Skip to main content
SpringerLink
Log in

Optimizing total hip replacement prosthesis design parameter for mechanical structural safety and mobility

  • Regular Paper
  • Published:
International Journal of Precision Engineering and Manufacturing Aims and scope Submit manuscript

Abstract

Femoral acetabular impingement after total hip replacement reduces range of motion (ROM), which leads to dislocation or subluxation problems. Decreasing the head and neck diameters of the hip prosthesis largely influences ROM, but reduced neck diameters increases principal stress. The purpose of study was to develop a design optimization framework for neck diameter to maximize range of motion while simultaneously minimizing the stress throughout the neck cross section. A proximal femur with a hip prosthesis model was developed, and the principal stress was calculated. To optimize the neck diameter, a multi-objective function was developed which minimizes principal stress at the neck while maximizing ROM. Stress was calculated using finite element method, and ROM was mathematically calculated. In this study, neck diameters were optimized for head diameters. A linear equation to calculate optimum neck diameter with respect to the head diameter was proposed. The principal stress of the modified model decreased by 33.6% while maintaining acceptable range of motions. Results show that design parameters, including the neck diameter, head diameter, and neck-to-shaft angle, have trade-off relationships between principal stress and ROM. Therefore, careful determination of the neck diameter is needed to provide adequate mechanical safety and mobility in the THR prosthesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

n:

number of ROM terms

ROM':

normalized ROM terms

STR':

normalized stress terms

σROM':

standard deviation of normalized ROM terms

σSTR':

standard deviation of normalized stress terms

References

  1. Lamontagne, M., Kennedy, M. J., and Beaulé, P. E., “The Effect of CAM FAI on Hip and Pelvic Motion during Maximum Squat,” Clinical Orthopaedics and Related Research, Vol. 467, No. 3, pp. 645–650, 2009.

    Article  Google Scholar 

  2. Shon, W. Y., Baldini, T., Peterson, M. G., Wright, T. M., and Salvati, E. A., “Impingement in Total Hip Arthroplasty: A Study of Retrieved Acetabular Components,” The Journal of Arthroplasty, Vol. 20, No. 4, pp. 427–435, 2005.

    Article  Google Scholar 

  3. Woo, R. Y. and Morrey, B. F., “Dislocations After Total Hip Arthroplasty,” Journal of Bone & Joint Surgery, Vol. 64, No. 9, pp. 1295–1306, 1982.

    Article  Google Scholar 

  4. Grigoris, P., Grecula, M. J., and Amstutz, H. C., “Tripolar Hip Replacement for Recurrent Prosthetic Dislocation,” Clinical Orthopaedics and Related Research, Vol. 304, pp. 148–155, 1994.

    Google Scholar 

  5. Yoshimine, F. and Ginbayashi, K., “A Mathematical Formula to Calculate the Theoretical Range of Motion for Total Hip Replacement,” Journal of Biomechanics, Vol. 35, No. 7, pp. 989–993, 2002.

    Article  Google Scholar 

  6. Lewinnek, G. E., Lewis, J., Tarr, R., Compere, C., and Zimmerman, J., “Dislocations after Total Hip-Replacement Arthroplasties,” Journal of Bone and Joing Surgery, Vol. 60, No. 2, pp. 217–220, 1978.

    Article  Google Scholar 

  7. D'lima, D. D., Urquhart, A. G., Buehler, K. O., Walker, R. H., and Colwell, C. W., “The Effect of the Orientation of the Acetabular and Femoral Components on the Range of Motion of the Hip at Different Head-Neck Ratios,” Journal of Bone and Joing Surgery, Vol. 82, No. 3, pp. 315–321, 2000.

    Article  Google Scholar 

  8. Widmer, K. H. and Zurfluh, B., “Compliant Positioning of Total Hip Components for Optimal Range of Motion,” Journal of Orthopaedic Research, Vol. 22, No. 4, pp. 815–821, 2004.

