Finite element analysis of mechanical behavior of human dysplastic hip joints: a systematic review

Summary Developmental dysplasia of the hip (DDH) is a common condition predisposing to osteoarthritis (OA). Especially since DDH is best identified and treated in infancy before bones ossify, there is surprisingly a near-complete absence of literature examining mechanical behavior of infant dysplast...

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Veröffentlicht in:Osteoarthritis and cartilage 2017-04, Vol.25 (4), p.438-447
Hauptverfasser: Vafaeian, B, Zonoobi, D, Mabee, M, Hareendranathan, A.R, El-Rich, M, Adeeb, S, Jaremko, J.L
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container_end_page 447
container_issue 4
container_start_page 438
container_title Osteoarthritis and cartilage
container_volume 25
creator Vafaeian, B
Zonoobi, D
Mabee, M
Hareendranathan, A.R
El-Rich, M
Adeeb, S
Jaremko, J.L
description Summary Developmental dysplasia of the hip (DDH) is a common condition predisposing to osteoarthritis (OA). Especially since DDH is best identified and treated in infancy before bones ossify, there is surprisingly a near-complete absence of literature examining mechanical behavior of infant dysplastic hips. We sought to identify current practice in finite element modeling (FEM) of DDH, to inform future modeling of infant dysplastic hips. We performed multi-database systematic review using PRISMA criteria. Abstracts ( n  = 126) fulfilling inclusion criteria were screened for methodological quality, and results were analyzed and summarized for eligible articles ( n  = 12). The majority of the studies modeled human adult dysplastic hips. Two studies focused on etiology of DDH through simulating mechanobiological growth of prenatal hips; we found no FEM-based studies in infants or children. Finite element models used either patient-specific geometry or idealized average geometry. Diversities in choice of material properties, boundary conditions, and loading scenarios were found in the finite-element models. FEM of adult dysplastic hips demonstrated generally smaller cartilage contact area in dysplastic hips than in normal joints. Contact pressure (CP) may be higher or lower in dysplastic hips depending on joint geometry and mechanical contribution of labrum (Lb). FEM of mechanobiological growth of prenatal hip joints revealed evidence for effects of the joint mechanical environment on formation of coxa valga, asymmetrically shallow acetabulum and malformed femoral head associated with DDH. Future modeling informed by the results of this review may yield valuable insights into optimal treatment of DDH, and into how and why OA develops early in DDH.
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Especially since DDH is best identified and treated in infancy before bones ossify, there is surprisingly a near-complete absence of literature examining mechanical behavior of infant dysplastic hips. We sought to identify current practice in finite element modeling (FEM) of DDH, to inform future modeling of infant dysplastic hips. We performed multi-database systematic review using PRISMA criteria. Abstracts ( n  = 126) fulfilling inclusion criteria were screened for methodological quality, and results were analyzed and summarized for eligible articles ( n  = 12). The majority of the studies modeled human adult dysplastic hips. Two studies focused on etiology of DDH through simulating mechanobiological growth of prenatal hips; we found no FEM-based studies in infants or children. Finite element models used either patient-specific geometry or idealized average geometry. Diversities in choice of material properties, boundary conditions, and loading scenarios were found in the finite-element models. FEM of adult dysplastic hips demonstrated generally smaller cartilage contact area in dysplastic hips than in normal joints. Contact pressure (CP) may be higher or lower in dysplastic hips depending on joint geometry and mechanical contribution of labrum (Lb). FEM of mechanobiological growth of prenatal hip joints revealed evidence for effects of the joint mechanical environment on formation of coxa valga, asymmetrically shallow acetabulum and malformed femoral head associated with DDH. Future modeling informed by the results of this review may yield valuable insights into optimal treatment of DDH, and into how and why OA develops early in DDH.</description><identifier>ISSN: 1063-4584</identifier><identifier>EISSN: 1522-9653</identifier><identifier>DOI: 10.1016/j.joca.2016.10.023</identifier><identifier>PMID: 27836678</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Biomechanical Phenomena ; Coxa Valga ; Finite Element Analysis ; Finite element modeling ; Hip Dislocation, Congenital - embryology ; Hip Dislocation, Congenital - physiopathology ; Hip Joint - embryology ; Hip Joint - physiopathology ; Human dysplastic hip ; Humans ; Infant hip dysplasia ; Infant, Newborn ; Rheumatology ; Systematic review</subject><ispartof>Osteoarthritis and cartilage, 2017-04, Vol.25 (4), p.438-447</ispartof><rights>Osteoarthritis Research Society International</rights><rights>2016 Osteoarthritis Research Society International</rights><rights>Copyright © 2016 Osteoarthritis Research Society International. 