DOI QR코드

DOI QR Code

Measures of micromotion in cementless femoral stems-review of current methodologies

  • Solitro, Giovanni F (Department of Orthopaedic Surgery, University of Illinois at Chicago) ;
  • Whitlock, Keith (College of Medicine, University of Illinois at Chicago) ;
  • Amirouche, Farid (Department of Orthopaedic Surgery, University of Illinois at Chicago) ;
  • Santis, Catherine (Department of Mechanical Engineering, University of Illinois at Chicago)
  • 투고 : 2016.03.29
  • 심사 : 2016.06.17
  • 발행 : 2016.06.25

초록

Stability and loosening of implanted femoral stems in Total Hip Replacement have been well established as barriers to the primary concerns of osseointegration and long term implant survival. In-vitro experiments and finite element modeling have for years been used as a primary tool to assess the bone stem interface with variable methodologies leading to a wide range of micromotion, interference fit and stress shielding values in the literature. The current study aims to provide a comprehensive review of currently utilized methodologies for in-vitro mechanical testing as well as finite element modeling of both micromotion and interference of implanted femoral stems. A total of 12 studies detailed in 33 articles were selected for inclusion. Experimental values of micromotion ranged from 12 to $182{\mu}m$ while finite element analysis reported a wider range from 2.74 to $1,277{\mu}m$. Only two studies were found that modeled bone/implant contact with consideration for interference fit. In studies evaluating stem micromotion in THA, the reference surface at the bone/stem interface should be well defined. Additionally, the amount of penetration considered should be disclosed and associated with bone density and roughness.

키워드

과제정보

연구 과제 주관 기관 : Aurelio Caccomo Family Foundation

참고문헌

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피인용 문헌

  1. Biomechanical Robustness of a Contemporary Cementless Stem to Surgical Variation in Stem Size and Position vol.140, pp.9, 2016, https://doi.org/10.1115/1.4039824