Patient Specific Finite Element Modeling of Shoulder Implant Based on CT scan: The Concept of Modelling Explained

The following work introduces a method to carry out patient specific implant design based on computer tomography (CT) imaging technique. Point cloud bone model and the solid model creation process is described in detail. Using the radiodensity level of the CT-scan the continuous distribution of the elastic properties of the bone is also been recorded and used for the material model of the finite element procedure. For this purpose, a continuous mass density – elastic modulus curve is suggested, based on previous results in the literature. Stress shielding poses a serious issue regarding the survival of an implant. Strain energy density (SED) is a good indicator of the effects that drive the remodeling. Based on local SED difference caused by the implant this phenomenon can be quantified and visualized. This makes it possible to classify or redesign the implant in order to minimize the potential bone loss caused by the altered stress state.