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Jumbo Bionic Trabecular Metal Acetabular Cups Improve Cup Stability During Acetabular Bone Defect Reconstruction:A Finite Element Analysis Study

摘要The biomechanical effects of acetabular revision with jumbo cups are unclear.This study aimed to compare the biome-chanical effects of bionic trabecular metal vs.titanium jumbo cups for the revision of acetabular bone defects.We designed and reconstructed American Academy of Orthopaedic Surgeons(AAOS)type Ⅰ-Ⅲ acetabular bone defect models using computed tomography scans of a man without acetabular bone defects.The implantation of titanium and trabecular metal jumbo cups was simulated.Stress distribution and relative micromotion between the cup and host bone were assessed using finite element analysis.Contact stress on the screws fixing the cups was also analyzed.The contact stress analysis showed that the peak contact stress between the titanium jumbo cup and the host bone was 21.7,20.1,and 23.8 MPa in the AAOSⅠ-Ⅲ models,respectively;the corresponding values for bionic tantalum jumbo cups decreased to 4.7,6.7,and 11.1 MPa.Analysis of the relative micromotion showed that the peak relative micromotion between the host bone and the titanium metal cup was 10.2,9.1,and 11.5 μm in the AAOS Ⅰ-Ⅲ models,respectively;the corresponding values for bionic trabecular metal cups were 17.2,18.2,and 31.3 μm.The peak contact stress on the screws was similar for the 2 cup types,and was concentrated on the screw rods.Hence,acetabular reconstruction with jumbo cups is biomechanically feasible.We recom-mend trabecular metal cups due to their superior stress distribution and higher relative micromotion,which is within the threshold for adequate bone ingrowth.

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作者 Jianlin Xiao [1] Haowen Xue [2] Zhihui Qian [3] Shenghao Xu [4] Xianyue Shen [5] Zhuo Zhang [4] Lei Ren [6] Luquan Ren [6] 学术成果认领
作者单位 Department of Orthopedics,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Key Laboratory of Bionic Engineering Ministry of Education,Changchun 130025,China [1] Department of Orthopedics,The Second Hospital of Jilin University,Changchun 130041,China [2] Key Laboratory of Bionic Engineering Ministry of Education,Changchun 130025,China [3] Department of Orthopedics,China-Japan Union Hospital of Jilin University,Changchun 130033,China [4] Department of Orthopedics,The First Affiliated Hospital of University of Science and Technology of China,Anhui Provincial Hospital,Hefei 230001,China [5] Key Laboratory of Bionic Engineering Ministry of Education,Changchun 130025,China;Weihai Institute for Bionics-Jilin University,Weihai 264400,China [6]
栏目名称 RESEARCH ARTICLES
DOI 10.1007/s42235-023-00413-2
发布时间 2023-12-22
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仿生工程学报(英文版)

仿生工程学报(英文版)

2023年20卷6期

2814-2825页

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