Abstract
The failure or success of a hip prosthesis is dependent on many factors. This manuscript addresses the effect of polymethylmethacrylate (PMMA) creep and prosthesis surface finish on stem motion and fixation and on the stemcement interface stress state. Our interest in this area derives from a dichotomy that exists in current design philosophies. One philosophy promotes bonding, thereby favoring a rough surface (Harris 1992). Another philosophy promotes debonding by creating a polished surface (Ling 1992). In the Harris philosophy, a matte surface finish is permitted, while a Ling philosophy accepts a polished surface finish. The dichotomy in design philosophies is the polarized opinion between the interface conditions of these two positions. In the Harris philosophy, a debonded stem is unacceptable, and in the Ling philosophy, a debonded stem is acceptable.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Chang PB, Mann KA, Bartel DL (1998) Cemented femoral stem performance. Effects of proximal bonding, geometry and neck strength. Clin Orthop 355: 57–69
Charnley J (1970) Acrylic cement in orthopedic surgery. Williams and Wilkins, Baltimore
Chwirut DJ (1984) Long term compressive creep deformation and damage in acrylic bone cement. J Biomed Mater Res 18: 25–37
Gruen TA, Shockley D, Norman TL (1999) The effect of cement thickness and surface roughness on the strength of the metal-cement interface. 45th annual meeting, Orthopedic Research Society, Anaheim, CA, February 1–4, p 520
Harrigan TP, Harris WH (1991) A three dimensional non-linear finite element study of the effect of cement-prosthesis debonding in cemented femoral total hip components. J Biomech 24: 1047–1058
Harris WH (1992) Is it advantageous to strengthen the cement-metal interface and use a collar for cemented femoral components of total hip replacements. Clin Orthop 285: 76–72
Huiskes R, Verdonschot N, Nivbrant B (1998) Migration, stem shape, and surface finish in cemented total hip arthroplasty. Clin Orthop 355: 103–112
Hustosky KT, Norman TL, Kish VL, Blaha JD, Gruen TA (1996) The effects of creep on cement hoop stresses and axial displacement of a cemented femoral hip prosthesis in-vitro. Orthopaedic Research Society 42nd Annual Meeting, February, 1996
Hustosky KT, Norman TL, Kish VL, Gruen TA, Blaha JD (1998) Pull-out strength of a polished, tapered, cement total hip stem. Orthopaedic Research Society 44th annual meeting, March, 1998
Hustosky KT, Norman TL, Kish VL, Gruen TA, Blaha JD (1999) The effect of surface finish on the behavior of a tapered cement total hip stem. American Society of Biomechanics 23rd Annual Meeting, pp 136–137
Lee AJC (1990) Differential movement between implant and bone. In Older J (ed) Implant bone interface. Springer, Berlin Heidelberg New York, pp 131–135
Ling RSM (1992) The use of a collar and precoating on cemented femoral stems is unnecessary and detrimental. Clin Orthop 285: 73–83
Lu Z, McKellop H (1997) Effect of cement creep on stem subsidence and stresses in the cement mantle of a total hip replacement. J Biomed Mater 34: 221–226
Mann KA, Bartel TM, Wright TM, Burstein AH (1995) Coloumb frictional interfaces in modeling cemented total hip replacements: a more realistic model. J Biomech 28: 1067–1078
Miles AW (1990) A preliminary report on the stem-cement interface and its influence on the bone-cement interface. In Older J (ed) Implant bone interface. Springer, Berlin Heidelberg New York, pp 137–145
NIH Consensus Development Panel (1995) Total hip replacement, conference statement. J Am Med Assoc 273: 1950–1956
Norman TL, Thyagarayan G, Sahgrama VC, Gruen TA, Blaha JD (2001) Stem surface roughness alters creep induced subsidence and ‘taper-lock’ in a cemented femoral hip prosthesis. In review, J Biomech
Norman TL, Kish V, Blaha JD, Gruen TA, Hustosky K (1995) Creep characteristics of hand-and vacuum-mixed acrylic bone cement at elevated stress levels. J Biomed Mater Res 29: 495–501
Norman TL, Williams M, Gruen TA, Blaha JD (1997) Influence of delayed injection time on the creep behavior of acrylic bone cement. J Biomed Mater Res 37: 151–154
Norman TL, Gruen TA, Blaha JD (1999) Do all bone cements behave the same with regard to cemented stem fixation? Orthopedic Research Society 45th Annual Meeting, Anaheim, Calif., February 1–4, p 521
Older T (1997) Charnley low friction arthroplasty: a worldwide retrospective review at 15–20 years. American Academy of Orthopaedic Surgeons, 1997 Annual Meeting, paper no. 235
Saha S, Pal S (1984) Mechanical properties of bone cement: a review. J Biomed Mater Res 18: 435–462
Schreyer G (1972) Koinstruieren mit Kunststoffen. Carl Hanser, Munich, pp 502–569
Verdonschot N, Huiskes R (1998) Surface roughness of debonded straight-tapered stems in cemented THA reduces subsidence but not cement damage. Biomaterials 19: 1773–1779
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Norman, T.L. (2001). Effect of PMMA Creep and Prosthesis Surface Finish on the Behavior of a Tapered Cemented Total Hip Stem. In: Walenkamp, G.H.I.M., Murray, D.W., Henze, U., Kock, HJ. (eds) Bone Cements and Cementing Technique. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59478-6_16
Download citation
DOI: https://doi.org/10.1007/978-3-642-59478-6_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-41677-7
Online ISBN: 978-3-642-59478-6
eBook Packages: Springer Book Archive