Biomechanische Modellierung und ihre Bedeutung für die Hüftendoprothetik View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

J. Eschweiler, F. Migliorini, H. Siebers, M. Tingart, B. Rath

ABSTRACT

BACKGROUND: Providing the hip with an endoprosthesis is one of the most common orthopedic interventions in Germany. The long-term success of such a procedure depends on the consideration of the loads due to muscle and joint forces in the planning and operative care. Patient-specific information of forces acting in vivo is not available to the surgeon in clinical routine today. This is where biomechanical modeling comes in. PROCEDURES: A field of activity of biomechanical modeling is the development of methods and procedures for the precise analysis and simulation of endoprosthetic supplies. The aim was to show the possibilities of biomechanical modeling in total hip arthroplasty by means of two examples (sensitivity analysis and pre-/postoperative comparison of intervention outcome). RESULTS: The results of the sensitivity analysis showed that by modeling the position of an optimal reconstruction of the hip rotational center can be found and the forces acting on the hip joint minimized. In the case of the pre-/postoperative comparison, it can be analyzed whether there has been a decrease or increase of load postoperatively, respectively, or whether the conditions are considered to be approximately equal to the preoperative situation. In the future, biomechanical modeling will be able to significantly improve long-term function by reducing wear and optimizing muscular function of the joint. Therefore, the routine use of validated musculoskeletal analysis in the context of standardized preoperative planning and intraoperative navigation-based implementation should be considered. Thus, validated analyses of musculoskeletal loads not only contribute to the extension of basic knowledge but also to the optimization of endoprosthetic care through their integration into the clinical workflow. More... »

PAGES

282-291

Journal

TITLE

Der Orthopäde

ISSUE

4

VOLUME

48

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00132-019-03695-9

DOI

http://dx.doi.org/10.1007/s00132-019-03695-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112158308

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30770946


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