Purpose: Present paper addresses the formulation of delamination-fretting wear failure predictive equation in HAp-Ti-6Al-4V interface of hip arthroplasty femoral stem component using multiple linear regression model. Design/methodology/approach: A finite element computational model utilising adaptive meshing algorithm via ABAQUS/Standard user subroutine UMESHMOTION is developed. The developed FE model is employed to examine effect of different HAp-Ti-6Al-4V interface mechanical and tribological properties on delamination-fretting wear behaviour. The FE result is utilised to formulate predictive equations for different stress ratio conditions using multiple linear regression analysis. Findings: Delamination-fretting wear predictive equations are successfully formulated with significant goodness of fit and reliability as a fast failure prediction tool in HAp coated hip arthroplasty. The robustness of predictive equations is validated as good agreement is noted with actual delamination-fretting wear results. Research limitations/implications: The influence of different mechanical and tribological properties such as delamination length, normal loading, fatigue loading, bone elastic modulus and cycle number under different stress ratio on delamination-fretting wear failure is analysed to formulate failure predictive equations. Practical implications: The formulated predictive equation can serve as a fast delamination-fretting wear failure prediction tool in hip arthroplasty femoral stem component. Originality/value: Limited attempt is done to explore the potential of utilizing multiple linear regression model to predict failures in hip arthroplasty. Thus, present study attempt to formulate delamination-fretting wear failure predictive equation in HAp -Ti-6Al-4V interface of hip arthroplasty femoral stem component using multiple linear regression model.
The proposed advantages of short stem hip arthroplasties are bone preserving strategies and less soft tissue damage. Bone preserving strategies do not only include a more proximal resection of the femoral neck, but especially for short stem hip arthroplasties with predominantly metaphyseal fixation a presumed more physiologic load transfer and thus a reduction of stress-shielding. However, the hypothesized metaphyseal anchorage associated with the aforementioned benefits still needs to be verified. Unfortunately, mid- to long-term clinical studies are missing. Methods: Therefore, the METHA short stem as a short stem with proposed metaphyseal anchorage and the Bicontact® standard stem were tested biomechanically in three pairs of cadaveric femora while strain gauges monitored their corresponding strain patterns. Results: For the METHA stem, the strains in all tested locations including the region of the calcar were similar to conditions of cadaver without implanted stem. The Bicontact stem showed approximately half of strain of the non-implanted cadaveric femura with slightly increasing strain from proximal to distal. Conclusions: Summarizing, the current study revealed primary metaphyseal anchorage of the METHA short stem and a metaphyseal-diaphyseal anchorage of the Bicontact stem.
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