerwolcke M., Moulart F., “A telemetry system for the detection of hip prosthesis loosening by vibration analysis”, Sensors and Actuators A: Physical, 85(1-3), 42-47, (2000).
Abstract
Ortopedi
ve diş hekimliği alanında kullanılan implant ve protezlerde en sık karşılaşılan
problem gevşeme problemidir. Bu sorun sebebi ile implantlar ve protezler
işlevlerini yerine getiremez hale gelir. Bu gevşeme sorunun ameliyat sonrası
takibi ve erken tespiti çok önemlidir. Ortopedi alanında kullanılan yöntemlerin
halihazırda gevşemeyi tespit etme başarısı düşük olduğundan alternatif bir
yöntem geliştirilmesi gerekmektedir. Bu çalışmada da alternatif
kullanılabilecek yöntem olan titreşim yönteminin ameliyat sonrası gevşemeyi
tespiti sonlu elemanlar yöntemi kullanılarak değerlendirilmiştir. Modellemesi
yapılan femur kemiği ve kalça protezinin harmonik cevap analizi ile
değerlendirilmesi yapılmıştır. Ameliyat sonrası femur kemiğinin malzeme
özelliklerindeki değişimin etkisi de analize katılmıştır. Sonuç olarak gevşeme
derecesi azaldıkça elde edilen frekans ve genlik değerlerinin de azaldığı
görülmüştür. Bu sayede titreşim yönteminin ameliyat sonrası takipte kemik
yoğunluğundaki değişime rağmen başarılı olabileceği görülmüştür.
References
- [1] Malchau H., Herberts P., Eisler T., Garellick G., Soderman P., “The Swedish Total Hip Replacement Register” J. Bone Joint Surg. Am., 86-A(2), 2-20, (2002).
- [2] Dreinhofer K. E., “Indications for total hip replacement: comparison of assessments of orthopaedic surgeons and referring physicians”, Ann. Rheum. Dis., 65(10), 1346-1350, (2006).
- [3] Georgiou A. P., Cunningham J. L., “Accurate diagnosis of hip prosthesis loosening using a vibrational technique”, Clinical Biomechanics, 16(4), 315-323, (2001).
- [4] Ike H., Inaba Y., Kobayashi N., Hirata Y., Yukizawa Y., Aoki C., Choe H., Saito T., “Comparison between mechanical stress and bone mineral density in the femur after total hip arthroplasty by using subject-specific finite element analyses”, Computer Methods in Biomechanics and Biomedical Engineering, 18(10), 1056-1065, (2014).
- [5] Rho J. Y., Hobatho M. C., Ashman R. B., “Relations of Mechanical-Properties to Density and Ct Numbers in Human Bone”, Med. Eng. Phys., 17(5), 347-355, (1995).
- [6] Oshkour A. A., Abu Osman N. A., Bayat M., Afshar R., Berto F., “Three-dimensional finite element analyses of functionally graded femoral prostheses with different geometrical configurations”, Materials & Design, 56, 998-1008, 2014.
- [7] Goshulak P., Samiezadeh S., Aziz M. S. R., Bougherara H., Zdero R., Schemitsch E. H., “The biomechanical effect of anteversion and modular neck offset on stress shielding for short-stem versus conventional long-stem hip implants”, Med. Eng. Phys., 38(3), 232-240, (2016).
- [8] Jaecques S. V. N., Pastrav C., Zahariuc A., Perre G. V. D., “Analysis of the fixation quality of cementless hip prostheses using a vibrational technique”, ISMA, Leuven, Belgium, 20-22 September 2004.
- [9] Kassi J.-P., Heller M. O., Stoeckle U., Perka C., Duda G. N., “Stair climbing is more critical than walking in pre-clinical assessment of primary stability in cementless THA in vitro”, J. Biomech., 38(5), 1143-1154, 2005.
- [10] Pastrav L. C., Jaecques S. V. N., Jonkers I., Perre G., Mulier M., “In vivo evaluation of a vibration analysis technique for the per-operative monitoring of the fixation of hip prostheses”, J. Orthop. Surg. Res., 4(1), 10, (2009).
- [11] Puers R., Catrysse M., Vandevoorde G., Collier R. J., Louridas E., Burny F., Donkerwolcke M., Moulart F., “A telemetry system for the detection of hip prosthesis loosening by vibration analysis”, Sensors and Actuators A: Physical, 85(1-3), 42-47, (2000).
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Engineering |
| Journal Section | Research Article |
| Authors | |
| Publication Date | March 1, 2020 |
| Submission Date | October 5, 2018 |
| Published in Issue | Year 2020 Volume: 23 Issue: 1 |
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