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Effect of elliptical deformation of the acetabulum on the stress distribution in the components of hip resurfacing surgery

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Stempin R. , Dragan S. Ł. , Kulej M. , Filipiak J. , Dragan S.

Acta of Bioengineering and Biomechanics

2017

tom Vol. 19, no. 4

35--41

Hip resurfacing surgery is a matter of controversy. Some authors present very good late results of 99% survival outcomes. However, national records of implants point to the series of complications connected with biomechanical flaws of the implant. These results implicate the experimental research on biomechanical properties of HRS. The aim of the research was to define the nature of cooperation between the components of hip resurfacing surgery (HRS) and the influence of the deformation of acetabulum, the size of the implant and the nature of the bone surface on the stress distribution in the acetabulum and the femoral component. The calculations were run with the use of the finite element method (FEM), using the ANSYS bundle for this purpose. Four decrete models of the studied system were made: a model with the elements of the system connected with glue, a perfect spherical model with cooperating surfaces, a model reflecting an elliptical deformation of the acetabulum, and a model with different sizes of the implant. The results indicate that the stress values obtained for models with the ideally spherical acetabulum cannot cause significant deformation of cooperating implants. In the case of loads of the elliptically deformed acetabulum significant point stress concentrations can be observed in the spots of joint. The size of the acetabular and femoral components of HRS has influence on the stress concentration on the internal surface of the acetabulum as well as in the bone tissue surrounding the madrel of the femoral component. Moreover, physical properties of the base surface surrounding the HRS components have influence on the size of stress in the acetabulum and the femoral component.

Evaluation of dynamic formation of cervical spine column based on functional radiological studies in patients after cervical spine injury

86%

Martynkiewicz J. , Dragan S. F. , Płocieniak K. , Krawczyk A. , Kulej M. , Dragan S. Ł.

Acta of Bioengineering and Biomechanics

2011

tom Vol. 13, no. 3

105-109

The purpose of this study was to evaluate cervical spine function, based on our own functional method of roentgenometric analysis in patients who suffered from cervical spine sprain injury. Study involved 72 patients who suffered from cervical spine whiplash injury. Conventional plain radiographs in all patients included three lateral views: maximum flexion, neutral (resting) and maximum extension. All views allowed roentgenometric evaluation of ligament instability of the lower cervical spine C5–C7 according to the White and Panjabi criteria. Furthermore, based on literature analysis and their own clinical observations, the authors proposed new classification of dynamic formation of cervical spine column. The dynamic formation of cervical column is evaluated based on pathomechanical chain of being between normal and unstable. Authors’ own evaluation system in flexion views can be useful in diagnosis and treatment of this type of injury.