Adaptive finite element modeling of long-term polyethylene wear in total hip arthroplasty

Adaptive remeshing capability was added to an existing sliding-distance-coupled finite element model of polyethylene wear in total hip arthroplasty. This augmentation allowed earlier postoperative wear simulation to be extended to the clinically more significant long-term regimen (as long as 20 years). Loads and femoral head excursions were taken from a physically validated gait analysis model of a patient with an instrumented total hip replacement. For otherwise identical 22, 28, and 32 mm components, the least volumetric wear but the most linear wear occurred for the 22 mm head. When the polyethylene thickness in a 22 mm component was reduced to the same as that in a 32 mm component, the volumetric wear rate for the 22 mm component was still much less than that for the larger component, indicating that sliding distance (head size), rather than polyethylene liner thickness, was primarily responsible for the difference in rates. A "28 mm" series, for which head sizes were varied across the range of currently accepted industrial tolerances, showed that although initial wear rates were greatest for the least congruent articulations, the long-term volumetric wear was nearly the same, regardless of initial clearance.     

A study of the factors in hip replacement dislocation. Part 2

Dislocation is a dramatic and distressing common complication following total hip replacement. The first article describing this study, published last week, considered some of the factors thought to predispose to dislocation. The authors emphasised the multifactorial nature of hip replacement dislocation and in this second article they examine the factors relating to acetabular position and orientation, and femoral component placement.     

Stable partial debonding of the cement interfaces indicated by a finite element model of a total hip prosthesis

A simplified three-dimensional finite element model of the femoral component of a cemented total hip prosthesis was used to investigate whether partial debonding at the stem-cement or bone-cement interfaces propagates in a stable or unstable manner, and to assess the resultant variation of the stresses within the cement layer. The likelihood of unstable debonding under tensile failure mode was assessed both by a conventional monotonic strength criterion and by a fracture mechanics approach that took into account debonding due to fatigue loading. The model predicted that partial debonding at the cement interfaces would be stable and would not precipitate complete debonding. Among the various bonding conditions that were investigated, the maximum tensile stress within the cement layer was least with a small amount of debonding rather than with complete bonding. These results were consistent with clinical observations of nonprogressive or slowly progressive separation at cement interfaces in cemented femoral components that were otherwise well functioning and asymptomatic.     

Subtrochanteric femoral shortening osteotomy in total hip arthroplasty for high-riding developmental dislocation of the hip

A surgical technique, which uses a transverse osteotomy, for subtrochanteric femoral shortening and derotation in total hip arthroplasty for high-riding developmental dislocation of the hip is described. Anteversion is set by rotating the osteotomy fragments, and torsional stability is augmented with allograft struts and cables when indicated. Eight patients with 9 total hip arthroplasties were followed for an average of 43 months (range, 24-84 months). Good to excellent results were obtained in 87% of patients (7 of 8). Eight of 9 osteotomies (89%) demonstrated radiographic evidence of healing at an average of 5 months. One patient had an asymptomatic nonunion of the osteotomy site but still had a good overall clinical result. Another patient suffered fatigue failure of a distally ingrown porous device, which necessitated revision total hip arthroplasty 18 months after surgery. Subtrochanteric osteotomy in total hip arthroplasty for developmental dislocation of the hip allows for acetabular exposure and diaphyseal shortening while facilitating femoral derotation. Furthermore, proximal femoral bone stock is maintained and some of the potential complications of greater trochanteric osteotomy may be avoided.     

叉车转向桥的有限元分析

以YCC30D型内燃平衡重式叉车的横置油缸转向桥体为例,分析转向桥的受力情况,找到应力集中的部位,并运用ANSYS软件对叉车转向桥体进行模态分析与谱分析,得到转向桥体的固有频率及其在随机振动下的响应曲线,分析发生共振的可能性,验证了结构的强度,为进一步进行模型的优化提供了有力的数据.     

某空旷大跨度体育场馆的建模分析

针对体育场馆类空旷大跨度结构的设计特点,运用有限元程序,对某公司文化体育中心结构的整体受力性能、薄弱部位及大跨度网架屋盖对主体结构受力性能的影响与协同工作等问题进行了模拟分析.计算表明,此类结构具有扭转不规则性,薄弱部位常出现在空旷结构部位和弱连接部位;空旷框架部分存在相对变形大的现象.由于框架柱缺乏有效约束,其计算长度较大,P-△效应明显;网架屋盖在水平力及地震作用下对主体结构有不可忽视的作用,应考虑网架屋盖与下部框架结构的协同工作.实际设计中可考虑将网架部分按照一定的规则等代为钢梁,来近似考虑网架的刚度进行整体设计.     

