{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T13:16:26Z","timestamp":1740143786703,"version":"3.37.3"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T00:00:00Z","timestamp":1580688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"National Key R&D Program of China","award":["2017YFC1103400"],"award-info":[{"award-number":["2017YFC1103400"]}]},{"name":"the Science and Technology Project of Guangdong Province","award":["2016B090917001, 2016B090925001, 2016B090913004 and 2017B090912006"],"award-info":[{"award-number":["2016B090917001, 2016B090925001, 2016B090913004 and 2017B090912006"]}]},{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzhen","doi-asserted-by":"crossref","award":["SZSM201612019"],"award-info":[{"award-number":["SZSM201612019"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"crossref"}]},{"name":"the Science Research Program of Foshan City","award":["2017AG100243"],"award-info":[{"award-number":["2017AG100243"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Biol Eng Comput"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To explore the mechanical mechanism and provide preoperative planning basis for transtrochanteric rotational osteotomy (TRO) procedure, a joint-preserving procedure for osteonecrosis of the femoral head. Eleven TRO finite element femurs with the most common types of necrosis were analyzed under multi-loading conditions. Thereafter, we made a comprehensive evaluation by considering the anatomy characters, daily activities, and risk indicators contain necrosis expansion trend, necrotic blood supply pressure, and the risk of fracture. The risk of fracture (ROF) is the lowest when standing on feet and increases gradually during normal walking and walking upstairs and downstairs. Compared with posterior rotation, rotating forward keeps more elements at low risk. Additionally, the correlation analysis shows it has a strong negative correlation (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.834) with the average modulus of the roof. TRO finally decreased the stress and energy effectively. However, the stress and strain energy arise when rotated posteriorly less than 120\u00b0. The comprehensive evaluation observed that rotating forward 90\u00b0could reduce the total risks to 64%. TRO is an effective technique to prevent collapse. For the anterior and superior large necrosis, we recommend to rotate forward 60\u00b0 to 90\u00b0 (more efficient) or backward 180\u00b0. The methodology followed in this study could provide accurate and personalize preoperative planning.<\/jats:p>","DOI":"10.1007\/s11517-020-02137-5","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T20:03:41Z","timestamp":1580760221000},"page":"805-814","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The effect of rotational degree and routine activity on the risk of collapse in transtrochanteric rotational osteotomy for osteonecrosis of the femoral head\u2014a finite element analysis"],"prefix":"10.1007","volume":"58","author":[{"given":"Pusheng","family":"Xie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuping","family":"Deng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinchuan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanbin","family":"Ouyang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7591-0541","authenticated-orcid":false,"given":"Wenhua","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"key":"2137_CR1","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.2106\/JBJS.O.00071","volume":"97","author":"MA Mont","year":"2015","unstructured":"Mont MA, Cherian JJ, Sierra RJ, Jones LC, Lieberman JR (2015) Nontraumatic osteonecrosis of the femoral head: where do we stand today? A ten-year update. J Bone Joint Surg Am 97:1604\u20131627","journal-title":"J Bone Joint Surg Am"},{"key":"2137_CR2","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1302\/0301-620X.83B1.0830083","volume":"83","author":"KH Koo","year":"2001","unstructured":"Koo KH, Song HR, Yang JW, Yang P, Kim JR, Kim YM (2001) Trochanteric rotational osteotomy for osteonecrosis of the femoral head. J Bone Joint Surg Br 83:83\u201389","journal-title":"J Bone Joint Surg