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Design factors of lumbar pedicle screws under bending load: A finite element analysis

Biswas Jayanta Kumar, Sahu Tikeshwar Prasad, Rana Masud, Roy Sandipan, Karmakar Santanu Kumar, Majumder Santanu, Roychowdhury Amit

Biocybernetics and Biomedical Engineering

2019

Vol. 39, no. 1

52--62

Loosening and breakage of lumbar pedicle screw are the most common complications affecting the spinal stability. The design factors of the pedicle screw that may affect the fixation strength under bending load are pitch length, major diameter, thread profiles and geometry. In this study, 84 finite element (FE) models of the pedicle screw were generated having 7 pitch lengths, 3 major diameters, 2 thread profiles and 2 geometries. The assembly of pedicle screw and CT scan based half section FE model of 4th lumbar vertebra was loaded with a 200 N force on the screw head which is equivalent to a bending moment of 11 Nm. With triangular thread profile and cylindrical geometry, for 300% increase in pitch length (1–4 mm), von Mises stress in screw and von Mises strain in bone increased by 65% and 117% respectively, for a 26% decrease in major diameter (7.6 mm to 5.6 mm) and correlations were proposed among screw stress (r2 = 0.992) or bone strain (r2 = 0.986), pitch length and major diameter. Similar correlations were also proposed for trapezoidal thread profile and tapered geometry (r2 = 0.994 for screw stress and r2 = 0.986 for bone strain). Hence, a combination of tapered pedicle screw with lower pitch length, higher diameter and trapezoidal thread profile may serve better under bending load for lumbar vertebral implant.

Influence of cementless cup surface on stability and bone fixation 2 years after total hip arthroplasty

Urbański W., Krawczyk A., Dragan Sz.Ł., Kulej M., Dragan Sz.F.

Acta of Bioengineering and Biomechanics

2012

Vol. 14, no. 2

27-35

Loss of fixation between bone and implant surface is one of the main treatment problems in total hip arthroplasty. It might lead to implant instability, bone loss and treatment failure resulting in revision surgery. Surface modification is a method for improving bone response to implant and increasing implant osseointegration. However, the currently applied modifications such as hydroxyapatite coatings do not meet expectation and do not provide good clinical result. The object of the study was to evaluate the influence of acetabular cup surface modification on fixation and bone remodelling in total hip arthroplasty. Clinical and radiological outcomes were evaluated in patients two years after cementless total hip replacement. Two groups were compared: patients with acetabular component with uncoated titanium surface and patients with hydroxyapatite-coated acetabular surface. Hips X-rays were analysed for early signs of losing stability of acetabular cups. Two years after surgery the analysis of X-rays did not reveal any statistical differences in stability, migration of acetabular components of endoprosthesis between both groups. No differences were also observed in bone remodelling around implants. Particularly high percentage of cups, i.e. 17.64%, were classified into the group with high risk of early implant loosening, i.e., the group with HA coatings. Hydroxyapatite coatings on titanium cementless acetabular cups implanted by press-fit technique have no influence on their stability, bone-implant fixation and the remodelling of bone surrounding an implant two years after surgery.