Abstract
Periacetabular osteotomy (PAO) is an effective approach for surgical treatment of hip dysplasia. The aim of PAO is to increase acetabular coverage of the femoral head and to reduce contact pressures by reorienting the acetabulum fragment after PAO. The success of PAO significantly depends on the surgeon’s experience. Previously, we have developed a computer-assisted planning and navigation system for PAO, which allows for not only quantifying the 3D hip morphology for a computer-assisted diagnosis of hip dysplasia but also a virtual PAO surgical planning and simulation. In this paper, based on this previously developed PAO planning and navigation system, we developed a 3D finite element (FE) model to investigate the optimal acetabulum reorientation after PAO. Our experimental results showed that an optimal position of the acetabulum can be achieved that maximizes contact area and at the same time minimizes peak contact pressure in pelvic and femoral cartilages. In conclusion, our computer-assisted planning and navigation system with FE modeling can be a promising tool to determine the optimal PAO planning strategy.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Murphy, S.B., Millis, M.B., Hall, J.E.: Surgical correction of acetabular dysplasia in the adult A Boston experience. Clin. Orthop. Relat. Res. 363, 38–44 (1999)
Ganz, R., Klaue, K., Vinh, T., Mast, J.: A new periacetabular osteotomy for the treatment of hip dysplasia. Technique and preliminary results. Clin. Orthop. Relat. Res. 232, 26–36 (1988)
Clohisy, J.C., Carlisle, J.C., Trousdale, R., Kim, Y.J., Beaule, P.E., Morgan, P.M., Steger May, K., Schoenecker, P.L., Millis, M.B.: Radiographic evaluation of the hip has limited reliability. Clin. Orthop. Relat. Res. 467(3), 666–675 (2009)
Carlisle, J.C., Zebala, L.P., Shia, D.S., Hunt, D., Morgan, P.M., Prather, H., Wright, R.W., Steger May, K., Clohisy, J.C.: Reliability of various observers in determining common radiographic parameters of adult hip structural anatomy. Iowa Orthop. J. 31, 52–58 (2011)
Zhao, X., Chosa, E., Totoribe, K.: Effect of periacetabular osteotomy for acetabular dysplasia clarified by three-dimensional finite element analysis. J. Orthop. Sci. 15, 632–640 (2010)
Armand, M., Lepisto, J.V.S., Merkle, A.C., Tallroth, K., Liu, X., Taylor, R.H., Wenz, J.: Computer-aided orthopedic surgery with near-real-time biomechanical feedback. Johns Hopkins APL Technical Digest 25, 242–252 (2004)
Armiger, R.S., Armand, M., Tallroth, K., Lepist, J., Mears, S.C.: Three-dimensional mechanical evaluation of joint contact pressure in 12 periacetabular osteotomy patients with 10-year follow-up. Acta Orthopaedica 80, 155–161 (2009)
Zou, Z., Chavez-Arreola, A., Mandal, P., Board, T.N., Alonso-Rasgado, T.: Optimization of the Position of the Acetabulum in a Ganz Periacetabular Osteotomy by Finite Element Analysis. J. Orthop. Res. 31(3), 472–479 (2013)
Liu, L., Ecker, T., Schumann, S., Siebenrock, K., Nolte, L., Zheng, G.: Computer assisted planning and navigation of periacetabular osteotomy (PAO) with range of motion (ROM) optimization. In: Golland, P., Hata, N., Barillot, C., Hornegger, J., Howe, R. (eds.) MICCAI 2014, Part II. LNCS, vol. 8674, pp. 643–650. Springer, Heidelberg (2014)
Zheng, G., Marx, A., Langlotz, U., Widmer, K.H., Buttaro, M., Nolte, L.P.: A hybrid CT free navigation system for total hip arthroplasty. Computer Aided Surgery 7, 129–145 (2002)
Niknafs, N., Murphy, R.J., Armiger, R.S., Lepist, J., Armand, M.: Biomechanical Factors in Planning of Periacetabular Osteotomy. Biomechanics 1(20), 1–10 (2013)
Anderson, A.E., Ellis, B.J., Maas, S.A., Peters, C.L., Weiss, J.A.: Validation of finite element predictions of cartilage contact pressure in the human hip joint. J. Biomech. Eng. 130, 051008 (2008)
Caligaris, M., Ateshian, G.A.: Effects of sustained interstitial uid pressurization under migrating contact area, and boundary lubrication by synovial uid, on cartilage friction. Osteoarthritis And Cartilage/OARS. Osteoarthritis Res. Soc. 16, 1220–1227 (2008)
Bergmann, G., Deuretzabacher, G., Heller, M., Graichen, F., Rohlmann, A., Strauss, J., Duda, G.N.: Hip contact forces and gait patterns from routine activities. J. Biomech. 34, 859–871 (2001) Including the HIP98 CD, 3-9807848-0-0
Phillips, A.T.M., Pankaj, P., Howie, C.R., Usmani, A.S.: Simpso, AHRW: Finite element modelling of the pelvis: Inclusion of muscular and ligamentous boundary conditions. Med. Eng. Phys. 29, 739–748 (2007)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this paper
Cite this paper
Liu, L., Ecker, T.M., Schumann, S., Siebenrock, K., Zheng, G. (2014). Preliminary Study on Finite Element Simulation for Optimizing Acetabulum Reorientation after Periacetabular Osteotomy. In: Bello, F., Cotin, S. (eds) Biomedical Simulation. ISBMS 2014. Lecture Notes in Computer Science, vol 8789. Springer, Cham. https://doi.org/10.1007/978-3-319-12057-7_18
Download citation
DOI: https://doi.org/10.1007/978-3-319-12057-7_18
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-12056-0
Online ISBN: 978-3-319-12057-7
eBook Packages: Computer ScienceComputer Science (R0)