Assessment of coxarthritis risk with dimensionless biomechanical parameters

• Autorzy: Uršič Bojana , Kocjančič Boštjan , Romolo Anna , Iglič Aleš , Kralj-Iglič Veronika , Zupanc Oskar

Identyfikatory

DOI

10.37190/ABB-01738-2020-03

• Języki publikacji: EN

Abstrakty

EN

Purpose: Unfavourable distribution of contact stress over the load bearing area is considered a risk factor for early coxarthritis and it is of interest to outline respective biomechanical parameters for its prediction. The purpose of the work was to develop a transparent mathematical model which can be used to assess contact stress in the hip from imaged structures of pelvis and proximal femora, in large population studies and in clinical practice. Methods: We upgraded a previously validated three-dimensional mathematical model of the human hip in the one-legged stance HIPSTRESS by introducing parameters independent from the size of the structures in the images. We validated a new parameter – dimensionless peak stress normalized by the body weight and by the radius of the femoral head ( pmaxr2/WB) on the population of 172 hips that were in the childhood subjected to the Perthes disease and exhibited increased proportion of dysplastic hips. Results: The dimensionless parameter pmaxr2/WB exhibited smaller number of indecisive cases of hip dysplasia predicted by the model than the previously used parameter pmax/WB (6% vs. 81%, respectively). A threshold for an increased risk of early coxarthritis development by the HIPSTRESS parameter H = pmaxr2/WB was found to be 2. Conclusions: We proposed a dimensionless peak stress on the load bearing area with the border value of 2 as a decisive parameter over which hips are at risk for early development of degenerative processes and presented a method for determination of biomechanical parameters with the use of nomogram.

Słowa kluczowe

EN

hip joint; hip arthritis; hip dysplasia

PL

staw biodrowy; zapalenie stawu biodrowego; dysplazja stawu biodrowego

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2021
• Tom: Vol. 23, no. 1
• Strony: 25--34
• Opis fizyczny: Bibliogr. 25 poz., rys., tab.

Twórcy

autor

Uršič Bojana

• University of Ljubljana, Faculty of Health Sciences, Ljubljana, Slovenia

autor

Kocjančič Boštjan

• University Medical Centre Ljubljana, Department of Orthopaedic Surgery, Ljubljana, Slovenia

autor

Romolo Anna

• University of Ljubljana, Faculty of Health Sciences, Ljubljana, Slovenia

autor

Iglič Aleš

• Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
• University of Ljubljana, Faculty of Electrical Engineering, Ljubljana, Slovenia

autor

Kralj-Iglič Veronika

• University of Ljubljana, Faculty of Health Sciences, Ljubljana, Slovenia

autor

Zupanc Oskar

• University Medical Centre Ljubljana, Department of Orthopaedic Surgery, Ljubljana, Slovenia