Progression of radiolucent lines adjacent to the acetabular component and factors influencing migration after Charnley low-friction total hip arthroplasty

We analyzed the progression of radiolucent lines around the acetabular cup after 452 Charnley low-friction arthroplasties that had been performed in 392 patients between 1971 and 1976. The average duration of follow-up was twenty years (range, eleven to twenty-five years) for the 442 hips (382 patients) that had the original component in place at ten years. The demarcation of the bone-cement interface was classified according to the system of Hodgkinson et al. We sought to determine if there was a relationship between the progression of the radiolucent line and the age, gender, and weight of the patient; the level of activity; the preoperative diagnosis; or the amount of wear of the acetabular cup. The demarcation increased over time in 138 (31 per cent) of the 452 hips. Radiographs made at the time of the latest follow-up showed migration of eleven (5 per cent) of the 233 acetabular cups with no demarcation on the initial postoperative radiograph, eighteen (11 per cent) of the 167 cups with type-1 demarcation, twelve (35 per cent) of the thirty-four cups with type-2 demarcation, and thirteen of the eighteen cups with type-3 demarcation. Preoperative acetabular protrusion, inflammatory arthritis, and severe acetabular dysplasia as well as a previous operation were associated with the extent of the radiolucent line on the most recent radiograph (p < or = 0.05 for all). A high level of activity and more than two millimeters of wear of the acetabular cup also were related to the progression of the radiolucent line (p = 0.0004 and p < 0.0001, respectively). Kaplan-Meier survivorship analysis demonstrated that the greater the demarcation on the initial postoperative radiograph, the greater the risk of migration (p < 0.0001, Mantel-Cox test). Our data suggest that, after a Charnley low-friction arthroplasty, any cemented cup, even one with the least amount of demarcation (types 0 and 1), can migrate. As the type of the initial postoperative demarcation increases, so does the risk of migration of the cup, particularly when there is loss of the acetabular bone stock.     

Factors influencing pressurization of the femoral canal during cemented total hip arthroplasty

Successful cement pressurization with total hip arthroplasty depends on the capacity of the cement gun and its ability to pressurize the canal and the integrity of the intramedullary plug and the proximal seal used to contain the cement bolus during pressurization. In the laboratory, the authors measured the volume of cement delivered by two cement guns (from Zimmer, Warsaw, IN, and Howmedica, Rutherford, NJ) in comparison with typical values for the volume of the medullary canal following standard surgical preparation. The two cement guns studied delivered 93 and 138 mL cement, respectively. In comparison, the volume of the intramedullary canal ranged from 35 to 70 mL using a standard femoral prosthesis (Precision Hip System, Howmedica). Peak pressures developed during cement injection using the cement guns were 73.6 +/- 27.1 psi for the Zimmer system and 47.3 +/- 16.9 psi for the Howmedica system. Both devices were able to sustain a minimum pressure of at least 6.5 psi through cementing when used in conjunction with a flexible pressurizing seal. The mechanical performance of five designs of intramedullary plugs was assessed by monitoring plug displacement during cement pressurization in reamed cortical specimens. The performance of each device was judged by its ability to withstand cement pressures of 50 psi without displacement within the medullary canal. On the basis of this test, the probability that these plugs would exceed this criterion when used with the femur was estimated to range from 24 to 94%. Few of the commercially available plugs were able to withstand cement pressures routinely generated using standard cement delivery systems.     

Cementless implant composition and femoral stress. A finite element analysis

Proximal atrophy and thigh pain are recognized problems with some cementless femoral stems in total hip arthroplasty. It is thought that reduced femoral stress from alterations in load transfer caused by an intramedullary stem contributes to proximal femoral atrophy. An increase in flexural rigidity and bone stress near the stem tip is thought to contribute to thigh pain. A three-dimensional finite element analysis study was performed to calculate stresses in the proximal femur and bone near the stem tip before and after implantation of a collared, proximally coated, cementless femoral prosthesis. The influence of prosthetic material was examined by changing implant composition from cobalt chrome to titanium alloy and leaving all other parameters constant. Femoral stress was increased twofold immediately below the collar with the titanium implant compared with the cobalt chrome. However, the proximal femoral stress in the titanium implanted model was still 1/10 that in the corresponding region of the unimplanted femur model. At the stem tip, as much as a 30% reduction in femoral stress was seen with the titanium stem compared with the cobalt chrome. These findings suggest biomechanical evidence of an advantage for titanium as an implant material compared with cobalt chrome for cementless femoral stems.     

Gait analysis of adult patients with complete congenital dislocation of the hip

Comprehensive gait analysis is valuable in understanding the performance of patients with lower limb disorders. The gait pattern of adult patients with untreated congenital dislocation of the hip (CDH) has not yet been reported. We studied the gait pattern in nine women (mean age 31.4 years) with Crows group IV CDH. Six had unilateral and three had bilateral involvement. They were not treated during childhood and had no pain at the time of study. A control group comprised 15 normal female subjects of the same age group. Gait was studied using a motion-analysis system, force plateforms, and computer calculation during level walking. Common abnormal gait patterns seen in patients with both unilateral and bilateral CDH were slower walking velocity, which was due to a shorter stride length, less forward tilting of the pelvis, insufficient flexion, and excessive internal rotation of the hips. The patients with unilateral CDH had a shorter step length, lower pelvis, a lateral shift of the ground reaction force, decreased maximum adduction moments of the hip and knee on the diseased side, and increased maximum adduction moments of the hip and knee on the unaffected side. This asymmetry may have been due to leg length inequality. Thus, correlation of the leg length discrepancy may be important for unilateral CDH patients in improving their gait.     