    Article  Google Scholar 

  9. Patel, D. and Goswami, T., “Influence of Design Parameters on Cup-Stem Orientations for Impingement Free Rom in Hip Implants,” Medical Engineering & Physics, Vol. 34, No. 5, pp. 573–578, 2012.

    Article  Google Scholar 

  10. Renkawitz, T., Haimerl, M., Dohmen, L., Gneiting, S., Lechler, P., et al., “The Association between Femoral Tilt and Impingement-Free Range-of-Motion in Total Hip Arthroplasty,” BMC Musculoskeletal Disorders, Vol. 13, No. 1, pp. 65, 2012.

    Article  Google Scholar 

  11. Tanino, H., Ito, H., Higa, M., Omizu, N., Nishimura, I., et al., “Three-Dimensional Computer-Aided Design Based Design Sensitivity Analysis and Shape Optimization of the Stem Using Adaptive P-Method,” Journal of Biomechanics, Vol. 39, No. 10, pp. 1948–1953, 2006.

    Article  Google Scholar 

  12. Kayabasi, O. and Ekici, B., “The Effects of Static, Dynamic and Fatigue Behavior on Three-Dimensional Shape Optimization of Hip Prosthesis by Finite Element Method,” Materials & Design, Vol. 28, No. 8, pp. 2269–2277, 2007.

    Article  Google Scholar 

  13. Yoshimine, F., “The Influence of the Oscillation Angle and the Neck Anteversion of the Prosthesis on the Cup Safe-Zone that Fulfills the Criteria for Range of Motion in Total Hip Replacements. The Required Oscillation Angle for an Acceptable Cup Safe-Zone,” Journal of Biomechanics, Vol. 38, No. 1, pp. 125–132, 2005.

    Article  Google Scholar 

  14. Yoshimine, F., “The Safe-Zones for Combined Cup and Neck Anteversions that Fulfill the Essential Range of Motion and their Optimum Combination in Total Hip Replacements,” Journal of Biomechanics, Vol. 39, No. 7, pp. 1315–1323, 2006.

    Article  Google Scholar 

  15. Grivas, T. B., Savvidou, O. D., Psarakis, S. A., Bernard, P.-F., Triantafyllopoulos, G., et al., “Neck Fracture of a Cementless Forged Titanium Alloy Femoral Stem Following Total Hip Arthroplasty: A Case Report and Review of the Literature,” Journal of Medical Case Reports, Vol. 1, No. 1, Paper No. 174, 2007.

    Google Scholar 

  16. Morgan-Hough, C., Tavakkolizadeh, A., and Purkayastha, S., “Fatigue Failure of the Femoral Component of a Cementless Total Hip Arthroplasty,” The Journal of Arthroplasty, Vol. 19, No. 5, pp. 658–660, 2004.

    Article  Google Scholar 

  17. Gilbert, J. L., Buckley, C. A., Jacobs, J. J., Bertin, K. C., and Zernich, M. R., “Intergranular Corrosion-Fatigue Failure of Cobalt-Alloy Femoral Stems. A Failure Analysis of Two Implants,” Journal of the Bone & Joint Surgery, Vol. 76, No. 1, pp. 110–115, 1994.

    Article  Google Scholar 

  18. Burstein, A. H. and Wright, T., “Neck Fractures of Femoral Prostheses. A Report of Two Cases,” Journal of the Bone & Joint Surgery, Vol. 67, No. 3, pp. 497–499, 1985.

    Article  Google Scholar 

  19. Rand, J. and Chao, E., “Femoral Implant Neck Fracture Following Total Hip Arthroplasty: A Report of Three Cases,” Clinical Orthopaedics and Related Research, Vol. 221, pp. 255–259, 1987.

    Google Scholar 

  20. Vatani, N., Comando, D., Acuña, J., Prieto, D., and Caviglia, H., “Faulty Design Increases the Risk of Neck Fracture in a Hip Prosthesis,” Acta Orthopaedica Scandinavica, Vol. 73, No. 5, pp. 513–517, 2002.

