This thesis deals with problems of the hip endoprosthetics area, namely total endoprosthesis (TEP) with Burch-Schneider (BS) split, in which there are many problems in clinical practice. The hip joint load depends on the patient weight and the performed activity. Sedentary job, little exercise, a lot of stress or poor eating habits and overweight associated with it affect negatively hip joint. Increasing hip joint wear and its pain in movement is necessary in several cases to be solved by a surgical procedure in which TEP is applied. When selecting and subsequently applying individual TEP, it is important to pay attention to creating conditions which will allow good fixation. In case of worse mechanical properties of bone tissue, it is very problematic to ensure stability of the implant. Based on several classifications which assess the degree of hip joint damage, it is possible to select a suitable TEP. The BS split, on which this work is focused, is dominantly used in cases of large defects in the acetabulum area. The use of this cage allows to bridgelarge defects and create a new centre of rotation of the hip. Knowledge of the mechanical properties of hip bone tissue can significantly affect the prediction of BS split damage. For this purpose, it was necessary to perform a biomechanical study, which is focused on the influence of worse mechanical properties of bone tissue on BS split failure. The computational modelling using finite element method implemented in the ANSY S software was used for the solution, which enables to solve the mechanical interaction between bone tissue and TEP with BS split. Due to the absence of bone tissue data before application of TEP with BS split, the variants before application of TEP and after application of resurfacing and standard TEP were solved. All variants were solved with the material properties of bone tissue that were determined based on CT images. In addition, all variants were solved for the case of degraded mechanical properties. Based on the numerical simulations results and the Mechanostat hypothesis, a bone tissue analysis of the hip joint was performed before and after application of TEP and TEP with BS split. The results show the influence of the computational model level, which considers the distribution of bone tissue through the inhomogeneous model of the material. Therefore, the degraded mechanical properties have a major impact on the stability and strain of the BS split, particularly in the cranial part of the acetabulum.
| Identifer | oai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:371771 |
| Date | January 2018 |
| Creators | Řehák, Kamil |
| Contributors | Horyl, Petr, Janíček, Přemysl, Florian, Zdeněk |
| Publisher | Vysoké učení technické v Brně. Fakulta strojního inženýrství |
| Source Sets | Czech ETDs |
| Language | Czech |
| Detected Language | English |
| Type | info:eu-repo/semantics/doctoralThesis |
| Rights | info:eu-repo/semantics/restrictedAccess |
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