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Especially since DDH is best identified and treated in infancy before bones ossify, there is surprisingly a near-complete absence of literature examining mechanical behavior of infant dysplastic hips. We sought to identify current practice in finite element modeling (FEM) of DDH, to inform future modeling of infant dysplastic hips. We performed multi-database systematic review using PRISMA criteria. Abstracts ( n  = 126) fulfilling inclusion criteria were screened for methodological quality, and results were analyzed and summarized for eligible articles ( n  = 12). The majority of the studies modeled human adult dysplastic hips. Two studies focused on etiology of DDH through simulating mechanobiological growth of prenatal hips; we found no FEM-based studies in infants or children. Finite element models used either patient-specific geometry or idealized average geometry. Diversities in choice of material properties, boundary conditions, and loading scenarios were found in the finite-element models. FEM of adult dysplastic hips demonstrated generally smaller cartilage contact area in dysplastic hips than in normal joints. Contact pressure (CP) may be higher or lower in dysplastic hips depending on joint geometry and mechanical contribution of labrum (Lb). FEM of mechanobiological growth of prenatal hip joints revealed evidence for effects of the joint mechanical environment on formation of coxa valga, asymmetrically shallow acetabulum and malformed femoral head associated with DDH. Future modeling informed by the results of this review may yield valuable insights into optimal treatment of DDH, and into how and why OA develops early in DDH.</description><subject>Biomechanical Phenomena</subject><subject>Coxa Valga</subject><subject>Finite Element Analysis</subject><subject>Finite element modeling</subject><subject>Hip Dislocation, Congenital - embryology</subject><subject>Hip Dislocation, Congenital - physiopathology</subject><subject>Hip Joint - embryology</subject><subject>Hip Joint - physiopathology</subject><subject>Human dysplastic hip</subject><subject>Humans</subject><subject>Infant hip dysplasia</subject><subject>Infant, Newborn</subject><subject>Rheumatology</subject><subject>Systematic review</subject><issn>1063-4584</issn><issn>1522-9653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1v1DAUtBCoLaV_gAPykUsWf6y9DkJIqGoBqVIPwNly7BetQxIvfklR_n2dbuHQQ09-ep4ZvZkh5C1nG864_tBtuuTdRpS5LDZMyBfkjCshqlor-bLMTMtqq8z2lLxG7BhjknN2Qk7Fzkitd-aMNNdxjBNQ6GGAcaJudP2CEWlq6QB-78boXU8b2Lu7mPK63s-DG2lY8NA7nKKn-3igXYrjhB-po7jgBINbPzLcRfj7hrxqXY9w8fiek1_XVz8vv1U3t1-_X365qbwSfKoax6WSoW2dgGarGiOkCsxvRdCtrIPRwaggBPNghDcNeLVzivPay1DzuvXynLw_6h5y-jMDTnaI6KHv3QhpRsuNrIt9zesCFUeozwkxQ2sPOQ4uL5Yzu2ZrO7tma9ds113JtpDePerPzQDhP-VfmAXw6QiA4rI4zxZ9hNFDiBn8ZEOKz-t_fkL3fXyI_zcsgF2acymn-LAoLLM_1nbXcrmWrBzA5T3YlaDD</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Vafaeian, B</creator><creator>Zonoobi, D</creator><creator>Mabee, M</creator><creator>Hareendranathan, A.R</creator><creator>El-Rich, M</creator><creator>Adeeb, S</creator><creator>Jaremko, J.L</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Finite element analysis of mechanical behavior of human dysplastic hip joints: a systematic review</title><author>Vafaeian, B ; Zonoobi, D ; Mabee, M ; Hareendranathan, A.R ; El-Rich, M ; Adeeb, S ; Jaremko, J.L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-ba1353dffa2eb45b8235d0c42d6f39d86d85d220ce82c8bec57a5119c3d919fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Biomechanical Phenomena</topic><topic>Coxa Valga</topic><topic>Finite Element Analysis</topic><topic>Finite element modeling</topic><topic>Hip Dislocation, Congenital - embryology</topic><topic>Hip Dislocation, Congenital - physiopathology</topic><topic>Hip Joint - embryology</topic><topic>Hip Joint - physiopathology</topic><topic>Human dysplastic hip</topic><topic>Humans</topic><topic>Infant hip dysplasia</topic><topic>Infant, Newborn</topic><topic>Rheumatology</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vafaeian, B</creatorcontrib><creatorcontrib>Zonoobi, D</creatorcontrib><creatorcontrib>Mabee, M</creatorcontrib><creatorcontrib>Hareendranathan, A.R</creatorcontrib><creatorcontrib>El-Rich, M</creatorcontrib><creatorcontrib>Adeeb, S</creatorcontrib><creatorcontrib>Jaremko, J.L</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Osteoarthritis and cartilage</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vafaeian, B</au><au>Zonoobi, D</au><au>Mabee, M</au><au>Hareendranathan, A.R</au><au>El-Rich, M</au><au>Adeeb, S</au><au>Jaremko, J.L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Finite element analysis of mechanical behavior of human dysplastic hip joints: a systematic review</atitle><jtitle>Osteoarthritis and cartilage</jtitle><addtitle>Osteoarthritis Cartilage</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>25</volume><issue>4</issue><spage>438</spage><epage>447</epage><pages>438-447</pages><issn>1063-4584</issn><eissn>1522-9653</eissn><abstract>Summary Developmental dysplasia of the hip (DDH) is a common condition predisposing to osteoarthritis (OA). 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subjects Biomechanical Phenomena
Coxa Valga
Finite Element Analysis
Finite element modeling
Hip Dislocation, Congenital - embryology
Hip Dislocation, Congenital - physiopathology
Hip Joint - embryology
Hip Joint - physiopathology
Human dysplastic hip
Humans
Infant hip dysplasia
Infant, Newborn
Rheumatology
Systematic review
title Finite element analysis of mechanical behavior of human dysplastic hip joints: a systematic review
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