Development and Physical Validation of a Finite Element Model of Total Hip Dislocation

Abstract

Component-on-component impingement, followed by levering of the femoral head, is a common mode of dislocation in total hip arthroplasty. While there have been many registry-based studies of dislocation incidence, confounding factors and sources of variability in the clinical domain make it difficult to identify specific parameter influences. A three dimensional nonlinear finite element model has been developed for the purpose of studying the dislocation event, to allow determination of how individual factors such as component design and clinical implantation position affect the propensity for dislocation. Also, a laboratory testing apparatus was constructed to provide physical validation of the computational model. The finite element model correctly predicted the range of motion observed in the physical apparatus to within 1%, and predicted the peak resisting moment to within 2.5%. Under even a light joint load of 200 N, the von Mises stresses developed in the polyethylene insert reached 13 MPa, and the contact stresses rose to as high as 30 MPa. These deleterious elevations occurred not only at the site of neck impingement, but also at the site of head egress from the liner.