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Estimation of the effects of inset heights and slit configurations in an acetabular cup on the pull-out behavior of an artificial hip joint with a structure for preventing dislocation using finite element analysis

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Abstract

Joint dislocation is a critical problem of total hip replacement. We have newly proposed an artificial hip joint with a structure that prevents dislocation. The proposed joint has a simple form with a femoral head partially covered with an acetabular cup. In the present study, the effects of inset heights and slit configurations of the cup on the pull-out forces of the joint were evaluated using finite element analysis. Joint models with different inset heights and those with or without a slit in the cup were used for the analyses to estimate the pull-out forces of the joint. In the case without the slit, the maximum pull-out force of the joint with 1.0 and 1.5 mm of the inset height was approximately 12 and 40 N, respectively. In the case of 1.0-mm inset height, the maximum force of the joint with and without the slit was approximately 9 and 12 N, respectively. These results reveal that the maximum force is markedly changed by the inset height and is moderately affected by the slit. Thus, we can gain insights into a strategy to optimally design an artificial joint in which dislocation does not occur easily.

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Acknowledgments

We express our deep thanks to Mr. Yasuto Shimizu, President of Shimizutech Corporation, for his warm encouragement for the present study. The authors acknowledge Mr. James A. Horvat, Kindai University, for carefully reading and giving critical comments on this manuscript’s language.

Funding

This work was supported in part by a grant of the Strategic Research Foundation at Private Universities from the Ministry of Education, Culture, Sports, Science, and Technology, Japan (MEXT), 2013–2017 (S1311045).

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Conceptualization: Makoto Saito, Takayuki Kobayashi, and Ei Yamamoto;

Methodology: Yuki Kawamura, Yoshihito Matsufuji, Yoshinori Uwa, and Saiji Washio;

Formal analysis and investigation: Yuki Kawamura, Mitsushi Ohmasa, and Ei Yamamoto;

Writing—original draft preparation: Yuki Kawamura;

Writing—review and editing: Ei Yamamoto;

Funding acquisition: Ei Yamamoto;

Resources: Yoshihito Matsufuji and Makoto Saito;

Supervision: Takayuki Kobayashi and Ei Yamamoto;

All authors read and approved the final manuscript.

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Correspondence to Ei Yamamoto.

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Kawamura, Y., Ohmasa, M., Kobayashi, T. et al. Estimation of the effects of inset heights and slit configurations in an acetabular cup on the pull-out behavior of an artificial hip joint with a structure for preventing dislocation using finite element analysis. Med Biol Eng Comput 58, 2587–2601 (2020). https://doi.org/10.1007/s11517-020-02231-8

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