Metallic bone fixation implants: a novel design approach for reducing the stress shielding phenomenon

ABSTRACT Fixation devices are commonly used for bone fracture treatments. These implants are made of biocompatible materials such as stainless steel, cobalt, titanium and its alloys (e.g. CoCrMo and Ti-6Al-4V). However, metallic medical implants present higher stiffness compared to bone, contributing to the stress shielding phenomena compromising bone integrity. This paper explores the use of topology optimization to create novel bone fixation designs with reduced material volumes. Results show that for certain levels of volume reductions, which depends on the load condition, it is possible to obtain designs that minimise the stress shielding phenomena.

[1]  Carl Diver,et al.  Enhancing the Hydrophilicity and Cell Attachment of 3D Printed PCL/Graphene Scaffolds for Bone Tissue Engineering , 2016, Materials.

[2]  Jean-Christophe Cuillière,et al.  Towards adaptive topology optimization , 2016, Adv. Eng. Softw..

[3]  J. Leong,et al.  Design and fabrication of 3D-printed anatomically shaped lumbar cage for intervertebral disc (IVD) degeneration treatment , 2016, Biofabrication.

[4]  Tam H. Nguyen,et al.  Designing patient-specific 3D printed craniofacial implants using a novel topology optimization method , 2016, Medical & Biological Engineering & Computing.

[5]  Paulo Jorge Da Silva bartolo,et al.  Morphological, mechanical and biological assessment of PCL/pristine graphene scaffolds for bone regeneration , 2016 .

[6]  D. Masaylo,et al.  Producing hip implants of titanium alloys by additive manufacturing , 2016 .

[7]  Hao Zhu,et al.  An optimization procedure for spot-welded structures based on SIMP method , 2016 .

[8]  Wei Xu,et al.  Topological design and additive manufacturing of porous metals for bone scaffolds and orthopaedic implants: A review. , 2016, Biomaterials.

[9]  Wai Yee Yeong,et al.  Laser and electron‐beam powder‐bed additive manufacturing of metallic implants: A review on processes, materials and designs , 2016, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[10]  R. Zdero,et al.  The biomechanical effect of anteversion and modular neck offset on stress shielding for short-stem versus conventional long-stem hip implants. , 2016, Medical engineering & physics.

[11]  Abdurahman Mushabab Al-Ahmari,et al.  Developing a methodology for analysis and manufacturing of proximal interphalangeal (PIP) joint using rapid prototyping technique , 2015 .

[12]  Yasuhiro Tanimoto,et al.  A review of improved fixation methods for dental implants. Part II: biomechanical integrity at bone-implant interface. , 2015, Journal of prosthodontic research.

[13]  D. R. Sumner,et al.  Long-term implant fixation and stress-shielding in total hip replacement. , 2015, Journal of biomechanics.

[14]  David Dean,et al.  Metals for bone implants. Part 1. Powder metallurgy and implant rendering. , 2014, Acta biomaterialia.

[15]  Henrique A Almeida,et al.  Design of tissue engineering scaffolds based on hyperbolic surfaces: structural numerical evaluation. , 2014, Medical engineering & physics.

[16]  H. Matusiewicz Potential release of in vivo trace metals from metallic medical implants in the human body: from ions to nanoparticles--a systematic analytical review. , 2014, Acta biomaterialia.

[17]  André Luiz Jardini,et al.  Customised titanium implant fabricated in additive manufacturing for craniomaxillofacial surgery , 2014 .

[18]  E. Park,et al.  A simultaneous process of 3D magnesium phosphate scaffold fabrication and bioactive substance loading for hard tissue regeneration. , 2014, Materials science & engineering. C, Materials for biological applications.

[19]  Henrique A. Almeida,et al.  Additive manufacturing techniques for scaffold-based cartilage tissue engineering , 2013 .

[20]  O. Sigmund,et al.  Topology optimization approaches , 2013, Structural and Multidisciplinary Optimization.

[21]  K. An,et al.  Stress shielding around radial head prostheses. , 2012, The Journal of hand surgery.

[22]  Dae-Sung Son,et al.  Finite element analysis of the effect of bending stiffness and contact condition of composite bone plates with simple rectangular cross-section on the bio-mechanical behaviour of fractured long bones , 2011 .

[23]  H. Fischer,et al.  Scaffolds for bone healing: concepts, materials and evidence. , 2011, Injury.

[24]  Lutz Claes,et al.  Internal loads in the human tibia during gait. , 2009, Clinical biomechanics.

[25]  J. Reginster,et al.  Osteoporosis: a still increasing prevalence. , 2005, Bone.

[26]  K. Strømsøe,et al.  Fracture fixation problems in osteoporosis. , 2004, Injury.

[27]  Ole Sigmund,et al.  A 99 line topology optimization code written in Matlab , 2001 .

[28]  M. Zhou,et al.  Checkerboard and minimum member size control in topology optimization , 2001 .

[29]  E. Hinton,et al.  A review of homogenization and topology opimization II—analytical and numerical solution of homogenization equations , 1998 .

[30]  E. Hinton,et al.  A review of homogenization and topology optimization III—topology optimization using optimality criteria , 1998 .

[31]  Martin P. Bendsøe,et al.  Optimization of Structural Topology, Shape, And Material , 1995 .

[32]  Judith Pitt-Brooke Tidy's Physiotherapy , 1991 .

[33]  M. Bendsøe Optimal shape design as a material distribution problem , 1989 .

[34]  K. Svanberg The method of moving asymptotes—a new method for structural optimization , 1987 .

[35]  David Eglin,et al.  Local drug delivery for enhancing fracture healing in osteoporotic bone. , 2015, Acta biomaterialia.

[36]  Ramana V. Grandhi,et al.  A survey of structural and multidisciplinary continuum topology optimization: post 2000 , 2014 .

[37]  J. Ciurana,et al.  Biomedical production of implants by additive electro-chemical and physical processes , 2012 .

[38]  George I. N. Rozvany,et al.  A critical review of established methods of structural topology optimization , 2009 .

[39]  M. Bendsøe Topology Optimization , 2009, Encyclopedia of Optimization.

[40]  G. Hofmann Biodegradable implants in orthopaedic surgery--a review on the state-of-the-art. , 1992, Clinical materials.