Med Biol Eng Comput - Computational analysis of polyethylene wear in anatomical and reverse shoulder prostheses.

Tópicos

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Resumo

The wear of ultra-high molecular weight polyethylene, UHMWPE, components has been associated with the failure of joint prostheses in the hip, knee, and shoulder. Considering that in vitro experiments are generally too expensive and time-consuming, computational models are an attractive alternative to study the wear behavior of UHMWPE components. The objective of the present study was to develop a computational wear model to evaluate the wear resistance of anatomical and reverse shoulder prostheses. The effects of the wear law and the updating of the UHMWPE surface on the prediction of wear were also considered. Apart from Archard's law, a new wear law, so-called second generation law, which includes the concept of cross-shear and a pressure-independent wear factor, was considered. The wear analyses were performed considering three shoulder joint motions. The muscle and joint reaction forces applied were estimated by an inverse biomechanical model of the upper limb. The results show that abrasive wear is as important for the reverse components as it is for the anatomical. Nevertheless, the volumetric wears estimated over 1 year are within the range considered clinically desirable to reduce the risk of osteolysis. For the anatomical components, the predictions from Archard's law compare better, than those of the second generation law, to the experimental and clinical data available in the literature. Yet, the opposite result is obtained for the reverse components. From the numerical point of view, an updating procedure for the UHMWPE surface is mandatory to improve the numerical predictions.

Resumo Limpo

wear ultrahigh molecular weight polyethylen uhmwp compon associ failur joint prosthes hip knee shoulder consid vitro experi general expens timeconsum comput model attract altern studi wear behavior uhmwp compon object present studi develop comput wear model evalu wear resist anatom revers shoulder prosthes effect wear law updat uhmwp surfac predict wear also consid apart archard law new wear law socal second generat law includ concept crossshear pressureindepend wear factor consid wear analys perform consid three shoulder joint motion muscl joint reaction forc appli estim invers biomechan model upper limb result show abras wear import revers compon anatom nevertheless volumetr wear estim year within rang consid clinic desir reduc risk osteolysi anatom compon predict archard law compar better second generat law experiment clinic data avail literatur yet opposit result obtain revers compon numer point view updat procedur uhmwp surfac mandatori improv numer predict

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