Total Hip Replacement: Tensile Stress in Bone Cement is influenced by Cement Mantle Thickness, Acetabular Size, Bone Quality, and Body Mass Index

JMS, Lamvohee

doi:10.4172/jcsb.1000140

Cited by 6 publications

(10 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The tensile strength of the PMMA material is approximately 25 MPa [17,18,19]. The von Mises stress results in this study confirms the study of stress [7] and strain [1] characteristics.…”

Section: Resultssupporting

confidence: 85%

“…They concluded that the thickness of the cement mantle is a dominant factor for hip substitution. Numerical analysis was performed by Lamvohee et al [7] to explore variables related to the thickness of a cement mantle such as the size of acetabular, body mass index, and quality of the bone. By increasing the thickness of the cement mantle, the maximum tensile stress decreases.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Study of an Additional Layer of Cement Mantle Hip Joints for Reducing Cracks

Jamari

Saputra

Anwar

et al. 2019

JFB

View full text Add to dashboard Cite

Failure of the cement mantle in total hip arthroplasty is not a simple phenomenon. Cracking, which can be caused by crack initiation and repeated loading, can cause loosening of the acetabular liner component. A previous study showed that addition of a metal layer between the liner and acetabular could reduce the stress at the contact surface of the cement mantle. This study elaborates on the performance of the additional layer. Several material properties of the layer were simulated using finite element analysis for maximum performance. A static contact analysis was used to simulate the stresses at the contact surface of the cement mantle. The results show that an additional layer of cobalt chrome produced the best performance.

show abstract

“…The tensile strength of the PMMA material is approximately 25 MPa [17,18,19]. The von Mises stress results in this study confirms the study of stress [7] and strain [1] characteristics.…”

Section: Resultssupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Study of an Additional Layer of Cement Mantle Hip Joints for Reducing Cracks

Jamari

Saputra

Anwar

et al. 2019

JFB

View full text Add to dashboard Cite

show abstract

“…15,22,40 From the mechanical perspective, high stresses in the cement mantle might be sufficient in promoting the crack growth and debonding of the cement mantle, which ultimately may lead to the failure of THRs. 2,31,41–46 Similarly, the results of this study also stated that the UHMWPE as an implant material causes more stresses in the cement mantle of the cemented acetabular cup.…”

Section: Discussionsupporting

confidence: 72%

“…Earlier published studies show that obesity is associated with a premature hip replacement and encourages the failure of the cemented prosthesis. 2–5 Obesity was found to be an independent risk factor for acute periprosthetic infection after primary hip replacement. 4 An increase in bodyweight results in an increase in bone stress and that will further increase with different activities such as ascending stairs, descending stairs, running and stumbling.…”

Section: Introductionmentioning

confidence: 97%

Biomechanical performance of the cemented acetabular cup with combined effects of bone quality, implant material combinations and bodyweight

Kumar

Mondal

Ghosh

2022

Proc Inst Mech Eng H

View full text Add to dashboard Cite

The objective of this study is to understand the combined effects of bone quality, implant materials and bodyweight on the biomechanical performance of cemented acetabular cup. Additionally, the performance of the cemented acetabular cup was evaluated for obesity cases or obese people. A total of 84 FE models (based on CT data) were developed based on combinations of three different cancellous bone material distributions to represent bone quality, four different implant material combinations and seven different bodyweights. The biomechanical performance of the acetabular cup was evaluated based on bone stress (both cortical and cancellous bone), cement mantle stress, micromotion and contact pressure between the acetabular cup and femoral head. Cortical bone stress, cancellous bone stress, cement stress, the contact pressure between implants and micromotion between implants are affected by different bone quality, implant material combinations and bodyweights. An increase in bodyweight would increase the cortical bone stress, cancellous bone stress, cement stress, contact pressure between implants and micromotion between implants. However, bodyweight affects the cortical and cancellous bone stress more (stiff rise of the bone stresses; nonlinear relation) as compared to other output parameters (mostly linear relation). Comparing cortical and cancellous bone stress, the stress versus bodyweight curve is much stiffer (stiff rise in the curve) for cortical bone than cancellous bone and that even further increases as bone quality decreases. Especially considering obesity cases or obese people (very high bodyweight), the performance of the cemented acetabular component is poor. Graphical abstract [Formula: see text]

show abstract

“…Two forces are acting on the implant on vertical and horizontal directions with different values presented in table 1 [2], [3], [7], [8], [9], [16]. Figure 1 presents the studied structure that consists in the cortical bone, trabecular bone, implant and abutment.…”

Section: Introductionmentioning

confidence: 99%

FEM of an Implant Behaviour in a Healthy Bone

Niṭoi¹,

Milicescu

Apostolescu³

et al. 2015

Procedia Engineering

View full text Add to dashboard Cite

The human body represents the most important topic for many researchers. In the case of dental medicine, because of the nature of the teeth material, the dimensions and the geometrical position, a very important problem, like fractures, cannot be study with practical classic engineering tools, such as tensometric markers. Under these conditions, the finite element method represents the only method that helps and indicates what is hapening in the structure of maxilar bone and teeth. This paper presents the model and the simulation of the implant under different conditions of mastication forces. In the work, stress and deformation are calculated for different forces acting on the superior zone of the implant. The results are important and gives dental practicians information for the every day work.

show abstract

Total Hip Replacement: Tensile Stress in Bone Cement is influenced by Cement Mantle Thickness, Acetabular Size, Bone Quality, and Body Mass Index

Cited by 6 publications

References 38 publications

Study of an Additional Layer of Cement Mantle Hip Joints for Reducing Cracks

Study of an Additional Layer of Cement Mantle Hip Joints for Reducing Cracks

Biomechanical performance of the cemented acetabular cup with combined effects of bone quality, implant material combinations and bodyweight

FEM of an Implant Behaviour in a Healthy Bone

Contact Info

Product

Resources

About