Finite Element Assessment of a Hybrid Proposal for Hip Stem, from a Standardized Base and Different Activities

Choosing a suitable prosthesis to restore the functionality of the hip joint is a complex problem. The stem geometries, materials, and type of hip damage are critical factors for avoiding potential issues (aseptic loosening, fracture, and natural wear and tear). Comparing the available stems to select the best option is not straightforward because of the various loads and boundary conditions used in the tests, making the process difficult to compare the advantages and disadvantages among them. This work proposes stem assessment using a standardized base (generated from a literature review and ISO standards) to compare the stem geometries and present a new hybrid design to improve performance using the best qualities of the implants reported in the literature review. Sixteen hip prostheses were evaluated with the finite element method (FEM) using the same boundary and loading conditions through multi-objective analysis (von Mises stress and strain). Consequently, a hybrid geometry proposal was obtained by assessing specific points through the stem length (medial and lateral region) to define the cross-section (trapezoidal) and the new profile. The new hybrid implant proposal presented a stress reduction of 9.6% when compared to the reference implant P2-T (the implant with the best behavior) in the most critical activity (activity 4) using a titanium alloy. A similar stress reduction of 9.98% was obtained using ASTM F2996-13 and ISO 7206-4:2010(E) standards.