Affiliation:
1. Leibniz University of Hannover
2. Hanover Medical School
3. Foundation University of Veterinary Medicine Hanover
4. Leibniz Universität Hannover
Abstract
Total hip arthroplasty (THA) is a routine procedure for the treatment of advanced hip joint damage. The long-term result of the prosthesis is mainly determined by migration or aseptic loosening caused by bone remodelling. Especially the migration of the artificial hip cup as a consequence of the remodelling process is a major problem. Patient-specific hip cups can be used to counteract this. However, individual hip cups are currently only implanted for the treatment of great deformations or tumours in the hip joint due to the cost-intensive manufacturing. The aim of this project is the development and establishment of a concept for the economical production of patient-individual prosthetic hip cups out of titanium sheets. This process consists of two steps. First, undersized cups of a universal acetabulum geometry are produced. In the second step a true-to-size enlargement of the produced universal cup prothesis is carried out by means of a modified adaptive rubber-die forming process. The development of this process is accompanied by a simulationbased planning of the production process as well as by a realization of a metal forming adapted design method. For the examination of the feasibility of the concept, CT-data of canine pelvis geoemtries are used because of the large number of CT data, which were aviable for the project. Furthermore it is planned, that the first manufactured prototypes will be tested using canine cadaver. In this study the planning of the manufacturing of the standardized titanium sheet metal components is carried out. For this two methods of producing the standardized hip cup were compared. The first method is a hydraulic forming; the second is a normal pressing process with a bunch die and a binder. Pure titanium was introduced in the simulation, which shows the same mechnical properties like the in prosthetics normally used titanium alloy TiAl6V5. The results of the process simulation of both methods showed that the reducing of the blank thickness is a problem of the manufacturing of the prosthesis. Because of that an adaption of the tool geometry was executed and the influence of the increase of the forming temperature at 200 C was examined. These simulations indicated, that the hydraulic forming seems to be a convenient method to produce the prosthetic acetabulum. The first part of the metal forming adapted design method is the deduction of a universal acetabulum geometry, which has to be designed for the production of the standardized component. This deduction shall be realized by means of a superposition of 3D models of pelvis geometries. For this, two different superposition methods were compared and the Best Fit method was determined as the suitable method. By means of the Best fit method a first universal geometry was created.
Publisher
Trans Tech Publications, Ltd.
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