Three-dimensional finite analysis of acetabular contact pressure and contact area during normal walking.pdfVIP

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Three-dimensional finite analysis of acetabular contact pressure and contact area during normal walking.pdf

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Three-dimensional finite analysis of acetabular contact pressure and contact area during normal walking.pdf

Asian Journal of Surgery (2016) xx, 1e7 + MODEL Available online at ScienceDirect journal homepage: ORIGINAL ARTICLE Three-dimensional ?nite analysis of acetabular contact pressure and contact area during normal walking Guangye Wang a,*, Wenjun Huang b, Qi Song b, Jinfeng Liang a a Department of Orthopaedics, Shenzhen Baoan Hospital, Southern Medical University, Shenzhen 518101, China b Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan 430060, China Received 16 December 2015; received in revised form 28 March 2016; accepted 30 March 2016 KEYWORDS acetabular contact area; contact pressure; 3D ?nite element model Summary Background: This study aims to analyze the contact areas and pressure distributions between the femoral head and mortar during normal walking using a threedimensional ?nite element model (3D-FEM). Methods: Computed tomography (CT) scanning technology and a computer image processing system were used to establish the 3D-FEM. The acetabular mortar model was used to simulate the pressures during 32 consecutive normal walking phases and the contact areas at different phases were calculated. Results: The distribution of the pressure peak values during the 32 consecutive normal walking phases was bimodal, which reached the peak (4.2 Mpa) at the initial phase where the contact area was signi?cantly higher than that at the stepping phase. The sites that always kept contact were concentrated on the acetabular top and leaned inwards, while the anterior and posterior acetabular horns had no pressure concentration. The pressure distributions of acetabular cartilage at different phases were signi?cantly different, the zone of increased pressure at the support phase distributed at the acetabular top area, while that at the stepping phase distributed in the inside of acetabular cartilage. Conclusion: The zones of increased contact pressure and the distributions of acetabular contact areas had important signi?cance towards clinical researches, a