Finite Element Analysis on Pelvis With Leg Length Inequality

  • Authors

    • N. F. Othman
    • H. Y. Tan
    • K. S. Basaruddin
    • M. H. Mat Som
    • W. M. R. Rusli
    • A. R. Sulaiman
    https://doi.org/10.14419/ijet.v7i4.30.22059

    Received date: November 28, 2018

    Accepted date: November 28, 2018

    Published date: November 30, 2018

  • Finite Element, Fracture Risk, Leg Length Inequality, Pelvic.
  • Abstract

    Leg length inequality, also known as leg length discrepancy (LLD) is a condition which the left and right legs of an individual are noticeably different in length. When the level of LLD is high, such as those of 20 mm and above, it would disturb the wellbeing of an individual in terms of gait, and also causes them to experience higher stress in their pelvis compared to individual without LLD. In order to study load due to LLD had affects human bones such as the pelvic bone, finite element analysis (FEA) approach is usually used as it allows limitless attempt to investigate the stress-strain response on human bones and is far more practical than experimenting on real bones, therefore FEA was done with by using ANSYS 15.0. From the data obtained via FEA, the risk of fracture can be calculated, which gives us an insight on how would LLD affects the risk of bone fracture. In this study the effect of pelvic tilt caused by LLD has been studied, along with how loads at various LLD level affects the pelvic bone. The verdict from the study is the pelvic tilt caused by LLD amplifies the maximum stress and strain on the pelvic bone. The analysis using hip load due to LLD shows a downtrend for the maximum stress caused by the longer limb as the level of LLD increases, while the maximum stress caused by the shorter limb shows an uptrend with the increment of LLD. The maximum stress and strain observed are usually distributed around the sacroiliac joint. It is also observed that the higher the level of LLD is, the higher the maximum stress on pelvic bone will become, hence the higher the fracture risk.