电渣重熔过程中焦耳热与温度场的有限元分析

建立了电渣重熔过程中的电磁场与温度场的耦合数学模型,利用商业软件ANSYS对包括电极、渣池和钢锭的一体化电渣重熔系统电磁场、焦耳热场和温度场进行有限元计算,并分析冷却水温对重熔系统温度的影响.结果表明:重熔系统中的焦耳热主要分布在渣池中,其最大值出现在渣池与电极端口接触处,即电流密度最大处;重熔系统的最高温度出现在电极...     

YZ—55A型牙轮钻机结构的有限元模型及计算分析

本文把ＹＺ－５５Ａ型牙轮钻机结构简化成合理的有限元模型，并对四种载荷工况作了分析，确定了合理的边界约束条件，同时采用ＳＡＰ５Ｐ程序进行计算分析。     

Thermomechanical analysis of direct chill casting using finite element method

The transient nature of the start-up phase is the most critical phase in the direct chill (DC) casting during which the quality of the ingot is questioned. The hot crack and cold crack are the two major problems in the DC casting which originate during and after the solidification. In this work, the thermal, metallurgical, and the mechanical fields of DC casting are modeled. The attention is focused on the mushy state of alloy where the chances are high for the hot tearing. The heat conduction and metallurgical phase-change phenomenon are modeled together in a strongly coupled manner. An isothermal staggered approach is followed to couple the thermal and mechanical parts within a time step. Finite element method is used to discretize the thermal and mechanical field equations. A temperature-based fixed grid method is followed to incorporate the latent heat. The mushy state of alloy is characterized through the Norton-Hoff viscoplastic law and the solid phase is modeled through the Garafalo law. An axisymmetric round billet is simulated. The casting material is considered as AA1201 aluminum alloy. It is found that all the components of stress and viscoplastic strain are maximum at the billet center. Further, the start-up phase stresses and strains are always higher than the steady state phase. Therefore, the chances of hot crack formation are higher during the start-up phase and specifically at the billet center. It is proved that through the ramping procedure, the vulnerability of start-up phase can be lowered.     

Mandibular implant-retained overdenture: finite element analysis of two anchorage systems

Human arm movements towards visual targets are remarkably reproducible in several tasks and conditions. Various authors have reported that trajectories of unconstrained point-to-point movements are slightly curved, smooth and have bell-shaped velocity profiles. The hand paths of such movements show small - but significant - curvatures throughout the workspace. The cause of these curvatures is still obscure. Traditionally this curvature is explained as the result of an optimisation process or is ascribed to mechanical or dynamic properties of the effector system. Recently, however, it has been suggested that these curvatures are due at least partly, to the visual misperception of straight lines. To evaluate the latter hypothesis, we compared unconstrained, self-paced point-to-point movements that subjects made with their right and left hand. We assume that the visual misperception may depend on the position in the workspace, subject, etc. but not on the hand used to make the movement. Therefore we argue that if curvature is caused by a visual misperception of straight lines, curvatures should be the same for movements made with the left and right hand. Our experiments cast strong doubt on the hypothesis that curvatures are the result of a visual distortion, because curvatures of the left hand trajectories, mirrored in the mid-sagittal plane, are found to be accurately described by trajectories of the right hand. Estimates of the effect of visual distortion on movement curvature show that, if present, this effect is very small compared with other sources that contribute to movement curvature. We found that curvatures depend strongly on the subject and on the direction and distance of the movement. Curvatures do not seem to be caused purely by the dynamic properties of the arm, since curvatures do not change significantly with increasing movement velocity. Therefore, we conclude that curvatures reflect an inherent property of the control of multi-joint arm movements.     

宽厚板压力矫平压下模型理论建模与有限元分析

宽厚板压力矫平过程由于缺少精准可靠的压力矫平模型,工艺参数的设定主要依靠人工经验,制约了生产效率和产品质量的提升。针对实现全自动压力矫平关键瓶颈问题——压力矫平模型进行研究。采用弹塑性力学理论,结合压力矫平过程的特点,建立宽厚板压力矫平数学模型;在材料力学性能参数、初始平直度或曲率已知的情况下,自动计算出压平力、压头行程等参数;根据压力矫平模型计算出的数据,采用有限元方法模拟压力矫平过程,获得板材各节点位置和位移数据,计算出压力矫平后宽厚板的平直度。结果表明,各种工况下宽厚板的平直度小于2 mm/m,优于宽厚板的交货标准,证实了模型的可靠性。