Design, development, and finite element study on the novel biomimetic lumbosacroiliac prosthesis

This study focused on the design of specific prostheses in the case of patients affected by Chordoma of the lumbar 4, lumbar 5, sacrum, and coccyx. A chordoma is a group of malignant and rare cancers, commonly found in the spine or skull bones. As a treatment method, if cancer has not spread beyond the bone, the infected bone’s removal procedure is replaced with an artificial bone (prosthesis). The design method is carried out using a CT Scan of patient data, which is processed into a 3D model with Materialise Mimics software, 3D model engineering is done using Solidworks software and finite element analysis with ANSYS. The design process is carried out with several kinds of design variations, including the bone-implant model with a solid and shell model which is divided into several components, the use of iliac screw lateral connector, modification of iliac screw locking head, and modification of iliac screw locking head with cross connector. From the results of the calculation analysis and simulation, the best concept chosen based on the lowest dominant Peak von Mises Stress value in the iliac screw section is designs using the Iliac Screw Locking Head with Shell Model Lattice Structure.

[1]  Zhongmin Jin,et al.  Design and biomechanical study of a novel adjustable hemipelvic prosthesis. , 2016, Medical engineering & physics.

[2]  Farhad Nabhani,et al.  Computer modelling and stress analysis of the lumbar spine , 2002 .

[3]  L. Holly,et al.  Essentials of Spinal Stabilization , 2017, Springer International Publishing.

[4]  Ze-min Li,et al.  Biomechanical advantages of dual over single iliac screws in lumbo-iliac fixation construct , 2010, European Spine Journal.

[5]  Yaxiong Liu,et al.  Development of finite element model for customized prostheses design for patient with pelvic bone tumor , 2017, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[6]  Dai-Soon Kwak,et al.  Entry zone of iliac screw fixation to maintain proper entry width and screw length , 2015, European Spine Journal.

[7]  K. Choi,et al.  Biomechanical comparison of anterior lumbar interbody fusion: stand-alone interbody cage versus interbody cage with pedicle screw fixation - a finite element analysis , 2013, BMC Musculoskeletal Disorders.

[8]  Hong-lei Wu,et al.  5% NaHCO3 Is Appropriate for Skin Cleaning With Central Venous Catheters , 2017, The American journal of the medical sciences.

[9]  T. Goh,et al.  Effect of the screw type (S2-alar-iliac and iliac), screw length, and screw head angle on the risk of screw and adjacent bone failures after a spinopelvic fixation technique: A finite element analysis , 2018, PloS one.

[10]  Ioan A. Lina,et al.  Techniques and accuracy of thoracolumbar pedicle screw placement. , 2014, World journal of orthopedics.

[11]  F. Kennedy,et al.  Friction and wear behavior of ultrahigh molecular weight polyethylene on Co-Cr and titanium alloys in dry and lubricated environments , 1989 .

[12]  C. Aubin,et al.  Biomechanical analysis of iliac screw fixation in spinal deformity instrumentation. , 2014, Clinical biomechanics.