T. Bitter

Finite element wear prediction using adaptive meshing at the modular taper interface of hip implants

The use of modular components in total hip arthroplasty introduced an additional interface with the potential for fretting and corrosion to occur. Fretting and corrosion at this interface have been reported as a potential cause of early failure of the implant system. Using finite element (FE) analyses the mechanics at the taper junction can be studied. However, most FE studies are based on a single load condition and do not take geometry changes over time into account. Therefore, in this study an FE routine was developed, in which adaptations to the implant geometry are made to account for material removal during the fretting process. Material removal was simulated based on Archards Law, incorporating contact pressure, micromotions and a wear factor which used input from in vitro fretting tests. A wear factor of 2.7*10-5mm3/Nmm was used to match the FE predicted volumetric wear to the measured experimental volumetric wear of 0.79mm3 after 10 million cycles. The maximum experimental wear depth found was 30.5 ± 17µm, while the FE predicted a maximum wear depth of 27µm. The adaptive meshing method has delivered results that are more similar to the experimental test data in comparison to the results from modelling a single cycle without adaptive meshing.

Case-specific non-linear finite element models to predict failure behavior in two functional spinal units: FE TO PREDICT VERTEBRAL FAILURE

Current finite element (FE) models predicting failure behavior comprise single vertebrae, thereby neglecting the role of the posterior elements and intervertebral discs. Therefore, this study aimed to develop a more clinically relevant, case‐specific non‐linear FE model of two functional spinal units able to predict failure behavior in terms of (i) the vertebra predicted to fail; (ii) deformation of the specimens; (iii) stiffness; and (iv) load to failure. For this purpose, we also studied the effect of different bone density–mechanical properties relationships (material models) on the prediction of failure behavior. Twelve two functional spinal units (T6‐T8, T9‐T11, T12‐L2, and L3‐L5) with and without artificial metastases were destructively tested in axial compression. These experiments were simulated using CT‐based case‐specific non‐linear FE models. Bone mechanical properties were assigned using four commonly used material models. In 10 of the 11 specimens our FE model was able to correctly indicate which vertebrae failed during the experiments. However, predictions of the three‐dimensional deformations of the specimens were less promising. Whereas stiffness of the whole construct could be strongly predicted (R2 = 0.637–0.688, p < 0.01), we obtained weak correlations between FE predicted and experimentally determined load to failure, as defined by the total reaction force exhibiting a drop in force (R2 = 0.219–0.247, p > 0.05). Additionally, we found that the correlation between predicted and experimental fracture loads did not strongly depend on the material model implemented, but the stiffness predictions did. In conclusion, this work showed that, in its current state, our FE models may be used to identify the weakest vertebra, but that substantial improvements are required in order to quantify in vivo failure loads.

A combined experimental and finite element approach to analyse the fretting mechanism of the head-stem taper junction in total hip replacement

Fretting corrosion at the taper interface of modular hip implants has been implicated as a possible cause of implant failure. This study was set up to gain more insight in the taper mechanics that lead to fretting corrosion. The objectives of this study therefore were (1) to select experimental loading conditions to reproduce clinically relevant fretting corrosion features observed in retrieved components, (2) to develop a finite element model consistent with the fretting experiments and (3) to apply more complicated loading conditions of activities of daily living to the finite element model to study the taper mechanics. The experiments showed similar wear patterns on the taper surface as observed in retrievals. The finite element wear score based on Archard’s law did not correlate well with the amount of material loss measured in the experiments. However, similar patterns were observed between the simulated micromotions and the experimental wear measurements. Although the finite element model could not be validated, the loading conditions based on activities of daily living demonstrate the importance of assembly load on the wear potential. These findings suggest that finite element models that do not incorporate geometry updates to account for wear loss may not be appropriate to predict wear volumes of taper connections.