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On the optimal shape of hip implants

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg12:Produção e Consumo Sustentáveis
dc.contributor.authorRuben, Rui
dc.contributor.authorFernandes, Paulo R.
dc.contributor.authorFolgado, João
dc.date.accessioned2026-01-14T15:05:34Z
dc.date.available2026-01-14T15:05:34Z
dc.date.issued2012-01
dc.description.abstractThe success of a total hip arthroplasty is strongly related to the initial stability of the femoral component and to the stress shielding effect. In fact, for cementless stems, initial stability is essential to promote bone ingrowth into the stem coating. An inefficient primary stability is also a cause of thigh pain. In addition, the bone adaptation after the surgery can lead to an excessive bone loss and, consequently, can compromise the success of the implant. These factors depend on prosthesis design, namely on material, interface conditions and shape. Although, surgeons use stems with very different geometries, new computational tools using structural optimization methods have been used to achieve a better design in order to improve initial stability and therefore, the implant durability. In this work, a multi-criteria shape optimization process is developed to study the relationship between implants performance and geometry. The multi-criteria objective function takes into account the initial stability of the femoral stem and the effect of stress shielding on bone adaptation after the surgery. Then, the optimized stems are tested using a concurrent model for bone remodeling and osseointegration to evaluate long-term performance. Additionally, the sensitivity to misalignments is analyzed, since femoral stems are often placed in varus or valgus position. Results show that the different criteria are contradictory resulting in different characteristics for the hip stem. However, the multi-criteria formulation leads to compromise solutions, with a combination of the geometric characteristics obtained for each criterion separately.eng
dc.description.sponsorshipThis work was supported by FCT through the project: PTDC/SAU-BEB/103408/2008.
dc.identifier.citationRui B. Ruben, Paulo R. Fernandes, João Folgado, On the optimal shape of hip implants, Journal of Biomechanics, Volume 45, Issue 2, 2012, Pages 239-246, ISSN 0021-9290, https://doi.org/10.1016/j.jbiomech.2011.10.038.
dc.identifier.doi10.1016/j.jbiomech.2011.10.038
dc.identifier.issn0021-9290
dc.identifier.urihttp://hdl.handle.net/10400.8/15335
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S0021929011006804
dc.relation.ispartofJournal of Biomechanics
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHip prosthesis design
dc.subjectStem stability
dc.subjectBone remodeling
dc.subjectOsseointegration
dc.titleOn the optimal shape of hip implantseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage246
oaire.citation.issue2
oaire.citation.startPage239
oaire.citation.titleJournal of Biomechanics
oaire.citation.volume45
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRuben
person.givenNameRui
person.identifier46426
person.identifier.ciencia-id0A14-A279-7C05
person.identifier.orcid0000-0002-5407-0579
person.identifier.ridM-1119-2014
person.identifier.scopus-author-id7103127401
relation.isAuthorOfPublicatione69b86a2-a7dc-433d-94cb-0f3196fdc670
relation.isAuthorOfPublication.latestForDiscoverye69b86a2-a7dc-433d-94cb-0f3196fdc670

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