Optimisation of a Reinforced Cement Spacer in Total Hip Arthroplasty
Infections total hip arthroplasty (THA) are common and can lead to serious complications for patients. Newly developed antibiotic spacers successfully eradicated infection in more than 90 percent of patients. However, the low mechanical strength of the orthopedic cement can be a serious handicap for...
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Veröffentlicht in: | Journal of biomimetics, biomaterials and biomedical engineering biomaterials and biomedical engineering, 2018-01, Vol.35, p.35-49, Article 35 |
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creator | Bouziane, Mohamed Mokhtar Bachir Bouiadjra, Bel Abbès Benbarek, Smail Salah, Hichem Fekih, S.M. |
description | Infections total hip arthroplasty (THA) are common and can lead to serious complications for patients. Newly developed antibiotic spacers successfully eradicated infection in more than 90 percent of patients. However, the low mechanical strength of the orthopedic cement can be a serious handicap for the success of the surgical operation. The reinforcement of cement spacers with high strength materials can improve the efficiency of this type of surgery. In this study, the three-dimensional finite element method (FEM) is coupled with the experimental design method (EDM) to optimize the geometrical and mechanical properties of the reinforcement that can be applied to cements spacers. The obtained results show that the full stem reinforcement in bio-ceramic with a thickness of 8.2 mm can represent the optimal model to ensure good mechanical resistance of the cement spacer. |
doi_str_mv | 10.4028/www.scientific.net/JBBBE.35.35 |
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Newly developed antibiotic spacers successfully eradicated infection in more than 90 percent of patients. However, the low mechanical strength of the orthopedic cement can be a serious handicap for the success of the surgical operation. The reinforcement of cement spacers with high strength materials can improve the efficiency of this type of surgery. In this study, the three-dimensional finite element method (FEM) is coupled with the experimental design method (EDM) to optimize the geometrical and mechanical properties of the reinforcement that can be applied to cements spacers. The obtained results show that the full stem reinforcement in bio-ceramic with a thickness of 8.2 mm can represent the optimal model to ensure good mechanical resistance of the cement spacer.</description><identifier>ISSN: 2296-9837</identifier><identifier>ISSN: 2296-9845</identifier><identifier>EISSN: 2296-9845</identifier><identifier>DOI: 10.4028/www.scientific.net/JBBBE.35.35</identifier><language>eng</language><publisher>Pfäffikon: Trans Tech Publications Ltd</publisher><subject>Antibiotics ; Biomedical materials ; Cement ; Cement reinforcements ; Design of experiments ; Design optimization ; Experimental design ; Finite element method ; Hip ; Joint surgery ; Mathematical models ; Mechanical properties ; Patients ; Reinforced cements ; Reinforcement ; Spacers ; Surgery ; Surgical implants ; Total hip arthroplasty</subject><ispartof>Journal of biomimetics, biomaterials and biomedical engineering, 2018-01, Vol.35, p.35-49, Article 35</ispartof><rights>2018 Trans Tech Publications Ltd</rights><rights>Copyright Trans Tech Publications Ltd. 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The obtained results show that the full stem reinforcement in bio-ceramic with a thickness of 8.2 mm can represent the optimal model to ensure good mechanical resistance of the cement spacer.</description><subject>Antibiotics</subject><subject>Biomedical materials</subject><subject>Cement</subject><subject>Cement reinforcements</subject><subject>Design of experiments</subject><subject>Design optimization</subject><subject>Experimental design</subject><subject>Finite element method</subject><subject>Hip</subject><subject>Joint surgery</subject><subject>Mathematical models</subject><subject>Mechanical properties</subject><subject>Patients</subject><subject>Reinforced cements</subject><subject>Reinforcement</subject><subject>Spacers</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Total hip arthroplasty</subject><issn>2296-9837</issn><issn>2296-9845</issn><issn>2296-9845</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkE1LAzEQhhdRsNT-h4Dgbdckm-zHReyXVikUtJ5DNjtLU7a7a5JS-u-NrbTgQYSBmcPM8w5PENwRHDFMs_vdbhdZpaFxutIqasDdv45Go2kUc18XQY_SPAnzjPHL0xyn18HA2jXGmCR5zjDrBZNF5_RGW-l026C2QhK9gW6q1igo0Rg2PgG9d1KBQbpBy9bJGs10h4bGrUzb1dK6_U1wVcnawuCn94OPp-lyPAvni-eX8XAeKkZSF6Y8KYFAEqtCZTyN45LkhGCayIxUVOWAKwYK05gwSUtVEiIrH5wDBypVKeN-cHvkdqb93IJ1Yt1uTeMjBSV5lrA049xvPRy3lGmtNVCJzuiNNHtBsPiWJ7w8cZYnvDxxkCdi7ssDJr8ASruDIGekrv_CrIuigBPm8YjxV411oFbnd__5yRe1yZox</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Bouziane, Mohamed Mokhtar</creator><creator>Bachir Bouiadjra, Bel Abbès</creator><creator>Benbarek, Smail</creator><creator>Salah, Hichem</creator><creator>Fekih, S.M.</creator><general>Trans Tech Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QO</scope><scope>7QP</scope><scope>7QQ</scope><scope>7SE</scope><scope>7SR</scope><scope>7T5</scope><scope>7TB</scope><scope>8BQ</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BFMQW</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>KB.</scope><scope>L6V</scope><scope>LK8</scope><scope>M7P</scope><scope>M7S</scope><scope>P64</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><orcidid>https://orcid.org/0000-0002-1925-7194</orcidid></search><sort><creationdate>20180101</creationdate><title>Optimisation of a Reinforced Cement Spacer in Total Hip Arthroplasty</title><author>Bouziane, Mohamed Mokhtar ; 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subjects | Antibiotics Biomedical materials Cement Cement reinforcements Design of experiments Design optimization Experimental design Finite element method Hip Joint surgery Mathematical models Mechanical properties Patients Reinforced cements Reinforcement Spacers Surgery Surgical implants Total hip arthroplasty |
title | Optimisation of a Reinforced Cement Spacer in Total Hip Arthroplasty |
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