Prediction of stress shielding around implant screws induced by three-point and four-point bending

Authors

  • Izzawati Basirom Universiti Malaysia Perlis (UniMAP)
  • Mohd Afendi Rojan Universiti Malaysia Perlis (UniMAP)
  • Mohd Shukry Abdul Majid Universiti Malaysia Perlis (UniMAP)
  • Nor Alia Md Zain Universiti Malaysia Perlis (UniMAP)
  • Mohd Yazid Bajuri Universiti Kebangsaan Malaysia

DOI:

https://doi.org/10.11113/mjfas.v15n4.1049

Keywords:

Stress shielding, biocompatibility, strain energy density, bone-implant interaction

Abstract

Implant screws failure commonly occurs due to the load that constantly generated by the patient’s body to the fracture area. Bending load is often encountered in femur bone due to lateral impact which affected the bone and also the implants installed. Consequently, the load will lead to the failure of implants that can cause loosening or tightening of implants. Henceforth, in this manner, it is significant to study the bending behavior of bone implant in femur bone. The aim of this study was to analyze the stress shielding of bone implant on the internal fixator. 3D technique is able to show the overall deformation and stress distribution. The lower the biomechanical compatibility, the lower the STP value obtained. In addition, the variation of elastic modulus (E) of the screws materials, 200GPa (Stainless Steel) and 113.8GPa (Titanium) resulted in the increase of the total stress transferred (STP) between screw and bone interface. In this work, strain energy density (SED) was determined as a good indicator of stress shielding.

Author Biographies

Izzawati Basirom, Universiti Malaysia Perlis (UniMAP)

Mechanical Programme,
School of Mechatronic,
Universiti Malaysia Perlis (UniMAP),
Pauh Putra Campus,
02600 Arau Perlis
Malaysia

Mohd Afendi Rojan, Universiti Malaysia Perlis (UniMAP)

Mechanical Programme,
School of Mechatronic,
Universiti Malaysia Perlis (UniMAP),
Pauh Putra Campus,
02600 Arau Perlis
Malaysia

Mohd Shukry Abdul Majid, Universiti Malaysia Perlis (UniMAP)

Mechanical Programme,
School of Mechatronic,
Universiti Malaysia Perlis (UniMAP),
Pauh Putra Campus,
02600 Arau Perlis
Malaysia

Nor Alia Md Zain, Universiti Malaysia Perlis (UniMAP)

Institute of Mathematics

Mohd Yazid Bajuri, Universiti Kebangsaan Malaysia

UKM Medical Centre, Department of Orthopedics and Traumatology

References

Albrektsson, T. (2008). Hard tissue implant interface. Australian Dental Journal, 53, 34–38.

Cheng, H., Peng, B., Chen, M., Huang, C., Lin, Y., Shen, Y. (2017).

Influence of deformation and stress between bone and implant from various bite forces by numerical simulation analysis, 2017.

Chou, H.-Y., Muftu, S. (2013). Simulation of pen-implant bone healing due to immediate loading in dental implant treatments. Journal of Biomechanics, 46, 871–878.

Dayer, R., Badoud, I., Ammann, P. (2007). Defective Implant osseointegration under protein undernutrition: Prevention by PTH or Pamidronate. Journal of Bone and Mineral Research, 22(10), 1526–1533.

Gaviria, L., Salcido, J. P., Guda, T., Ong, J. L. (2014). Current trends in dental implants. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 40(2), 50-60.

Gefen, A. (2002). Computational simulations of stress shielding and bone resorption around existing and computer-designed orthopaedic screws. Medical & Biological Engineering & Computing, 40(3), 311–322.

Gefen, A. (2001). Dynamic simulations of cancellous bone resorption around orthopaedic fixative implants. International Conference of the IEEE Engineering in Medicine and Biology Society, 23–26.

Ghiasi, M. S., Chen, J., Vaziri, A., Rodriguez, E. K., Nazarian, A. (2017). Bone fracture healing in mechanobiological modeling: A review of principles and methods. Bone Reports, 6, 87–100.

Haase, K., Rouhi, G. (2013). Prediction of stress shielding around an orthopedic screw: Using stress and strain energy density as mechanical stimuli. Computers in Biology and Medicine, 43(11), 17481757.

