Investigation of the effect of porous titanium cups on stress distribution in bone tissue (mathematical modeling)

Authors

  • S.Ye. Bondarenko State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine, Ukraine
  • S.A. Denisenko State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine, Ukraine
  • M.Yu. Karpinsky State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine, Ukraine
  • O.V. Yaresko State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine, Ukraine

DOI:

https://doi.org/10.22141/1608-1706.3.22.2021.236320

Keywords:

endoprosthesis, cup, hip joint, mathematical model, tension

Abstract

Introduction. During arthroplasty in patients with altered anatomy and osteoporosis of the acetabulum, stable fixation of the acetabular component of the endoprosthesis is a very difficult task. There are studies on the bone tissue bonding to titanium, tantalum and ceramic coatings of endoprostheses. However, there are insufficient data on the influence of the strength characteristics of modern surfaces of the cups for hip endoprostheses on the distribution of mechanical stresses in the bone tissue around the implanted components. The purpose was to study on a mathematical model the changes in the stress-strain state of the endoprosthesis-bone system as a result of using porous tantalum cup. Materials and methods. A mathematical modeling has been carried out of the stress-strain state of the human hip joint in arthroplasty with porous cup. Du-ring the study, a defect in the acetabular roof filled with a bone implant fixed with two screws was simulated, as well as a defect in the acetabular floor filled with bone “chips”. Endoprosthesis cups were modeled in two versions: from solid titanium with a spray coating of porous titanium, and those entirely made of porous titanium. A distributed load of 540 N was applied to the sacrum. A load was applied between the iliac wing and the greater trochanter of the femur simulating the action of the gluteus medius — 1150 N and the gluteus minimus — 50 N. Results. The use of a cup with a coating of porous titanium in the normal state of the acetabulum leads to the occurrence of maximum stresses (15.9 MPa) in its posterior-upper part. Minimum stresses of 4.6 MPa are observed in the center of the acetabulum. The use of an endoprosthesis with porous titanium cup allows reducing the level of stresses in the bone tissue around the cup. If there is a defect in the acetabular roof, a hip endoprosthesis with porous titanium cup causes less stress than a solid titanium cup with coating of porous titanium. But on the graft, the stress level remains practically unchanged, regardless of the type of cup. The use of porous tantalum cup in the presence of a defect in the acetabular floor causes significantly less stress in the bone tissue around it, compared to an all-metal cup with coating. Conclusions. The cup of the hip endoprosthesis made of porous titanium causes significantly less stress in all control points of the model, compared to a cup made of solid titanium with coating of porous titanium, both with defects in the acetabular roof and floor, and without bone defects.

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Published

2021-07-19

Issue

Section

Original Researches