Abstract

The aim of this paper is to investigate and compare the stress distribution of a reconstructed pelvis under different screw forces in a typical walking pattern. Computer-aided design models of the pelvic bones and sacrum made based on computer tomography images and individually designed implants are the basis for creating finite element models, which are imported into ABAQUS software. The screws provide compression loading and bring the implant and pelvic bones together. The sacrum is fixed at the level of the L5 vertebrae. The variants of strength analyses are carried out with four different screw pretension forces. The loads equivalent to the hip joint reaction forces arising during moderate walking are applied to reference points based on the centres of the acetabulum. According to the results of the performed analyses, the optimal and critical values of screw forces are estimated for the current model. The highest stresses among all the models occurred in the screws and implant. As soon as the screw force increases up to the ultimate value, the bone tissue might be locally destroyed. The results prove that the developed implant design with optimal screw pretension forces should have good biomechanical characteristics.

Highlights

  • The problem of assessing the screw force effect on overall stress distribution is solved for the four values of pretension load equal to 100, 500, 1000, and 1500 N, and reliable results were obtained

  • CycletoSimulation phase is the phase of the maximum reaction force applied to the centre of the left joint, The detailed walking finite element (FE) simulation was carried out for the prepared model with where the implant was placed

  • The stress distribution for a pelvis reconstructed by an individual endoprosthesis with four different screw forces was analysed

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Summary

Introduction

The human pelvis is a geometrically complex, biomechanical structure that carries the weight of the human body and stabilizes and protects inner organs. The pelvis can be damaged due to problems with the primary implant, infections, accidents, or bone tumours, which usually involve a large area of tissue removal and affect the patients’ lives. Due to the complex anatomical structure, the reconstruction of pelvic biomechanics after the loss of bone structure is still a challenge [1]. Custom-made endoprostheses are matched with the patient’s bones, which in turn can reduce the risk of infection, dislocation, or failure of the implant [2]. A custom prosthesis design is in demand when it is required to treat a complex bone fracture or replace a primary serial implant

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