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Scenario 2:
Biomechanics Joint Replacement
Hip Prosthesis
Introduction
The hip joint is a ball and socket joint.
The spherical head of the femur (ball)
ts snugly into the socket of the pelvic
girdle, called the acetabulum. The surfaces
of both the femur and the acetabulum
have cartilage tissue at the joint interface
to allow for smooth movement of the
joint. When the hip joint is diseased
or damaged, doctors may perform hip
replacement surgery depending on the
severity of the impairment.
Osteoarthritis is one of the top
reasons for hip replacement surgeries
in the United States. Each year,
doctors perform between 200,000 and
300,000 of these surgeries, replacing
a damaged joint with a prosthetic.
Given the number of replacement
procedures performed, the design of a
hip replacement device is a prominent
challenge in biomedical engineering.
Chemical, biomedical, and mechanical
engineers play important roles in
understanding the mechanics of the joint
and studying the change in joint function
Background
The structure of the hip joint is shown in Figure 2-1.
The range of motion is determined by the angle
between the shaft of the femur and the femoral head.
Normally, this angle varies between 90 and 135. This
angle can decrease as a person ages, affecting the loadbearing capability of the joint. The hip joint has three
degrees of freedom: extension, rotation, and torsion.
These degrees of freedom allow people to perform
a wide range of actions, such as walking, running, and
twisting.
Femoral
Head
Femur
Figure 2-1: Detailed view of the hip joint.
The ideal biomaterial for a hip joint is one that can withstand the forces, provide range of motion, and not interact
with biological materials present in the body. In the early
1920s, surgeons experimented with various materials to
develop hip prostheses. One of the chosen materials was
glass, which proved to be too fragile. In the 1940s, implants
were coated, which also proved unreliable, and patients
continued to have pain. Finally, in the late 1960s, materials
such as cobalt chrome alloy or titanium alloy were used for
hip prosthesis.
Femoral
Head
Femur
N ! Wb
Wleg
Choice of material is critical when designing a hip replacement device. From an engineering basis, the idea of a
replacement is simple: A shaft and a ball with a hinged joint
that provides the same range of motion and withstands
forces similar to a hip joint should work in a simple prosthetic device. However, challenges in implementation begin
with identifying the type of material suitable for a device.
11/12 Level
Questions
Additional Notes
strain ! 0.05;
nal diameter ! 2.89 cm
b. strain ! 2.5;
nal diameter ! 0.34 cm
c.
strain ! 0.95;
nal diameter ! 2.84 cm
d. strain ! 45.5;
nal diameter ! 2.5 cm
e. strain ! 0.05;
nal diameter ! 2.79 cm
13. Calculate the amount of torque and
torsion generated in a prosthesis,
when a person walks with a torque
angle of 70.
a.
torque ! 179 N;
torsion ! 372 N/m
b. torque ! 179 N;
torsion ! 12.6 " 103 N/m
c.
torque ! 86.2 N;
torsion ! 6,070 N/m
d. torque ! 86.2 N;
torsion ! 179.3 N/m
e. torque ! 191.1 N;
torsion ! 13,457 N/m
11/12 Level
10
Questions
Additional Notes
I only
b. I and II
c.
d.
e.
I, II, and IV
I only
b. I and II
c.
d.
e.
I, II, and IV
Notes
11/12 Level
11
Questions
a.
titanium ! 58 GPa
c.
Additional Notes
100 MPa
d.
300 MPa
b. 162 MPa
e.
1,040 MPa
c.
200 MPa
106.2 MPa/m
b. 1,040 MPa/m
c.
1,066.66 MPa/m
d. 2,166.66 MPa/m
e. 3,150 MPa/m
Notes
11/12 Level
12
Additional Notes
Questions
19. A force of 150 N is applied on the
midpoint of a titanium beam. Calculate
the bending moment and radius of
curvature at equilibrium.
a.
bending moment ! 72 N m;
radius of curvature ! 205 m
b. bending moment ! 36 N m;
radius of curvature ! 1,020 m
c.
d. bending moment ! 36 N m;
radius of curvature ! 102.9 m
e. bending moment ! 72 N m;
radius of curvature ! 102.9 m
20. If the shear angle is 10, calculate the
shear strain and shear stress of the
titanium alloy.
a.
Notes
11/12 Level
13
Background
The anatomy of a healthy knee joint is shown in
Figure 3-1. The knee joint is a compound joint
consisting of three smaller joints: tibiofemoral joint,
patellofemoral joint, and the tibiobular joint, where
the tibia is the shin bone, the femur is the thigh bone,
Quadriceps
tendon
Patella (normally
in center of knee)
Articular
cartilage
Lateral condyle
Posterior cruciate
ligament
Anterior cruciate
ligament
Lateral collateral
ligament
Medial collateral
ligament
Meniscus
Patellar tendon
(Ligament)
Fibula
Tibia
Figure 3-1: Healthy knee joint showing the structure of the joint and the
articular cartilage surface.
Source: http://en.wikipedia.org/wiki/File:Knee_diagram.svg;
Public Domain
Worn Articular
Cartilage
Bone Spurs
Torn Meniscus
Figure 3-2: Anatomy of a knee with osteoarthritis where the meniscus is torn,
the articular cartilage is worn, and bone spurs have formed.This condition
results in chronic knee pain.
