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Finite element analysis of stresses generated in cortical bone during implantation of a novel Limb Prosthesis Osseointegrated Fixation System

Prochor P.

Biocybernetics and Biomedical Engineering

2017

Vol. 37, no. 2

255--262

The aim of this study was a biomechanical evaluation of the stresses generated in bone during implantation of the implant designed for direct skeletal attachment of limb prosthesis and a typical interference-fit implant of the reference. Using the finite element method implantation processes of both implants were modelled. The influence of two factors on stresses generated in bone was analysed: first – the radial interference between the implant and reamed marrow cavity (0.05 mm up to 0.25 mm) and second – the three types of implant's surfaces: polished, beaded and flaked. Obtained results show that in the case of the smallest value of radial interference (0.05 mm), stresses generated in cortical bone are more appropriate for the reference implant than for the designed one. With the increase of both analysed factors generated stresses are in favour of the designed implant especially in longitudinal direction for both, implant-adjacent and deep cortical tissue (even 18 times lower) alike. Stresses patterns also present that stresses values are lower in overall volume of analysed bone's part, during implantation of the designed implant. Presented characteristics and patterns confirm that the implantation method of presented implant is safer than a method for typical interference-fit implants for direct skeletal attachment of limb prosthesis.

Biomechanical evaluation of a novel Limb Prosthesis Osseointegrated Fixation System designed to combine the advantages of interference-fit and threaded solutions

Prochor P., Piszczatowski Sz., Sajewicz E.

Acta of Bioengineering and Biomechanics

2016

Vol. 18, no. 4

21--31

Purpose: The study was aimed at biomechanical evaluation of a novel Limb Prosthesis Osseointegrated Fixation System (LPOFS) designed to combine the advantages of interference-fit and threaded solutions. Methods: Three cases, the LPOFS (designed), the OPRA (threaded) and the ITAP (interference-fit) implants were studied. Von-Mises stresses in bone patterns and maximal values generated while axial loading on an implant placed in bone and the force reaction values in contact elements while extracting an implant were analysed. Primary and fully osteointegrated connections were considered. Results: The results obtained for primary connection indicate more effective anchoring of the OPRA, however the LPOFS provides more appropriate stress distribution (lower stress-shielding, no overloading) in bone. In the case of fully osteointegrated connection the LPOFSs kept the most favourable stress distribution in cortical bone which is the most important long-term feature of the implant usage and bone remodelling. Moreover, in fully bound connection its anchoring elements resist extracting attempts more than the ITAP and the OPRA. Conclusions: The results obtained allow us to conclude that in the case of features under study the LPOFS is a more functional solution to direct skeletal attachment of limb prosthesis than the referential implants during short and long-term use.