A conical-collared intramedullary stem can improve stress transfer and limit micromotion

Clinical Biomechanics

Volumn 19, Issue 7, 2004, Pages 695-703

  Mandell, Jay A ^a,b   Carter, Dennis R ^a,b   Goodman, Stuart B ^c   Schurman, David J ^c   Beaupré, Gary S ^a,b  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b Stanford University   (United States)

^c STANFORD UNIVERSITY   (United States)

Author keywords

Femoral stem; Finite element analysis; Intramedullary implant; Segmental replacement; Stress shielding

Indexed keywords

BIOLOGICAL ORGANS; BONE; FINITE ELEMENT METHOD; PATIENT TREATMENT; STRESSES; TUMORS;

BONE DENSITY; MICROMOTION; STRESS TRANSFER;

BIOMECHANICS;

ARTICLE; BIOMECHANICS; FINITE ELEMENT ANALYSIS; GEOMETRY; INTRAMEDULLARY NAILING; MECHANICAL STRESS; PRIORITY JOURNAL; PROSTHESIS; THREE DIMENSIONAL IMAGING;

BIOMECHANICS; FINITE ELEMENT ANALYSIS; HIP PROSTHESIS; HUMANS; PROSTHESIS DESIGN; PROSTHESIS FAILURE; STRESS, MECHANICAL; WEIGHT-BEARING;

EID: 3342990028     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2004.04.004     Document Type: Article

References (30)

1. Barber T.C., Woolson S.T., Goodman S.B., Schurman D.J. Flat versus conical collar in cemented total hip arthroplasty: radiographic outcome in osteoarthritic hips. Contemporary Orthop. 32:1996;245-248
2. Bobyn J.D., Glassman A.H., Goto H., Krygier J.J., Miller J.E., Brooks C.E. The effect of stem stiffness on femoral bone resorption after canine porous-coated total hip arthroplasty. Clin. Orthop. 261:1990;196-213
3. Caler W.E., Carter D.R., Mandell J.A., Schurman D.J. Experimental analysis of interface geometry in a segmental defect. Trans. Orthop. Res. Soc. 15:1990;469
4. Cameron H.U., Pilliar R.M., MacNab I. The effect of movement on the bonding of porous metal to bone. J. Biomed. Mater. Res. 7:1973;301-311
5. Carlsson A.S., Rydberg J., Onnerfalt R. A large collar increases neck resorption in total hip replacement. 204 hips evaluated during 5 years. Acta Orthop Scand. 66:1995;339-342
6. Chao E.Y.S. Segmental bone replacement - a model to study prosthetic fixation and bone remodeling of porous-coated implants. Fitzgerald R.J. Non-Cemented Total Hip Arthroplasty. 1988;211-226 Raven Press, New York
7. Cheal E.J., Spector M., Hayes W.C. Role of loads and prosthesis material properties on the mechanics of the proximal femur after total hip arthroplasty. J. Orthop. Res. 10:1992;405-422
8. Crowninshield R.D., Johnston R.C., Andrews J.G., Brand R.A. A biomechanical investigation of the human hip. J. Biomech. 11:1978;75-85
9. Engh C.A., Bobyn J.D. The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Clin. Orthop. 231:1988;7-28
10. Engh C.A., Bobyn J.D., Glassman A.H. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J. Bone Joint Surg. [Br]. 69:1987;45-55
11. Fagan M.J., Lee A.J. Role of the collar on the femoral stem of cemented total hip replacements. J. Biomed. Eng. 8:1986;295-304
12. Fischer K.J., Carter D.R., Maloney W.J. In vitro study of initial stability of a conical collared femoral component. J. Arthroplasty. 7(Suppl.):1992;389-395
13. Fyhrie D.P., Carter D.R. A unifying principle relating stress to trabecular bone morphology. J. Orthop. Res. 4:1986;304-317
14. Harrigan T.P., Harris W.H. A finite element study of the effect of diametral interface gaps on the contact areas and pressures in uncemented cylindrical femoral total hip components. J. Biomech. 24:1991;87-91
15. Harris W.H. Is it advantageous to strengthen the cement-metal interface and use a collar for cemented femoral components of total hip replacements? Clin. Orthop. 285:1992;67-72
16. Huiskes R. Some fundamental aspects of human joint replacement. Analyses of stresses and heat conduction in bone-prosthesis structures. Acta Orthop. Scand. (Suppl. 185):1980;109-196
17. Huiskes R. The various stress patterns of press-fit, ingrown, and cemented femoral stems. Clin. Orthop. 261:1990;27-38
18. Huiskes R., Weinans H., Grootenboer H.J., Dalstra M., Fudala B., Slooff T.J. Adaptive bone-remodeling theory applied to prosthetic-design analysis. J. Biomech. 20:1987;1135-1150
19. Kabo J.M., Clarke I.C. Conventional total hip replacement design including custom considerations. Amstutz H.C. Hip Arthroplasty. 1991;37-57 Churchill Livingstone, New York
20. Keaveny T.M., Bartel D.L. Fundamental load transfer patterns for press-fit, surface-treated intramedullary fixation stems. J. Biomech. 27:1994;1147-1157
21. Kelsey D., Goodman S.B. Design of the femoral component for cementless hip replacement: the surgeon's perspective. Am. J. Orthop. 26:1997;407-412
22. Lennon A.B., Prendergast P.J. Evaluation of cement stresses in finite element analyses of cemented orthopaedic implants. J. Biomech. Eng. 123:2001;623-628
23. Mandell, J.A., 1998. Load transfer in cementless intramedullary prostheses, Stanford University PhD Thesis
24. Oh I., Harris W.H. Proximal strain distribution in the loaded femur. An in vitro comparison of the distributions in the intact femur and after insertion of different hip-replacement femoral components. J. Bone Joint Surg. [Am]. 60:1978;75-85
25. Prendergast P.J., Taylor D. Stress analysis of the proximo-medial femur after total hip replacement. J. Biomed. Eng. 12:1990;379-382
26. Pritchett J.W. Femoral bone loss following hip replacement. A comparative study. Clin. Orthop. 314:1995;156-161
27. Reilly D.T., Burstein A.H. The elastic and ultimate properties of compact bone tissue. J. Biomech. 8:1975;393-405
28. Settecerri J.J., Kelley S.S., Rand J.A., Fitzgerald R.H. Jr. Collar versus collarless cemented HD-II femoral prostheses. Clin. Orthop. 398:2002;146-152
29. Stolk J., Maher S.A., Verdonschot N., Prendergast P.J., Huiskes R. Can finite element models detect clinically inferior cemented hip implants? Clin Orthop. 409:2003;138-150
30. Whiteside L.A., Amador D., Russell K. The effects of the collar on total hip femoral component subsidence. Clin. Orthop. 231:1988;120-126