Bibliografia

• [1] BRINCKMANN P., FROBIN W., HIERHOLZER E., Stress on the articular surface of the hip joint in healthy adults and persons with idiopathic osteoarthrosis of the hip joint, J. Biomech., 1981, 14, 149–156, DOI: 10.1016/0021-9290(81)90021-x.
• [2] CLARKE S.G., PHILLIPS A.T., BULL A.M., Evaluating a suitable level of model complexity for finite element analysis of the intact acetabulum, Comput. Methods Biomech. Biomed. Engin., 2013, 16, 717–724, DOI:10.1080/10255842.2011.633906.
• [3] DANIEL M., ANTOLIC V., IGLIC A., KRALJ-IGLIC V., Determination of contact hip stress from nomograms based on mathematical model, Med. Eng. Phys., 2001, 23, 347–357, DOI:10.1016/ s1350-4533(01)00051-0.
• [4] DEBEVEC H., PEDERSEN D.R., IGLIČ A., DANIEL M., One-legged stance as a representative static body position for calculation of hip contact stress distribution in clinical studies, J. Appl. Biomech., 2010, 26, 522–525, DOI:10.1123/jab.26.4.522.
• [5] DOSTAL W.F., ANDREWS J.G., A three-dimensional biomechanical model of the hip musculature, J. Biomech., 1981, 14, 803–812, DOI: 10.1016/0021-9290(81)90036-1 13.
• [6] DRAGAN S.L., KUROPKA P., KULEJ M., GABRYŚ P., NIKODEM A., Changes in the mechanical properties of femoral cartilage tissue in advanced osteoarthritis, Acta Bioeng. Biomech., 2020, 22, 143–152, DOI: 10.37190/ABB-01463-2019-01.
• [7] GALA J., CLOHISY C., BEAULÉ P.E., Hip dysplasia in the young adult, J. Bone Joint Surg. Am., 2016, 98, 63–73, DOI: 10.2106/JBJS.O.00109.
• [8] GANZ R., LEUNIG M., LEUNIG-GANZ K., HARRIS W.H., The etiology of osteoarthritis of the hip: an integrated mechanical concept, Clin. Orthop. Relat. Res., 2008, 466, 264–272, DOI: 10.1007/s11999-007-0060-z.
• [9] HODGE W.A., CARLSON K.L., FIJAN R.S., BURGESS R.G., RILEY P.O., HARRIS W.H. et al., Contact pressures from an instrumented hip endo-prosthesis, J. Bone Joint Surg. Am., 1989, 71, 1378–1386.
• [10] HORNOVÁ J., IGLIČ A., KRALJ-IGLIČ V., PEDERSEN D.R., DANIEL M., Effect of patient-specific model scaling on hip joint reaction force in one-legged stance – study of 356 hips, Acta Bioeng. Biomech., 2017, 19, 102–108, DOI: 15.5277/ABB00839-2017-02.
• [11] HUA X., LI J., WILCOX R.K., FISHER J., JONES A.C., Geometric parameterisation of pelvic bone and cartilage in contact analysis of the natural hip: an initial study, Proc. Inst. Mech. Eng. H, 2015, 229, 570–580, DOI:10.1177/0954411915592656R.
• [12] IGLIČ A., SRAKAR F., ANTOLIČ V., KRALJ-IGLIČ V., BATAGELJ V., Mathematical analysis of Chiari osteotomy, Acta Orthop. Iugosl., 1990, 20, 35–39.
• [13] IGLIČ A., SRAKAR F., ANTOLIČ V., The influence of the pelvic shape on the biomechanical status of the hip, Clin. Biomech., (Bristol, Avon), 1993, 8, 223–224, DOI:10.1016/02680033(93)90019-E.
• [14] IPAVEC M., BRAND R.A., PEDERSEN D.R., MAVČIČ B., KRALJ--IGLIČ V., IGLIČ A., Mathematical modelling of stress in the hip during gait, J. Biomech., 1999, 32, 1229–1235, DOI: 10.1016/s0021-9290(99)00119-0.
• [15] KOCJANČIČ B., MOLIČNIK A., ANTOLIČ V., MAVČIČ B., KRALJ-IGLIČ V., VENGUST R., Unfavorable hip stress distribution after Legg–Calvé–Perthes syndrome: A 25-year follow-up of 135 hips, J. Orthop. Res., 2014, 32, 8–16, DOI: 10.1002/jor.22479.
• [16] KOLÁŘOVÁ K., VODIČKA T., BOZDĚCH M., REPKO M., 3D kinematic analysis of patients’ gait before and after unilateral total hip replacement, Acta Bioeng. Biomech., 2020, 22, 165–171, DOI: 10.37190/ABB-01539-2020-04.
• [17] LIU L., SIEBENROCK K., NOLTE L.P., ZHENG G.Y., Biomechanical Optimization-Based Planning of Periacetabular Osteotomy, V: Intelligent orthopaedics: artificial intelligence and smart image-guided technology for orthopaedics, G. Zheng, W. Tian, X. Zhuang (ur.), 2018, 1093, 157–168, DOI: 10.1007/978-981-13-1396-7_13.
• [18] MAVČIČ B., POMPE B., ANTOLIČ V., DANIEL M., IGLIČ A., KRALJ-IGLIČ V., Mathematical estimation of stress distribution in normal and dysplastic human hips, J. Orthop. Res., 2002, 20, 1025–1030, DOI: 10.1016/S0736-0266(02)00014-1.
• [19] MOLIČNIK A., JANŠA J., KOCJANČIČ B., KRALJ-IGLIČ V., DOLINAR D., Secondary hip dysplasia increases risk for early coxarthritis after Legg-Calve-Perthes disease. A study of 255 hips, Comput. Methods Biomech. Biomed. Engin., 2019, 22, 1107–1115, DOI: 10.1080/10255842.2019.1634193.
• [20] POMPE B., DANIEL M., SOCHOR M., VENGUST R., KRALJ--IGLIČ V., IGLIČ A., Gradient of contact stress in normal and dysplastic human hips, Med. Eng. Phys., 2003, 25, 379–385, DOI: 10.1016/s1350-4533(03)00014-6.
• [21] POMPE B., ANTOLIČ V., MAVČIČ B., IGLIČ A., KRALJ-IGLIČ V., Hip joint contact stress as an additional parameter for determining hip dysplasia in adults: comparison with Severins classification, Med. Sci. Monit., 2007, 13, CR215-219.
• [22] TOMAŽEVIČ M., KAIBA T., KURENT U., TREBŠE R., CIMERMAN M., KRALJ-IGLIČ V., Hip stress distribution – predictor of dislocation in hip arthroplasties. A retrospective study of 149 arthroplasties, PLoS ONE, 2019, 14, e0225459, DOI: 10.1371/ journal.pone.0225459.
• [23] VUKASINOVIĆ Z., SPASOVSKI D., KRALJ-IGLIČ V., MARINKOVIC--ERIC J., SESLIJA I., ŽIVKOVIČ Z., SPASOVSKI V., Impact of triple pelvic osteotomy on contact stress pressure distribution in the hip joint, Int. Orthop., 2013, 37, 95–98, DOI: 10.1007/ s00264-012-1727-y.
• [24] WIBERG G., Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis, Acta Chir. Scand., 1939, 83, 5–135.
• [25] YOUSSEF E.F., SHANB A.A., AMEER M.A., SHANAB M.E., Impact of body weight on shifting of foot pressure among adult subjects, Acta Bioeng. Biomech., 2020, 22, 131–137, DOI: 10.37190/ABB-01595-2020-02.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).