This work examines a biomechanical system consisting of the hip endoprosthesis and bones of the pelvic region of a person under a load corresponding to the equilibrium of a person in double-supported state. An assessment of the strength of a customised endoprosthesis has been carried out based on the analysis of the stress-strain state of the finite element model of the "skeleton-hip prosthesis" system when tightening the screws and when the system is subjected the person's weight; dangerous areas of the pelvic bone with high level of stresses have been identified. As recommendations, optimization of the location and number of screws used in order to create a more uniform stress distribution is proposed.
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.
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