Br"},{"key":"2137_CR3","doi-asserted-by":"publisher","first-page":"273","DOI":"10.2106\/00004623-197456020-00005","volume":"56","author":"MB Coventry","year":"1974","unstructured":"Coventry MB, Beckenbaugh RD, Nolan DR, Ilstrup DM (1974) 2,012 total hip arthroplasties. A study of postoperative course and early complications. J Bone Joint Surg Am 56:273\u2013284","journal-title":"J Bone Joint Surg Am"},{"key":"2137_CR4","first-page":"257","volume":"46","author":"BJ Bessette","year":"2003","unstructured":"Bessette BJ, Fassier F, Tanzer M, Brooks CE (2003) Total hip arthroplasty in patients younger than 21 years: a minimum, 10-year follow-up. Can J Surg 46:257\u2013262","journal-title":"Can J Surg"},{"key":"2137_CR5","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1007\/s00402-015-2282-y","volume":"135","author":"K Sonoda","year":"2015","unstructured":"Sonoda K, Yamamoto T, Motomura G, Nakashima Y, Yamaguchi R, Iwamoto Y (2015) Outcome of Transtrochanteric rotational osteotomy for posttraumatic osteonecrosis of the femoral head with a mean follow-up of 12.3 years. Arch Orthop Trauma Surg 135:1257\u20131263","journal-title":"Arch Orthop Trauma Surg"},{"key":"2137_CR6","doi-asserted-by":"publisher","first-page":"3088","DOI":"10.1016\/j.arth.2017.05.020","volume":"32","author":"Y Osawa","year":"2017","unstructured":"Osawa Y, Seki T, Morita D, Takegami Y, Okura T, Ishiguro N (2017) Total hip Arthroplasty after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head: a mean 10-year follow-up. J Arthroplast 32:3088\u20133092","journal-title":"J Arthroplast"},{"key":"2137_CR7","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1016\/j.jos.2016.06.014","volume":"21","author":"Y Nakashima","year":"2016","unstructured":"Nakashima Y, Yamamoto T, Fukushi JI, Motomura G, Hamai S, Kohno Y, Iwamoto Y (2016) Transtrochanteric rotational osteotomy for avascular necrosis of the femoral head after unstable slipped capital femoral epiphysis: 10-year clinical results. J Orthop Sci 21:831\u2013835","journal-title":"J Orthop Sci"},{"key":"2137_CR8","doi-asserted-by":"publisher","first-page":"1647","DOI":"10.1007\/s00402-016-2563-0","volume":"136","author":"T Okura","year":"2016","unstructured":"Okura T, Hasegawa Y, Morita D, Osawa Y, Ishiguro N (2016) What factors predict the failure of curved intertrochanteric varus osteotomy for the osteonecrosis of the femoral head? Arch Orthop Trauma Surg 136:1647\u20131655","journal-title":"Arch Orthop Trauma Surg"},{"key":"2137_CR9","doi-asserted-by":"publisher","first-page":"29","DOI":"10.4055\/cios.2017.9.1.29","volume":"9","author":"D Lakhotia","year":"2017","unstructured":"Lakhotia D, Swaminathan S, Shon WY, Oh JK, Moon JG, Dwivedi C et al (2017) Healing process of osteonecrotic lesions of the femoral head following transtrochanteric rotational osteotomy: a computed tomography-based study. Clin Orthop Surg 9:29\u201336","journal-title":"Clin Orthop Surg"},{"key":"2137_CR10","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.otsr.2016.10.019","volume":"103","author":"Y Kubo","year":"2017","unstructured":"Kubo Y, Motomura G, Ikemura S, Sonoda K, Yamamoto T, Nakashima Y (2017) Factors influencing progressive collapse of the transposed necrotic lesion after transtrochanteric anterior rotational osteotomy for osteonecrosis of the femoral head. Orthop Traumatol Surg Res 103:217\u2013222","journal-title":"Orthop Traumatol Surg Res"},{"key":"2137_CR11","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1016\/j.clinbiomech.2006.05.005","volume":"21","author":"MS Lee","year":"2006","unstructured":"Lee MS, Tai CL, Senan V, Shih CH, Lo SW, Chen WP (2006) The effect of necrotic lesion size and rotational degree on the stress reduction in transtrochanteric rotational osteotomy for femoral head osteonecrosis-a three-dimensional finite-element simulation. Clin Biomech (Bristol, Avon) 21:969\u2013976","journal-title":"Clin Biomech (Bristol, Avon)"},{"key":"2137_CR12","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.clinbiomech.2004.08.001","volume":"20","author":"W Chen","year":"2005","unstructured":"Chen W, Tai C, Tan C, Shih C, Hou S, Lee MS (2005) The degrees to which transtrochanteric