Abstract
Many factors contribute to failure of a hip arthroplasty. These include infection, instability, fracture and loosening of implants, and malalignment of the artificial joint component. Recently, many clinical reports have demonstrated that osteolysis and aseptic loosening are associated with wear debris from the articulating surface [7,13,14,17,19]. Therefore, research over the past several decades have focused on the reduction of the particle debris. For example, many types of materials have been used as artificial joint components. However, little information is available concerning the stress distribution pattern and the micromotion of the proximal femur and the femoral stem associated with the use of these materials in total hip arthroplasty. Therefore, the purpose of this study is to evaluate the effect of three different articulating materials used in total hip arthroplasty on the stress and micromotion of the proximal femur and femoral stem.
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References
Ando M, Imura S, Omori H, et al (1999) Nonlinear Three Dimensional Finite Element Analysis of Newly Designed Cementless Total Hip Stems. Artificial Organ, 23(3):339–346.
Bergmann G, Graichen F, Rohlmann A (1993) Hip joint loading during walking and running, measured in two patients. J Biomech 26:969–690.
Clarke I, Willmann G (1994) Structural ceramics in orthopedics. In: Cameron HU (ed) Bone Implant Interface. St Louis, Mo: Mosby, pp203.
Kim SK (1997) Comparative stress analysis of the straight and the curved stem on stress shielding-A three dimensional finite element analysis. J of Korean Hip 9(1):82–91.
Kim YH, Yoon SH, Kim JS (2007) Changes in the bone mineral density in the acetabulum and proximal femur after cementless total hip replacement. J Bone Joint Surg 89-B:174–179.
Kupier JH, Huiskes R (1996) Friction and Stem Stiffness Affect Dynamic Interface Motion in Total Hip Replacement. J Orthop Res 14;36–43.
Maloney WJ, Peters P, Engh CA, Chandler H (1993) Osteolysis of the pelvis in association with acetabular replacement without cement. J Bone Joint Surg 77-A:1301–1310.
Moroi HH, Okimoto K, Moroi R, Terada Y (1993) Numeric approach to the biomechanical analysis of thermal effects in coated implants. Int J Prosthodont 6:564–572.
Otani T, Whiteside LA, White SE, McCarty DS (1993) Effect of femoral component material properties on cementless fixation in total hip arthroplasty. J Arthrop 8:67–74.
Otani T, Whitesode LA, White SE (1993) Strain Distribution in the Proximal Femur with Flexible Composite and Metallic Femoral Components under Axial and Torsional Loads J. Biomed Materials Res 27;575–585.
Park JB and Lakes RS (1992) BIOMATERAL An Introduction Second Edition, Pleum Publishing Corporation.
Pilliar RM, Lee JM, Maniatopoulos C (1986) Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop 208:108–113.
Santavirta S, Hoikka V, Eskola A, Konttinen YT, Paavilainen T, Tallroth K (1990) Aggressive granulomatous lesions in cementless total hip arthroplasty. J Bone Joint Surg 72-B:980–984.
Schmalzried TP, Justy M, Harris WH (1992): Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg 74-A:849–863.
Semlitsch M, Dawihl W (1994): Basic requirements for alumina ceramic in artificial hip joint balls articulation with polyethylene cups. In: Buchhorn GH, Willer HG, eds. Technical Principles, Wash: Hogrefe & Huber Publ.
Shin JH Lee KH (1999) Metals as Biomaterials. Biomaterial Research 3(1):28–33.
Tanzer M, Maloney WJ, Jasty M, Haris WH (1992) The progression of femoral cortical osteolysis in associated with total hip arthroplasty without cement. J Bone Joint Surg 74-A:404–410.
Won YY, Ahn JI, Yoo SH, Byun CJ, Choi WS, Cho JH (1999) Finite Element Analysis for Micromotion of Femoral Stem and Stress Concentration of Femur after Removal of DHS System, J of Korean Hip Society, 11(1), June.
Xenos JS, Hopkinson WJ, Callaghan JJ, Heekin RD Savory CG (1995) Osteolysis around an uncemented cobalt chrome total hip arthroplasty. Clin Orthop 317:29–36.
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Won, YY., Moon, K.H., Yu, YS., Hyup, LS., Cui, WQ. (2007). Mechanical Effect of the Articulating Materials on the Proximal Femur and the Femoral Stem in Total Hip Arthroplasty. In: Chang, JD., Billau, K. (eds) Bioceramics and Alternative Bearings in Joint Arthroplasty. Ceramics in Orthopaedics. Steinkopff. https://doi.org/10.1007/978-3-7985-1783-7_33
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DOI: https://doi.org/10.1007/978-3-7985-1783-7_33
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