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Mock-up in hip arthroplasty pre-operative planning

Zanetti E. M., Bignardi C.

Acta of Bioengineering and Biomechanics

2013

Vol. 15, no. 3

123--128

The correct estimation of stem boundary conditions in hip arthroplasty cannot be performed simply by subtracting the prosthesis volume from the bone volume: the stem implant path needs to be taken into account. Digital mock-up is a technique commonly applied in the automotive field which can be used for this aim. Given a certain femur, a stem, and an implantation path, the volume of the removed bone stock can be evaluated, as well as the final contact area between the bone and the stem, and, section by section, the residual cortical bone thickness. The technique proved to be useful: if the stem implant path is not considered, the removed bone stock volume can be underestimated up to 6%, while the contact area extension can be overestimated up to 28%. On the whole, a new methodology has been set up and tested, which can be usefully employed to accurately establish stem boundary conditions in the pre-operative planning stage, and in order to perform a reliable structural stress analysis. The methodology implemented here by experienced researchers can be made available to surgeons, setting up an apposite software suite.

Human pelvis loading rig for static and dynamic stress analysis

Zanetti E.M., Bignardi C., Audenino A.L.

Acta of Bioengineering and Biomechanics

2012

Vol. 14, no. 2

61-66

This work is aimed at designing and constructing a loading rig for the synthetic hemi-pelvis; this system has been conceived with the goal of applying differently oriented articular forces in order to experimentally test the stress distribution and the stability of surgical reconstructions like, for example, hip arthroplasty or pelvic fixation. This device can be interfaced with a usual loading machine; it preserves the anatomy of the hemi-pelvis; it is simply constrained and it allows the simulation of all physiologic activities. Moreover, the visual accessibility of the peri-acetabular area has been guaranteed and this is imperative in order to be able to perform full-field analyses like a thermoelastic or photoelastic stress analysis. First experimental trials have shown a good repeatability of loading–unloading cycles (<1.2%), a low hysteresis (<2.4%) and a good dynamic behaviour (up to 10 Hz loading frequencies).