Effect of gap outside contact area on lubrication of metal-on-Metal total hip replacement

Comput Methods Biomech Biomed Engin. 2020 Aug;23(11):675-689. doi: 10.1080/10255842.2020.1758679. Epub 2020 May 12.

Abstract

Ball-in-socket metal on metal (MOM) contacts were analysed using the Abaqus Finite Element package to simulate dry contact between the acetabular cup and the femoral head. Different cup thicknesses of 4, 6, 8, and 10 mm were considered using a polyurethane foam block support system. Elastohydrodynamic lubrication (EHL) analyses were developed for the contacts using three different approaches to specify the contact. These were (i) A simple model based on the radii of relative curvature, (ii) An equivalent contact model developed so that its dry contact area and maximum pressure replicated the values obtained from the FE analysis, and (iii) A modified version of (ii) that also ensured equivalence of the gap shape outside the contact area. Published in vivo information for the hip joint contact forces over the walking cycle was used to specify the operating conditions for the EHL analysis. The analysis method was found to be effective for all points of the walking cycle for cases where the cup thickness exceeded 5 mm and modelling approach (ii) was identified as satisfactory. For a cup thickness of 4 mm, membrane action began to emerge in the FE analyses so that such contacts behaved in a different way.

Keywords: Elastohydrodynamic lubrication; Hertzian contact; gap outside contact area; metal-on-metal; total hip replacement.

MeSH terms

  • Acetabulum / surgery
  • Arthroplasty, Replacement, Hip*
  • Hip Joint / surgery
  • Hip Prosthesis
  • Humans
  • Lubrication
  • Metal-on-Metal Joint Prostheses*
  • Prosthesis Design
  • Walking