Abstract
The hip joint diseases have various kinds of origination, and they have multifarious forms according to the originations. One of the major concerns to plan the surgical operation for the hip diseases is the alternation of biomechanical environment, such as joint force and contact pressure. In this study, we analyzed the biomechanical effects of surgical techniques of the hip joint diseases by finite element analysis. We developed the finite element models of the pre-operative and post-operative hip joints for four children patients who have hip joint disease with abnormal joint anatomy. The models consist of two bones (pelvis and femur) reconstructed from CT images, and the articular cartilages on acetabulum and femoral head. Bones and cartilages were assumed having linear elastic material properties. The resultant joint force and the abductor force were calculated from 3-D static equilibrium in one-leg standing position. The calculated joint force was applied on the pelvis, the inferior plate of femur was fixed in all directions, and the medial edge of pelvis was constrained in vertical direction. Mechanical values such as contact force, pressure, and contact area on the hip joint were measured. The results of the finite element analysis were similar with those clinically estimated. The present non-destructive biomechanical evaluation method could be clinically useful for the optimal planning and selecting of surgical method by the rearrangement of contact pressure in the hip joint.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Vaverka, M., Návrat, T. S., Vrbka, M., Florian, Z. and Fuis, V., “Stress and strain analysis of the hip joint using FEM,” Technology and Health Care, Vol. 14, No. 4–5, pp. 271–279, 2006.
Kruse, R.W., Guille, J. T. and Bowen, J. R., “Shelf Arthroplasty in Patients Who Have Legg-Calve-Perthes Disease,” J. Bone Joint Surg. (Am), Vol. 73-A, No. 9, pp. 1338–1347, 1991.
Nishimatsu, H., Iida, H., Kawanabe, K., Tamura, J. and Nakamura, T., “The Modified Spitzy Shelf Operation for Patients with Dysplasia of the Hip,” J. Bone Joint Surg. (Br), Vol. 84-B, No. 5, pp. 647–652, 2002.
Jacobs, R., Moens, P. and Fabry, G., “Lateral Shelf Acetabuloplasty in the Early Stage of Legg-Calve-Perthes Disease with Special Emphasis on the Remaining Growth of the Acetabulum: A Preliminary Report,” J. Pediatric Ortho. B, Vol. 13, No. 1, pp. 21–28, 2004.
Wainwright, D., “The Shelf Operation for Hip Dysplasia in Adolescence,” J. Bone Joint Surg. (Br), Vol. 58, No. 2, pp. 159–163, 1976.
Wu, Y. T., “From CT image to 3D model,” Advanced Imaging, Vol. 16, No. 8, pp. 20–23, 2001.
Pal, N. R. and Pal, S. K., “A review on image segmentation techniques,” Pattern Recognition, Vol. 26, No. 9, pp. 1277–1294, 1993.
Nishii, T., Sugano, N., Sato, Y., Tanaka, H., Miki, H. and Yoshikawa, H., “Three-Dimensional Distribution of Acetabular Cartilage Thickness in Patients with Hip Dysplasia: A Fully Automated Computational Analysis of MR Imaging,” Osteoarth. Cartil., Vol. 12, No. 8, pp. 650–657, 2004.
Moon, B. Y. and Park, J. H., “Simulation of Bone Fracture Healing by the Complex System Rule,” J. of KSPE, Vol. 20, No. 12, pp. 198–204, 2003.
Kim, Y. E., Yun, S. S. and Jung, S. K., “Biomechanical analysis of the Implanted Constrained and Unconstrained ICR Types of Artificial Disc using FE Model,” J. of KSPE, Vol. 23, No. 4, pp. 176–182, 2006.
Kim, D. R., Chae, S. W., Lee, T. S., Park, J. Y., Suh, J. G. and Choi, K. W., “Biomechanical Evaluation of the Vertebroplasty Based on Bone Density,” J. of KSPE, Vol. 23, No. 8, pp. 185–194, 2006.
Kim, Y. E. and Yun, S. S., “Effects on the Adjacent Motion Segments according to the Artificial Disc Insertion,” J. of KSPE, Vol. 24, No. 8, pp. 122–129, 2007.
Wei, H. W., Sun, S. S., Jao, S. H., Yeh, C. R. and Cheng, C. K., “The Influence of Mechanical Properties of Subchondral Plate, Femoral Head and Neck on Dynamic Stress Distribution of the Articular Cartilage,” Med. Eng. Phys., Vol. 27, No. 4, pp. 295–304, 2005.
Saito, S., Takaoka, K. and Ono, K., “Tectoplasty for Painful Dislocation or Subluxation of the Hip. Long-Term Evaluation of a New Acetabuloplasty,” J. Bone Joint Surg. Br., Vol. 68, No. 1, pp. 55–60, 1986.
Ninomiya, S., Tagawa, H., Miyanaga, Y. and Seki, N., “The Relationship between the Position of the Artificial Joint and the Resultant Force Acting on the Femoral Head,” J. Jpn. Orthop. Ass., Vol. 50, No. 1, pp. 15–20, 1975.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Park, W.M., Kim, Y.H., Kim, K. et al. Non-destructive biomechanical analysis to evaluate surgical planning for hip joint diseases. Int. J. Precis. Eng. Manuf. 10, 127–131 (2009). https://doi.org/10.1007/s12541-009-0057-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12541-009-0057-5