11/12 Level
15
Strength ! 15 MPa
Creep modulus ! 80 MPa
Additional Notes
Questions
21. Determine peak normal stress acting
on the end of a patients femur during
normal walking.
a.
30 Pa
b. 3.3 KPa
c.
d. 76 KPa
e. 302 KPa
31 KPa
0.4 mm
b. 0.8 mm
c.
d. 8 mm
e. 10 mm
1 mm
Notes
11/12 Level
16
Questions
23 N m
d. 105 N m
b. 48 N m
e. 360 N m
c.
Additional Notes
58 N m
metal-metal
d. metal-rubber
b. metal-plastic
e. plastic-rubber
c.
plastic-plastic
No, both the titanium and the polyethylene parts do not meet specs.
Notes
11/12 Level
17
Questions
a.
b. 5 # 10 %
c.
3.5
3
2.5
2
1.5
1
0.5
0
1
cartilage if it is 3 cm in diameter?
$7
Time (s)
1.3 # 10$7%
4.5
a.
d. 0.3%
e. 0.5%
0.13%
Additional Notes
20.5 N
b. 30 N
c.
d. 95.7 N
e. 205.2 N
86.7 N
Notes
11/12 Level
18
Additional Background
Questions
a.
3 N/m
b. 300 N/m
c.
d. 30,000 N/m
e. 300,000 N/m
3,000 N/m
Notes
Equation 3-1
Additional Notes
11/12 Level
19
Introduction
With life spans increasing due to better
medical treatment, effective dental
implants are important for a good quality
of life. Engineers play signicant roles in
developing dental implants, from choosing
implant materials to designing and
manufacturing implants. Materials engineers
create alloys that can withstand the harsh
environment of a mouth and the intense
biting forces of which teeth are capable.
Figure 5-1: Dental X-ray showing implant in second spot from the right.
Source: http://en.wikipedia.org/wiki/Dental_implant; CC BY-SA 3.0;
Drosenbach
Background
F
! " __
A
!L
Figure 5-3: Sketch showing the small deformation as a result of an applied force.
!
stress __
E " _____
strain " "
Figure 5-2: Internal strain is caused by an external force.
Source: http://en.wikipedia.org/wiki/Mechanical_stress; CC BY-SA 3.0;
David Richeld
Stress
B
1
3
2
Strain
Figure 5-4: Stress vs. Strain curve for structural steel. Reference numbers are:
* 1 - Ultimate Strength * 2 - Yield Strength(elastic limit) * 3 - Rupture *
4 - Strain hardening region * 5 - Necking region * A: Engineering Stress.
Source: http://en.wikipedia.org/wiki/Ultimate_tensile_strength; CC:
BY-SA 3.0; David Richeld
Equation 5-2
#L
___
!" L
11/12 Level
27
Questions
7.5 MPa
d.
40 MPa
b. 16 MPa
e.
120 MPa
c.
Additional Notes
30 MPa
0.0002 mm d.
b. 0.002 mm
c.
e.
0.2 mm
2 mm
0.02 mm
Notes
11/12 Level
28
Questions
Material
Aluminum
in Table 5-1?
a.
Stainless
steel
Titanium
alloy
68 MPa
95 MPa
110 MPa
200 MPa
500 MPa
860 MPa
110 MPa
730 MPa
900 MPa
23.1 ! 10"6
8.6 ! 10"6
Youngs modulus
c.
Youngs Yield
Ultimate Coefcient
Modulus Strength Tensile
of thermal
Strength expansion
(K!1) at 20C
Additional Notes
Notes
11/12 Level
29
Additional Background
Questions
70 MPa
b. 100 MPa
c.
d.
70 GPa
e.
100 GPa
700 MPa
Notes
Additional Background
aluminum
b. natural tooth
c.
stainless steel
d. titanium alloy
e. zirconium dioxide
Notes
Additional Notes
11/12 Level
30
Additional Background
Questions
0.001 mm3 d.
b. 0.017 mm3 e.
c.
0.054 mm3
0.15 mm3
0.036 mm3
Equation 5-4
"V
___
V = ! # "T
Notes
Additional Notes
11/12 Level
31
Additional Background
Questions
Shear
Support B
Equation 5-5
0 Pa
d.
7.5 MPa
b. 7.5 kPa
e.
30 MPa
c.
Support A
Support B
1.9 MPa
Notes
Figure 5-6: Photo of bridge used to replace a lost tooth.The middle tooth is
the one that is missing and the teeth on either side support the bridge.
Source: http://en.wikipedia.org/wiki/Dental_bridge; CC: BY-SA 3.0; Russ
Wagoner
11/12 Level
32
Additional Background
Questions
d. 14:1
b. 8:1
e. 19:1
a.
c.
13:1
Total
Total
Titanium Stainless
Titanium Stainless Implants Steel
Implants Steel
Failed
Implants
Implants
Failed
48
80
5
Ofce #1
1
Ofce #2
4
21
138
1
Notes
Table 5-2: Rate of failure of titanium and stainless steel dental implants. Data
was taken from two different dental ofces over a period of 2 years.
Additional Notes
11/12 Level
33