Optimization and the Impact of Various Factors on the Orthopedic Cement Used in the Total Hip Arthroplasty

Abstract

The aim of the present investigation is to determine the ideal values for several parameters, such as the external diameter of the polyethylene liner, the Young's modulus of the cup, and the friction coefficients between the polyethylene liner's contact area and the acetabular shell and prosthetic head of the dual-mobility cup. Reduced stresses at the bone/cement interface are crucial for ensuring a well-fixed dual-mobility cup (DMC) with the acetabulum because orthopedic cement (PMMA) is the weakest component of total hip arthroplasty (THA). Four factors, such as the PE liner size, the rigidity of the cup, and the friction coefficients, are optimized using the three-dimensional finite element method (FEM) and experimental design approach (EDA). The numerical results show that the hemispherical-liner size, mechanical characteristics of the cup, surface state of the femoral head, liner PE, and shell components all influence the mechanical strength of the bone cement. To prevent fracturing the bone cement, which would render the total hip arthroplasty ineffective. The optimal values of the maximum von Mises stress in bone cement will be determined using this methodology. The numerical outcome shows that when the Young's modulus of the cup rises, the maximum stress in bone cement falls until it reaches a minimal value. The maximum stress in bone cement, however, increases as the PE liner's exterior diameter increases. Because the maximum stress is still below the yield stress of bone cement, the artificial hip joint is still considered safe despite the increased stress value.