Large-sliding contact elements accurately predict levels of bone-implant micromotion relevant to osseointegration

Marco Viceconti, Roberto Muccini, Marek Bernakiewicz, Massimiliano Baleani, Luca Cristofolini

Research output: Contribution to journalArticlepeer-review

Abstract

Primary stability is recognised as an important determinant in the aseptic loosening failure process of cementless implants. An accurate evaluation of the bone-implant relative micromotion is becoming important both in pre-clinical and clinical studies. If the biological threshold for micro-movements is in the range 100-200μm then, in order to be discriminative, any method used to evaluate the primary stability should have an accuracy of 10-20μm or better. Additionally, such method should also be able to report the relative micromotion at each point of the interface. None of the available experimental methods satisfies both requirements. Aim of the present study is to verify if any of the current finite element modelling techniques is sufficiently accurate in predicting the primary stability of a cementless prosthesis to be used to decide whether the micromotion may or may not jeopardise the implant osseointegration. The primary stability of an anatomic cementless stem, as measured in vitro, was used as a benchmark problem to comparatively evaluate different contact modelling techniques. Frictionless contact, frictional contact and press-fitted frictional contact conditions were modelled using alternatively node-to-node, node-to-face and face-to-face contact elements. The model based on face-to-face contact elements accounting for frictional contact and initial press-fit was able to predict the micromotion measured experimentally with an average (RMS) error of 10μm and a peak error of 14μm. All the other models presented errors higher than 20μm assumed in the present study as an accuracy threshold. Copyright (C) 2000 Elsevier Science B.V.

Original languageEnglish
Pages (from-to)1611-1618
Number of pages8
JournalJournal of Biomechanics
Volume33
Issue number12
DOIs
Publication statusPublished - Dec 2000

Keywords

  • Accuracy of numerical models
  • Cementless fixation
  • Finite element analysis
  • Frictional contact
  • Hip prosthesis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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