Helito, C. P., Bonadio, M. B., Demange, M. K., Albuquerque, R. F. da M. e, P??cora, J. R., Camanho, G. L., & Angelini, F. J. (2014). Screw loosening and iliotibial band friction after posterolateral corner reconstruction. Knee, 21(3), 769–773.

Huang, X., Zhi, Z., Yu, B., Chen, F. (2015). Stress and stability of plate-screw fixation and screw fixation in the treatment of Schatzker type IV medial tibial plateau fracture: A comparative finite element study. Journal of Orthopaedic Surgery and Research, 10(1), 1–9.

Idhammad, A., Abdali, A., Alaa, N. (2013). Computational simulation of the bone remodeling using the finite element method: an elastic-damage theory for small displacements. Theoretical Biology and Medical Modelling, 10(1), 32, 1-11.

Isaksson, H., Donkelaar, C. C. Van, Ito, K. (2009). Sensitivity of tissue differentiation and bone healing predictions to tissue properties, 42, 555–564.

Izzawati, B., Daud, R., Afendi, M., Majid, M. S. A., Zain, N. A. M. (2017a). Convergence and stress analysis of the homogeneous structure of human femur bone during standing up condition. In AIP Conference Proceedings (Vol. 1885).

Izzawati, B., Daud, R., Afendi, M., Majid, M. S. A., Zain, N. A. M. (2017b). Stress analysis of implant-bone fixation at different fracture angle Stress analysis of implant-bone fixation at different fracture angle. In Journal of Physics: Conference Series.

Lin, D., Li, Q., Li, W., Ichim, I., Swain, M. (2007). Evaluation of dental implant induced bone remodelling by using 2D Finite element. Biomaterials, (December).

Ramtani, S., He, Q. C. (2014). Internal bone remodeling induced by metallic pin fitted into medulla of a long bone having cylindrical anisotropy: Theoretical predictions. International Journal of Engineering Science, 82, 124–139.

Shefelbine, S. J., Simon, U., Claes, L., Gold, A., Gabet, Y., Bab, I., … Augat, P. (2005). Prediction of fracture callus mechanical properties using micro-CT images and voxel-based finite element analysis, 36, 480–488.

Shibata, Y., Tanimoto, Y., Maruyama, N., Nagakura, M. (2015). A review of improved fixation methods for dental implants. Part II: Biomechanical integrity at bone-implant interface. Journal of Prosthodontic Research, 59(2), 84–95.

Smeets, R., Stadlinger, B., Schwarz, F., Beck-broichsitter, B., Jung, O., Precht, C., … Ebker, T. (2016). Impact of dental implant surface modifications on osseointegration. BioMed Research International, 2016.

Stadlinger, B., Korn, P., Eckelt, U., Range, U., Ferguson, S. J., Kramer, I., … Area, M. D. (2013). Osseointegration of biochemically modified implants in an osteoporosis rodent model. European Cells and Materials, 25, 326–340.

Stahel, P. F., Alfonso, N. A., Henderson, C., Baldini, T. (2017). Introducing the “Bone-Screw-Fastener” for improved screw fixation in orthopedic surgery: a revolutionary paradigm shift? Patient Safety in Surgery, 11(1), 6.

Sun, G., Swain, M. V. (2017). Surface morphology optimization for osseointegration of coated implants. Biomaterials, 31(27), 7196–7204.

Vanegas-Acosta, J. C., Landinez P., N. S., Garzón-Alvarado, D. A., Casale R., M. C. (2011). A finite element method approach for the mechanobiological modeling of the osseointegration of a dental implant. Computer Methods and Programs in Biomedicine, 101(3), 297–314.

Vijayalakshmi, P. S., Veereshi, A., Jayade, V. P., Dinesh, M., Kumar, M. (2012). Finite Element analysis of stress and strain distribution in the bone around the. The Journal Indian Orthodontic Society, 46(December), 175–182.

White, B. J., Hawkes, T. K., & Herzog, M. M. (2016). Hip Pain After a Femoral Fracture: It Is Not Always Related to the Implant. Orthopedics, 1–5.

Downloads

Published

25-08-2019