Strain shielding for cemented hip implants.

Background: Long-term survival of hip implants is of increasing relevance due to the rising life expectancy. The biomechanical effect of strain shielding as a result of implant insertion may lead to bone resorption, thus increasing risk for implant loosening and periprosthetic fractures. Patient-specific quantification of strain shielding could assist orthopedic surgeons in choosing the biomechanically most appropriate prosthesis.

New insights on the proximal femur biomechanics using Digital Image Correlation.

Finite element analyses (FEAs) of human femurs are mostly validated by ex-vivo experimental observations. Such validations were largely performed by comparing local strains at a small subset of points to the gold standard strain gauge (SG) measurements. A comprehensive full field validation of femoral FEAs including both strains and displacements using digital image correlation (DIC) full field measurements, especially at medial and lateral surfaces of the neck that experience the highest strains, provide new insights on femurs' mechanical behavior.

Scanner influence on the mechanical response of QCT-based finite element analysis of long bones.

Patient-specific QCT-based finite element (QCTFE) analyses enable highly accurate quantification of bone strength. We evaluated CT scanner influence on QCTFE models of long bones. A femur, humerus, and proximal femur without the head were scanned with KHPO phantoms by seven CT scanners (four models) using typical clinical protocols.

Patient-specific finite element analysis of femurs with cemented hip implants.

Background: Over 1.6 million hip replacements are performed annually in Organisation for Economic Cooperation and Development countries, half of which involve cemented implants. Quantitative computer tomography based finite element methods may be used to assess the change in strain field in a femur following such a hip replacement, and thus determine a patient-specific optimal implant.