대한기계학회논문집A (Transactions of the Korean Society of Mechanical Engineers A)

  • 제24권11호
  • /
  • Pages.2777-2785
  • /
  • 2000
  • /
  • 1226-4873(pISSN)
  • /
  • 2288-5226(eISSN)
대한기계학회 (The Korean Society of Mechanical Engineers)
권호 표지
DOI QR코드

DOI QR Code

인공 고관절 대치술에서 무시멘트형 스템의 원위부 압박이 고관철 성능에 미치는 영향

The Distal Filling Effects on Hip Jont Function in Cementless Total Hip Replacement

  • 발행 : 2000.11.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

In cementless total hip replacement(THR), an initial stability of the femoral component is important to long term fixation of femoral stem. The intial stability has close relationship with the relative displacement of prosthessis and sponge bone at the proximal of femur. After implantation of the proshesis, the surrounding bone is partially shielded from load carrying and starts to resorb. Stress shielding is the cause of the loss of proximal bone. Assessing stress distribution of femur is important to predict stress shielding. The initial stability and the stress shielding were investigated for two loading conditions approximating a single leg stance and a stair climbing. Three types of stems were studied by the finite element method to analyze the biomechanical effects of distal filling of cementless femoral stems. Three types of stems empolyed are a distal filling stem, a distal flexible stem, and a distal tapered stem.

키워드

참고문헌

  1. Biegler, F. B., Reuben, J. D., Harrigan, T. P., Hou, F. J. and Akin, J. E., 1995, 'Effect of Porous Coating and Loading Conditions on Total Hip Femoral Stem Stability,' J Arthroplasty, Vol. 10, No. 6
  2. 채수원, 정중환, 김성곤, 1998, '무시멘트형 인공고관절에서 직선형 및 곡선형 대퇴스템의 생역학적 특성,' 대한기계학회 논문집 A권, 제22권, 제5호
  3. Keyak, J. H., Rossi, S. A., Jones, K. A., and Skinner, H. B., 1998, 'Prediction of Femoral Fracture Load Using Automated Finite Element Modeling,' J. Biomechanics, Vol. 31, pp. 125-133 https://doi.org/10.1016/S0021-9290(97)00123-1
  4. Rohlman, A., Cheal, E. J., Hayes, W. C. and Bergmann, G., 1988, 'A Non Linear Finite Element Analysis of Interface Conditions in Porous Coated Hip Endoprostheses,' J. Biomechanics, Vol. 21, pp. 605-611 https://doi.org/10.1016/0021-9290(88)90224-2
  5. Van Rietbergen, B., Huiskes, R., Weinans, H., Sumner, D. R., Turner, T. M. and Galante, J. O., 1993, 'The Mechanism of Bone Remodeling And Resorption Around Press-Fitted THA Stems,' J Biomechanics, Vol. 26, No. 4, pp. 369-382 https://doi.org/10.1016/0021-9290(93)90001-U
  6. Huiskes, R., Weinans, H., Van Rietbergen, B., 1992, 'The Relationship Between Stress Shielding and Bone Resorption Around Total Hip Stems and the Effects of Flexible Materials,' Clin Orthop, Vol. 274, pp. 124-134
  7. Burke, D. W., O'Connor, D. O., Zalenski, E. B., Jasty, M. and Harris, W. H., 1991, 'Micromotion of Cemented and Uncemented Femoral Components,' J. Bone Joint Sur[Br], Vol. 73-B, No. 1, pp. 33-37
  8. Skinner, H. B., Kilgus, D. J., Keyak, J., Shimaoka, E. E., Kim, A. S. And Tipton, J. S., 1994, 'Correlation of Computed Finite Element Stresses to Bone Density After Remodeling Around Cementless Femoral Implants,' Clinical Orthopaedics And Related Research, No. 305, pp. 178-189
  9. Mann, K. A., Bartel, D. L., Wright, T. M. and Hurstein, A. H., 1995, 'Coulomb Frictional Interfaces in Modeling Cemented Total Hip Replacements : A More Realistic Model,' J. Biomechanics, Vol. 28, No. 9, pp. 1067-1078 https://doi.org/10.1016/0021-9290(94)00158-Z
  10. Rubin, P. J., Rakotomanana, R. L., Leyvraz, P. F., Zysset, P. K., Curnier, A. and Heegard, J. H., 1993, 'Friction Interface Micromotions and Anisotropic Stress Distribution in a Femoral Total Hip Component,' J. Biomechanics, Vol. 26 pp. 725-38
  11. Keaveny, T. M. and Bartel, D. L., 1992, ' Mechanical Consequence of Bone Ingrowth and Fibrous Tissue Encapsulation for a Cementless Hip Prothesis in the Long-Term,' Trans 38th ORS, Vol. 17, p. 73
  12. Harrigan, T. P. and Harris, W. H., 1991, 'A Three-Dimensional Non-Linear Finite Element Study of the Effect of Cement-Prosthesis Debonding Incemented Femoral Total Hip Components,' J. Biomechanics, Vol. 24, pp. 1047-1058 https://doi.org/10.1016/0021-9290(91)90021-E
  13. Davy, D. T., Kotzar, G. M., Brown, R. H., Heiple, K. G., Berilia, J. and Burstein, A. H., 1988, 'Telemetric Force Measurement Across the Hip After Total Arthroplasty,' J. Bone Joint Surg, Vol. 70-A, pp. 45-50
  14. Keaveny, T. M. and Bartel, D. L., 1993, 'Effects of Porous Coating and Collar Support on Early Load Transfer for a Cementless Hip Prosthesis,' J. Biomechanics, Vol. 26, pp. 1355-1368 https://doi.org/10.1016/0021-9290(93)90087-U