Cover Image

The Effect of Additional Layer between Liner and PMMA on Reducing Cracks of Cement Mantle Hip Joints

Ay Lie Han, J. Jamari, Iwan Budiwan Anwar, Emile van der Heide

Abstract


Loosening of the acetabular liner component caused by the failure of the cement mantle is a complex phenomenon in a total hip arthroplasty. This failure is often associated with the occurrence of cracking in the cement mantle. Investigation of this cracking can be performed by fatigue test or simulation. Cracking can be caused by initial cracks (porosity), defects of cement mantle, or stress due to repeated loading. An initial crack may be caused by material defects. The stress depends on the load and on the strength of the material itself. To reduce crack failure, one can minimize the initial crack or optimize the thickness of the cement mantle and reduce stress that occurs in the cement mantle. This study offers a solution for reducing the intensity of stress on the cement mantle by providing an additional metal layer between the liner and the acetabular component cement mantle. The study is performed by simulating static contact using finite element analysis. Results show that the additional layer between the acetabular liner and the cement mantle can significantly reduce the stress on the contact surface of the cement mantle.


Keywords


layer; cement mantle; cracking; fatigue; hip joint

Full Text:

PDF HTML

References


D. A. Fisher, A. C. Tsang, N. Paydar, S. Milionis, and C. H. Turner, “Cement-mantle thickness affects cement strains in total hip replacement,” Journal of Biomechanics, vol. 30, nos. 11–12, pp. 1173–1177, 1997.

C. R. Jacobs, J. B. Bechtel, B. R. Davis, S. H. Naidu, and V. D. Pellegrini, Fatigue Lifetime Studies of a New Bone Cement Formulation, Dover, Zimmer Orthopaedic Surgical Products, Inc., 2004.

T. J. Letters, R. J. E. D. Higgs, and C. A. Baillie, “Factors influencing the fatigue life of acrylic bone cements in arthroplasty: An experimental, ex-vivo and finite element analysis,” 46th Annual Meeting, Orthopaedic Research Society, March 12–15, 2000, Orlando, Florida.

N. P. Zant, C. K. Y. Wong, and J. Tong “Fatigue failure in the cement mantle of a simplified acetabular replacement model,” International Journal of Fatigue, vol. 29, pp. 1245–1252, 2007.

A. Ramos and J. A. Simoes, “The influence of cement mantle thickness and stem geometry on fatigue damage in two different cemented hip femoral prostheses,” Journal of Biomechanics, vol. 42, pp. 2602–2610, 2009.

J. M. S. Lamvohee, P. Ingle, K. Cheah, J. Dowell, and R. Mootanah, “Total hip replacement: Tensile stress in bone cement is influenced by cement mantle thickness, acetabular size, bone quality, and body mass index,” Journal of Computer Science and Systems Biology, vol. 7, no. 3, pp. 72–78, 2014.

K. Mann and J. Hertzler, “Crack growth rate in cemented total hip replacement does not depend on cement mantle thickness,” 47th Annual Meeting, Orthopaedic Research Society, February 25–28, 2001, San Francisco, California.

J. Hertzler, M. A. Miller, and K. A. Mann, “Fatigue crack growth rate does not depend on mantle thickness: An idealized cemented stem construct under torsional loading,” Journal of Orthopaedic Research, vol. 20, pp. 676–682, 2002.

E. Saputra, I. B. Anwar, J. Jamari, and E. van der Heide, “Finite element analysis of artificial hip joint movement during human activities,” Procedia Engineering, vol. 68, pp. 102–108, 2013.

J. Jamari, R. Ismail, E. Saputra, S. Sugiyanto, and I. B. Anwar, “The effect of repeated impingement on UHMWPE material in artificial hip joint during salat activities,” Advanced Materials Research, vol. 896, pp. 272–275, 2014.

E. Saputra, I. B. Anwar, R. Ismail, J. Jamari, and E. van der Heide, “Numerical simulation of artificial hip joint movement for Western and Japanese-style activities,” Jurnal Teknologi (Sciences and Engineering), vol. 66, pp. 53–58, 2014.

https://www.arthritis-health.com/surgery/hip-surgery/all-about-anterior-hip-replacement (accessed on 21 August 2017)

E. Gunn, D. Gundapaneni, and T. Goswami, “Effect of cement fill ratio in loosening of hip implants,” Biomatter, vol. 2, no. 2, pp. 87–93, 2012.

A. E. Anderson, C. L. Peters, B. D. Tuttle, and J. A. Weiss, “A subject-specific finite element model of the pelvis: Development, validation and sensitivity studies,” Journal of Biomechanical Engineering, vol. 127, pp. 364–373, 2005.

A. Sahli, S. Benbareka, S. Wayneb, B. A. B. Bouiadjraa, and B. Seriera, “3D crack behavior in the orthopedic cement mantle of a total hip replacement,” Applied Bionics and Biomechanics, vol. 11, pp. 135–147, 2014. DOI 10.3233/ABB-140097.

D. Ouinas, A. Flliti, M. Sahnoun, S. Benbarek, and N. Taghezout, “Fracture behavior of the cement mantle of reconstructed acetabulum in the presence of a microcrack emanating from a microvoid,” International Journal of Materials Engineering, vol. 2, no. 6, pp. 90–104, 2012.

T. Achour, M. S. H. Tabeti, M. M. Bouziane, S. Benbarek, B. B. Bouiadjra, and A. Mankour, “Finite element analysis of interfacial crack behaviour in cemented total hip arthroplasty,” Computational Materials Science, vol. 47, no. 3, pp. 672–677, 2010.

F. C. Eichmiller, J. A. Tesk, and C. M. Croarkin, “Mechanical properties of ultra-high molecular weight polyethylene NIST Reference Material RM 8456,” in Transactions of the Society for Biomaterials. 27th Annual Meeting, p. 472, 2001.

F. Yildiz, A. F. Yetim, A. Alsaran, A. Celik, and I. Kaymaz, “Fretting fatigue properties of plasma nitrided AISI 316L stainless steel: Experiments and finite element analysis,” Tribology International, vol. 44, pp. 1979−1986, 2011.

ABAQUS Documentation, Dassault Systems, Providence, RI, 2012.

G. Bergmann, G. Deuretzbacher, G. Heller, F. Graichen, A. Rohlmann, J. Strauss, and G. N. Duda, “Hip contact forces and gait patterns from routine activities,” Journal of Biomechanics, vol. 34 , pp. 859–871, 2001.

H. Aylie, B. S. Gan, S. As’ad, and M. M. A. Pratama, “Parametric study of the load carrying capacity of functionally graded concrete of flexural members,” International Journal of Engineering and Technology Innovation, vol. 5 , pp. 233–241, 2015.


Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.