    Article  Google Scholar 

  21. Spierings, A. B. and Derler, S., “Assessment of Hip Protectors and Corresponding Hip Fracture Risk Using Stress Calculation in the Femoral Neck,” Medical Engineering & Physics, Vol. 28, No. 6, pp. 550–559, 2006.

    Article  Google Scholar 

  22. Kluess, D., Martin, H., Mittelmeier, W., Schmitz, K.-P., and Bader, R., “Influence of Femoral Head Size on Impingement, Dislocation and Stress Distribution in Total Hip Replacement,” Medical Engineering & Physics, Vol. 29, No. 4, pp. 465–471, 2007.

    Article  Google Scholar 

  23. Choi, H. W., Kim, Y. E., and Chae, S.-W., “Effects of The Level of Mono-Segmental Dynamic Stabilization on the Whole Lumbar Spine,” Int. J. Precis. Eng. Manuf., Vol. 17, No. 5, pp. 603–611, 2016.

    Article  Google Scholar 

  24. Dong, R.-C. and Guo, L.-X., “Effect of Muscle Soft Tissue on Biomechanics of Lumbar Spine under Whole Body Vibration,” Int. J. Precis. Eng. Manuf., Vol. 18, No. 11, pp. 1599–1608, 2017.

    Article  Google Scholar 

  25. Kim, H.-S., Lee, Y.-K., and Park, J.-Y., “Development of FEA Procedures for Mechanical Behaviors of Maxilla, Teeth and Mandible,” Int. J. Precis. Eng. Manuf., Vol. 17, No. 6, pp. 785–792, 2016.

    Article  Google Scholar 

  26. Park, K. M., Jung, T. G., Jeong, S. J., and Lee, S. J., “Comparative Study on Biomechanical Behavior of Various Cervical Stand-Alone Cage Designs,” J. Korean Soc. Precis. Eng., Vol. 33, No. 11, pp. 943–950, 2016.

    Article  Google Scholar 

  27. Chandler, D. R., Glousman, R., Hull, D., Mcguire, P. J., Clarke, I. C., and Sarmiento, A., “Prosthetic Hip Range of Motion and Impingement: The Effects of Head and Neck Geometry,” Clinical Orthopaedics and Related Research, Vol. 166, pp. 284–291, 1982.

    Google Scholar 

  28. Krushell, R. J., Burke, D. W., and Harris, W. H., “Range of Motion in Contemporary Total Hip Arthroplasty: The Impact of Modular Head-Neck Components,” The Journal of Arthroplasty, Vol. 6, No. 2, pp. 97–101, 1991.

    Article  Google Scholar 

  29. Widmer, K.-H. and Majewski, M., “The Impact of the CCD-Angle on Range of Motion and Cup Positioning in Total Hip Arthroplasty,” Clinical Biomechanics, Vol. 20, No. 7, pp. 723–728, 2005.

    Article  Google Scholar 

  30. Bergmann, G. (ed.), Charité Universitaetsmedizin Berlin (2008) “OrthoLoad” Retrieved Feb. 1, 2009 from https://orthoload.com

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Mechanical Engineering, Sogang University, 35, Baekbeom-ro, Mapo-gu, Seoul, 04107, Republic of Korea

    Jaehun Ro, Pankwon Kim & Choongsoo S. Shin

  2. Corentec Co., Ltd, Chungho Tower, 483 Gangnam-daero, Seocho-gu, Seoul, 06541, Republic of Korea

    Jaehun Ro

Authors
  1. Jaehun Ro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pankwon Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Choongsoo S. Shin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Choongsoo S. Shin.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ro, J., Kim, P. & Shin, C.S. Optimizing total hip replacement prosthesis design parameter for mechanical structural safety and mobility. Int. J. Precis. Eng. Manuf. 19, 119–127 (2018). https://doi.org/10.1007/s12541-018-0014-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12541-018-0014-2

Keywords

Search

Navigation