  • References

    1. Gurney B, “Leg length discrepancy”, Gait Posture. Vol. 15, (2002), pp. 195–206.
    2. Noll D, “Leg Length Discrepancy and Osteoarthritic Knee Pain in the Elderly: An Observational Study”, J. Am. Osteopath. Assoc., Vol. 113, No. 9, (2013), pp. 670–678.
    3. K. J. Murray & M. F. Azari, “Leg length discrepancy and osteoarthri-tis in the knee, hip and lumbar spine.,” J. Can. Chiropr. Assoc., vol. 59, no. 3, (2015), pp. 226–37.
    4. Othman NF, Basaruddin KS, Som MHM, Salleh AF, Sakeran H, & Daud R, “Effect of Leg Length Discrepancy on Joint Contact Force during Gait Using Motion Tracking System : A Pilot Test”, J. Tele-commun. Electron. Comput. Eng., Vol. 10, No. 1, (2018), pp. 125–129.
    5. Azizan NA, Basaruddin KS, Salleh AF, Sakeran H, Sulaiman AR, & Cheng EM, “The Effect of Structural Leg Length Discrepancy on Vertical Ground Reaction Force and Spatial- Temporal Gait Param-eter : Pilot Study”, J. Telecommun. Electron. Comput. Eng., Vol. 10, No. 1, (2018), pp. 1–5.
    6. Zabri SWKA, Basaruddin KS, Salleh AF, Rusli WMR & Basah SN, “Leg Length Inequality Effects on Ground and Lower Extremity Joint Reaction Forces during Walking”, J. Telecommun. Electron. Comput. Eng., Vol. 10, No. 1, (2018), pp. 141–145.
    7. Golightly YM, Allen KD, Renner JB, Helmick CG, Salazar A & Jor-dan JM, “Relationship of limb length inequality with radiographic knee and hip osteoarthritis”, Osteoarthr. Cartil., Vol. 15, No. 7, (2007), pp. 824–829.
    8. Bhave D, Paley & Herzenberg JE, “Improvement in Gait Parameters After Lengthening for the Treatment of Limb-Length Discrepan-cy*”, J. Bone Jt. Surg., Vol. 81, No. 4, (1999), pp. 529–34.
    9. Yamin NAAA, Basaruddin KS, . Rusli WMR, Salleh AF, Razak NA & Muhamad WZAW, “Effect of Surface Hardness on Three-Segment Foot Kinematics during Barefoot Running”, Int. J. Mech. Mechatronics Eng., Vol. 16, No. 06, (2016), pp. 18–26.
    10. Yamin NAAA, Amran MNA, Basaruddin KS, Salleh AF & Rusli WMR, “Ground Reaction Force Response during Running on Dif-ferent Surface Hardness”, ARPN J. Eng. Appl. Sci., Vol. 12, No. 7, (2017), pp. 2313–2318.
    11. Knutson GA et al., “Anatomic and functional leg-length inequality: A review and recommendation for clinical decision-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance”, Chiropr. Osteopat., Vol. 13, No. 1, (2005), pp. 11.
    12. Castellano BD, “Significance of Minor Leg Length Discrepancy”, Pod. Inst., No. 35, (2011), pp. 178–182.
    13. McCaw ST & Bates BT, “Biomechanical implications of mild leg length inequality”, Br. J. Sports Med., Vol. 25, No. 1, (1991), pp. 10–3.
    14. Yoshiwara Y, Clanche M, Basaruddin KS, Takano N & Nakano T, “Numerical study on the morphology and mechanical role of healthy and osteoporotic vertebral trabecular bone”, J. Biomech. Sci. Eng., Vol. 6, No. 4, 2011, pp. 270–285.
    15. Basaruddin KS, Takano N, Yoshiwara Y & Nakano T, “Morphology analysis of vertebral trabecular bone under dynamic loading based on multi-scale theory”, Med. Biol. Eng. Comput., Vol. 50, No. 10, (2012), pp. 1091–1103.
    16. Zou Z, Chávez-Arreola A, Mandal P, Board TN & Alonso-Rasgado T, “Optimization of the position of the acetabulum in a ganz peri-acetabular osteotomy by finite element analysis”, J. Orthop. Res., Vol. 31, No. 3, (2013), pp. 472–479.
    17. Vink P & Kamphuisen HAC, “Leg length inequality, pelvic tilt and lumbar back muscle activity during standing,” Clin. Biomech., Vol. 4, No. 2, (1989), pp. 115–117.
    18. Rydell NW, “Forces Acting on the Femoral Head-Prosthesis: A Study on Strain Gauge Supplied Prostheses in Living Persons”, Ac-ta Orthop. Scand., Vol. 37, No. sup88, (1966), pp. 1–132.
    19. Giarmatzis G, Jonkers I, Wesseling M, Van Rossom S & Verschueren S, “Loading of Hip Measured by Hip Contact Forces at Different Speeds of Walking and Running”, J. Bone Miner. Res., Vol. 30, No. 8, (2015), pp. 1431–1440.
    20. Bergmann G et al., “Hip forces and gait patterns from rountine ac-tivities”, J. Biomech., Vol. 34, (2001), pp. 859–871.
    21. Keaveny TM, Morgan EF & Yeh OC, “Bone Mechanics”, Stand. Handb. Biomed. Eng. Des., (2004), pp. 8.1-8.23.
    22. Muratagic H, Ramakrishnan T & Reed KB, “Combined effects of leg length discrepancy and the addition of distal mass on gait asymmetry,” Gait Posture, Vol. 58, (2017), pp. 487–492.
  • Downloads

  • How to Cite

    Othman, N. F., Tan, H. Y., Basaruddin, K. S., Som, M. H. M., Rusli, W. M. R., & Sulaiman, A. R. (2018). Finite Element Analysis on Pelvis With Leg Length Inequality. International Journal of Engineering and Technology, 7(4.30), 100-105. https://doi.org/10.14419/ijet.v7i4.30.22059