Performance of textured dual mobility total hip prosthesis with a concave dimple during Muslim prayer movements.

The single mobility bearing as a previous bearing design of total hip prosthesis has severe mobility constraints that can result in dislocation during Muslim (people who follow the Islam as religion) prayer movements, specifically shalat that requires intense movement. There are five intense movements (i.e., bowing, prostration, sitting, transition from standing to prostration, and final sitting) during Muslim prayer that may generate an impingement problem for patients with total hip prosthesis. In this work, textured dual mobility total hip prosthesis with two textured cases (i.e., textured femoral head and textured inner liner) are presented and their performances are numerically evaluated against untextured surface model during Muslim prayer movement. The concave dimple design is chosen for surface texturing, while for simulating femoral head materials, SS 316L and CoCrMo is choosen. To represent the real condition, three-dimensional computational fluid dynamics (CFD) coupled with two-way fluid-structure interaction (FSI) methods are employed to analyze elastohydrodynamic lubrication problem with non-Newtonian synovial fluid model. The main aim of the present study is to investigate the tribological performance on dual mobility total hip prosthesis with applied textured surface with concave dimple in femoral head and inner liner surface under Muslim prayer movements. It is found that applying surface texturing has a beneficial effect on the lubrication performance for some intense movements. The textured femoral head model performs better than textured inner liner model and untextured model (both femoral head and inner liner). The numerical results also indicate superior performance of CoCrMo femoral head compared to SS 316L femoral head. These findings can be used as a reference for biomedical engineers and orthopedic surgeons in designing and choosing suitable total hip prosthesis for Muslims makes they can carry out Muslim prayer movements like humans in general who have normal hip joints.

Running-in behavior of dual-mobility cup during the gait cycle: A finite element analysis.

The running-in process is considered an essential aspect of the comprehensive wear process. The phenomenon of running-in occurs during the initial stages of wear in the prosthetic hip joint. Within the field of tribology, the running-in phenomenon of the hip joint pertains to the mechanism by which the contact surfaces of the artificial hip joint components are adjusted and a suitable lubricating film is formed. During the process of hip joint running-in, there is an interaction between the metal surface of the ball and the joint cup, which results in adjustments being made until a steady state is achieved. The achievement of desirable wear existence and reliable performance of artificial hip joint components are reliant upon the tribological running-in of the hip joint. Despite the establishment of current modeling approaches, there remains a significant lack of understanding concerning running-in wear, particularly the metal-on-polyethylene (MoP) articulations in dual-mobility cups (DMC). An essential aspect to consider is the running-in phase of the dual mobility component. The present study employed finite element analysis to investigate the running-in behavior of dual mobility cups, wherein femoral head components were matched with polyethylene liners of varying thicknesses. The analysis of the running-in phase was conducted during the normal gait cycle. The results of this investigation may be utilized to design a dual-mobility prosthetic hip joint that exhibits minimal running-in wear.

Analysis of contact pressure in a 3D model of dual-mobility hip joint prosthesis under a gait cycle.

Hip joint prostheses are used to replace hip joint function in the human body. The latest dual-mobility hip joint prosthesis has an additional component of an outer liner that acts as a cover for the liner component. Research on the contact pressure generated on the latest model of a dual-mobility hip joint prosthesis under a gait cycle has never been done before. The model is made of ultrahigh molecular weight polyethylene (UHMWPE) on the inner liner and 316L stainless steel (SS 316L) on the outer liner and acetabular cup. Simulation modeling using the finite element method is considered static loading with an implicit solver for studying the geometric parameter design of dual-mobility hip joint prostheses. In this study, simulation modeling was carried out by applying varying inclination angles of 30°, 40°, 45°, 50°, 60°, and 70° to the acetabular cup component. Three-dimensional loads were placed on femoral head reference points with variations of femoral head diameter used at 22 mm, 28 mm, and 32 mm. The results in the inner surface of the inner liner, the outer surface of the outer liner, and the inner surface of the acetabular cup showed that the variations in inclination angle do not have a major effect on the maximum contact pressure value on the liner component, where the acetabular cup with an inclination angle of 45° can reduce contact pressure more than the other studied inclination angle variations. In addition, it was found that the 22 mm diameter of the femoral head increases the contact pressure. The use of a larger diameter femoral head with an acetabular cup configuration at a 45° inclination can minimize the risk of implant failure due to wear.

Short communication: Running-in behavior on single-mobility total hip arthroplasty.

Total hip arthroplasty is a short-term solution for replacing a damaged hip joint with synthetic biomaterials. Total hip arthroplasty comes in two flavors: single and dual mobility. Mechanical and biological factors may degrade the quality of biomaterials over time. This may lead to implant failure and second surgical treatment. Wear is the crucial element leading to damaged bone and debris release throughout the body over time. Running-in is the initial wear phase between two surfaces before the steady-state phase. The stage of running-in is critical for understanding hip joint wear. Running-in and wear behavior have been extensively studied in single-mobility total hip arthroplasty, but aseptic loosening is the leading reason for restoration in arthroplasty registries. This paper seeks to summarize running-in behavior on single mobility hip implants, emphasizing its key aspects and recent developments.

Tresca Stress Simulation of Metal-on-Metal Total Hip Arthroplasty during Normal Walking Activity.

The selection of biomaterials for bearing in total hip arthroplasty is very important to avoid various risks of primary postoperative failure for patients. The current investigation attempts to analyze the Tresca stress of metal-on-metal bearings with three different materials, namely, cobalt chromium molybdenum (CoCrMo), stainless steel 316L (SS 316L), and titanium alloy (Ti6Al4V). We used computational simulations using a 2D axisymmetric finite element model to predict Tresca stresses under physiological conditions of the human hip joint during normal walking. The simulation results show that Ti6Al4V-on-Ti6Al4V has the best performance to reduce Tresca stress by 45.76% and 39.15%, respectively, compared to CoCrMo-on-CoCrMo and SS 316L-on-SS 316L.

Kinetics and morphological characteristics of struvite (MgNH4PO4.6H2O) under the influence of maleic acid.

This work reports a stirred-batch lab crystallization to examine the influence of maleic acid (HO 2 CCHCHCO 2 H), and temperatures (30 and 40 °C) on crystallization kinetics and morphology of struvite. The crystallization was followed by measuring the pH change up to 70 min. The pH decreased drastically for the first 5 min of the run, then started to tail off. It was found that the crystallization rate constants range from 1.608 to 6.534 per hour, which agrees with the most published value. Higher maleic acid concentrations resulted in greater growth retardation; the highest retardation was 74.21%, which was achieved for 30 °C with 20.00 ppm maleic acid. SEM imaging of the obtained precipitates showed irregular prismatic morphology, and the associated EDX confirmed that the precipitates were struvite (MgNH 4 PO 4 ⋅6H 2 O). As checked through XRD, the crystalline nature of the struvite was further confirmed, and that co-precipitation of struvite with struvite-K was observed. The co-precipitation was the result of K + adsorption onto the crystal surface. Temperatures had less influence on struvite crystallization. At 40 o C and 20.00 ppm the rate constant was 1.332 per hour; whereas at 30 o C and 0.00 ppm) the corresponding was 1.776 per hour, indicating the retardation of about 25%. Thus, the temperature effect is only 1/3 of the maleic acid effect. The current findings suggest that the presence of maleic acid can be used to elucidate the mechanism of crystallization as well as the crystalline phase transformation of struvite. In practical terms, maleic acid could be potential as a scale inhibitor.