QUT ePrints

Risk of failure during gait for direct skeletal attachment of a femoral prosthesis : a finite element study

Helgason, Benedikt, Palssona, Halldor, Runarssona, Tomas Philip, Frossard, Laurent A., & Viceconti, Marco (2009) Risk of failure during gait for direct skeletal attachment of a femoral prosthesis : a finite element study. Medical Engineering and Physics, 31(5), pp. 595-600.

View at publisher

Abstract

Direct skeletal attachments for transfemoral amputees have been the subject of clinical trials since the early nineties. This method of attachment allows the amputee an unrestricted range of motion around the hip joint, better sitting comfort, improved sensory feedback through osseoperception, improved limb control and reduced soft tissue problems. However, the length of the rehabilitation period is perceived as a shortcoming by the amputees and the clinicians. The aim of the present study is to estimate the risk of failure during gait, for a patient with direct skeletal attachment of a femoral prosthesis, using finite element analysis (FEA). Material properties and loads were derived from subject-specific data and implant stability assumed secured by bone ingrowth into a porous implant surface. A simplified FEA was used to optimize the implant geometry with respect to load bearing capacity. The resulting geometry was then implemented in a subject-specific FE study. The results indicate that the risk of failure for the implant system is approximately three times greater than what can be expected for an intact femur. The main conclusion, based on the risk of failure factors calculated, is that it is likely that a porous-coated implant could be beneficial for osseointegrated fixation. It is also suggested that the proposed methodology can be used in future studies exploring the mechanical stability of osseointegrated fixation in the view of improving direct skeletal attachments for lower limb amputees.

Impact and interest:

14 citations in Scopus
Search Google Scholar™
12 citations in Web of Science®

Citation countsare sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

312 since deposited on 27 May 2009
49 in the past twelve months

Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

ID Code: 20850
Item Type: Journal Article
Additional URLs:
Keywords: Finite element analysis, Femur, Direct skeletal attachment, Optimization, Orthopedic implants
DOI: 10.1016/j.medengphy.2008.11.015
ISSN: 1350-4533
Subjects: Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Elsevier
Deposited On: 28 May 2009 08:38
Last Modified: 11 Aug 2011 04:05

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page