rotational osteotomy moves the region of osteonecrotic femoral head out of the weight-bearing area as evaluated by computer simulation. Clin Biomech 20:63\u201369","journal-title":"Clin Biomech"},{"key":"2137_CR13","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1302\/0301-620X.77B6.7593098","volume":"77","author":"KH Koo","year":"1995","unstructured":"Koo KH, Kim R (1995) Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI. J Bone Joint Surg Br 77:875\u2013880","journal-title":"J Bone Joint Surg Br"},{"key":"2137_CR14","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/S1350-4533(03)00138-3","volume":"26","author":"F Taddei","year":"2004","unstructured":"Taddei F, Pancanti A, Viceconti M (2004) An improved method for the automatic mapping of computed tomography numbers onto finite element models. Med Eng Phys 26:61\u201369","journal-title":"Med Eng Phys"},{"key":"2137_CR15","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1016\/S0021-9290(01)00230-5","volume":"35","author":"G Bergmann","year":"2002","unstructured":"Bergmann G, Deuretzbacher G, Heller M et al (2002) Hip contact forces and gait patterns from routine activities. J Biomech 35:719\u2013720","journal-title":"J Biomech"},{"doi-asserted-by":"crossref","unstructured":"Langlais F, Fourastier J (1997) Rotation osteotomies for osteonecrosis of the femoral head. Clin Orthop Relat Res:110\u2013123","key":"2137_CR16","DOI":"10.1097\/00003086-199710000-00021"},{"key":"2137_CR17","doi-asserted-by":"publisher","first-page":"1287","DOI":"10.1016\/j.medengphy.2008.09.006","volume":"30","author":"AC Jones","year":"2008","unstructured":"Jones AC, Wilcox RK (2008) Finite element analysis of the spine: towards a framework of verification, validation and sensitivity analysis. Med Eng Phys 30:1287\u20131304","journal-title":"Med Eng Phys"},{"key":"2137_CR18","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1016\/j.medengphy.2011.10.008","volume":"34","author":"AT San","year":"2012","unstructured":"San AT, Ciaccia M, Muller-Karger C, Casanova E (2012) Orientation of orthotropic material properties in a femur FE model: a method based on the principal stresses directions. Med Eng Phys 34:914\u2013919","journal-title":"Med Eng Phys"},{"key":"2137_CR19","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1016\/j.medengphy.2016.05.008","volume":"38","author":"TN Tran","year":"2016","unstructured":"Tran TN, Kowalczyk W, Hohn HP, Jager M, Landgraeber S (2016) Effect of the stiffness of bone substitutes on the biomechanical behaviour of femur for core decompression. Med Eng Phys 38:911\u2013916","journal-title":"Med Eng Phys"},{"key":"2137_CR20","doi-asserted-by":"publisher","first-page":"1928","DOI":"10.1016\/j.jbiomech.2013.05.021","volume":"46","author":"SP V\u00e4\u00e4n\u00e4nen","year":"2013","unstructured":"V\u00e4\u00e4n\u00e4nen SP, Amin Yavari S, Weinans H, Zadpoor A, Jurvelin J, Isaksson H (2013) Repeatability of digital image correlation for measurement of surface strains in composite long bones. J Biomech 46:1928\u20131932","journal-title":"J Biomech"},{"key":"2137_CR21","doi-asserted-by":"publisher","first-page":"2016","DOI":"10.1002\/jor.23226","volume":"34","author":"T Luyckx","year":"2016","unstructured":"Luyckx T, Verstraete M, De Roo K, Van Der Straeten C, Victor J (2016) High strains near femoral insertion site of the superficial medial collateral ligament of the knee can explain the clinical failure pattern. J Orthop Res 34:2016\u20132024","journal-title":"J Orthop Res"},{"key":"2137_CR22","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1302\/2046-3758.68.BJR-2017-0067.R1","volume":"6","author":"AM Ali","year":"2017","unstructured":"Ali AM, Newman SDS, Hooper PA, Davies CM, Cobb JP (2017) The effect of implant position on bone strain following lateral unicompartmental knee arthroplasty: a biomechanical model using digital image correlation. Bone Joint Res 6:522\u2013529","journal-title":"Bone Joint Res"},{"key":"2137_CR23","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1016\/j.jbiomech.2007.09.009","volume":"41","author":"E Schileo","year":"2008","unstructured":"Schileo E, Taddei F, Cristofolini L, Viceconti M (2008) Subject-specific finite element models implementing a maximum principal strain criterion are able to estimate failure risk and fracture location on human femurs tested in vitro. J Biomech 41:356\u2013367","journal-title":"J Biomech"},{"key":"2137_CR24","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/S0021-9290(03)00257-4","volume":"37","author":"HH Bayraktar","year":"2004","unstructured":"Bayraktar HH, Morgan EF, Niebur GL, Morris GE, Wong EK, Keaveny TM (2004) Comparison of the elastic and yield properties of human femoral trabecular and cortical bone tissue. J Biomech 37:27\u201335","journal-title":"J Biomech"},{"key":"2137_CR25","doi-asserted-by":"publisher","first-page":"2534","DOI":"10.1002\/jor.23540","volume":"35","author":"M Cilla","year":"2017","unstructured":"Cilla M, Checa S, Duda GN (2017) Strain shielding inspired re-design of proximal femoral stems for total hip arthroplasty. J Orthop Res 35:2534\u20132544","journal-title":"J Orthop Res"},{"key":"2137_CR26","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1007\/s00776-014-0563-x","volume":"20","author":"T Shoji","year":"2015","unstructured":"Shoji T, Yasunaga Y, Yamasaki T, Nakamae A, Mori R, Hamanishi M, Ochi M (2015) Transtrochanteric rotational osteotomy combined with intra-articular procedures for pigmented villonodular synovitis of the hip. J Orthop Sci 20:943\u2013950","journal-title":"J Orthop Sci"},{"key":"2137_CR27","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1016\/j.arth.2013.09.012","volume":"29","author":"KS Park","year":"2014","unstructured":"Park KS, Tumin M, Peni I, Yoon TR (2014) Conversion total hip arthroplasty after previous transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Arthroplast 29:813\u2013816","journal-title":"J Arthroplast"},{"key":"2137_CR28","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1302\/0301-620X.82B4.0820512","volume":"82","author":"K Miyanishi","year":"2000","unstructured":"Miyanishi K, Noguchi Y, Yamamoto T, Irisa T, Suenaga E, Jingushi S et al (2000) Prediction of the outcome of transtrochanteric rotational osteotomy for osteonecrosis of the femoral head. J Bone Joint Surg Br 82:512\u2013516","journal-title":"J Bone Joint Surg Br"},{"key":"2137_CR29","doi-asserted-by":"publisher","first-page":"2528","DOI":"10.1007\/s10439-013-0851-1","volume":"41","author":"JY Bae","year":"2013","unstructured":"Bae JY, Kwak DS, Park KS, Jeon I (2013) Finite element analysis of the multiple drilling technique for early osteonecrosis of the femoral head. Ann Biomed Eng 41:2528\u20132537","journal-title":"Ann Biomed Eng"},{"key":"2137_CR30","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1007\/s10439-009-9887-7","volume":"38","author":"MP Gardner","year":"2010","unstructured":"Gardner MP, Chong AC, Pollock AG, Wooley PH (2010) Mechanical evaluation of large-size fourth-generation composite femur and tibia models. Ann Biomed Eng 38:613\u2013620","journal-title":"Ann Biomed Eng"},{"key":"2137_CR31","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/S0021-9290(01)00015-X","volume":"34","author":"AD Heiner","year":"2001","unstructured":"Heiner AD, Brown TD (2001) Structural properties of a new design of composite replicate femurs and tibias. J Biomech 34:773\u2013781","journal-title":"J Biomech"}],"container-title":["Medical &amp; Biological Engineering &amp; Computing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11517-020-02137-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11517-020-02137-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11517-020-02137-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T01:15:57Z","timestamp":1612228557000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s11517-020-02137-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,3]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["2137"],"URL":"https:\/\/doi.org\/10.1007\/s11517-020-02137-5","relation":{},"ISSN":["0140-0118","1741-0444"],"issn-type":[{"type":"print","value":"0140-0118"},{"type":"electronic","value":"1741-0444"}],"subject":[],"published":{"date-parts":[[2020,2,3]]},"assertion":[{"value":"13 April 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}