• Proceedings of the KOSOMBE Conference
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• v.1996 no.11
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• pp.337-346
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• 1996

Debonding of cement-femoral stem interface has been suggested as a initial focus of loosening mechanism in many previous studies of cemented total hip replacement. The purpose of this study was to investigate the effect of debonding of cement-femoral stem interface to the bone-cement interface by using three-dimensional non-liner finite element analysis. Three cases of partial debonded, full debonded, full bonded cement-bone interface were modelled with partial bonding of distal 70mm from the tip of femoral stem. Each situation was studied under loading stimulating one-leg stanced gait of 68kg patient. The results showed that under partial and full debonded cement-stem interface condition the peak von Mises stress(3.1 MPa) were observed at the cement of bone-cement interface just under the calcar of proximal medial of femur, and sudden high peak stresses(3.5MPa) were developed at the distal tip of femoral stem at the lateral bone-cement interface in all 3 cases of bonding. The stresses were transfered very little to the cement of upper lateral bone-cement interface in partial and full debonded cases. Thus, once partial or full debonded cement-femoral stem interface occured, 3 times higher stress concentration were developed on the cement of proximal medial bone-cement interface than full bonded interface, and these could cause loosening of cemented total hip replacement. Clinically, preservation of more rigid cement-femoral stem interface may be important factor to prevent loosening of femoral stem.

• Proceedings of the KSME Conference
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• 2001.06a
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• pp.951-955
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• 2001

The experimental comparison between bonded and unbonded types stem-cement interface was carried out on axisymmetric stem-cement-aluminum model of the femoral component of a total hip replacement. Human femur was modeled in non-tapered and tapered($7.5^{\circ}$) aluminum hollow cylinders to emulate the diaphyseal and metaphyseal segments of the femur. For unbonded type, we tested stems with three different taper angles($5^{\circ},\;7.5^{\circ},\;10^{\circ}$). In every case, the cement-aluminum interface was designed to endure 8MPa shear strength. (a measured value at cement-bone interface) We tested aluminum models under axial loading for both cases. As an experimental result, it was found that unbonded stem sustained more axial load as bonded stem in both cases, diaphyseal and metaphyseal models. The unbonded types failed in cement mantle under axial compressive load, while the bonded ones failed in shear at cement-aluminum interface. These results suggest that a polished stem will sustain much higher axial load than a roughened stem. And a polished stem will make more stable cement-bone interface that may promote better osteosythesis around the stem.

• Advances in Computational Design
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• v.4 no.3
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• pp.239-250
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• 2019

The insertion of femoral implants is the most important phase for surgeons, given the characteristics of the cement during its mixing phase, generating residual stresses of thermal origin that increase the different stresses induced in the bone cement. The aim of our study is to determine the different stresses that affect the cement and more particularly at the cement-implant interface for different temperatures, and to make a comparison with the cement at ambient temperature. It was concluded that, there are a large concentration of stresses in the proximal part of the cement. For normal stresses, the bone cement is affected by stresses of tension and compression due to the effect of polymerization and the contraction of the cement.

• Journal of Mechanical Science and Technology
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• v.20 no.12
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• pp.2168-2177
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• 2006

The purpose of this investigation was to determine the specific fracture mechanics response of cracks that initiate at the stem-cement interface and propagate into the cement mantle. Two-dimensional finite element models of idealized stem-cement-bone cross-sections from the proximal femur were developed for this study. Two general stem types were considered; Rectangular shape and Charnley type stem designs. The FE results showed that the highest principal stress in the cement mantle for each case occurred in the upper left and lower right regions adjacent to the stem-cement interface. There was also a general decrease in maximum tensile stress with increasing cement mantle thickness for both Rectangular and Charnley-type stem designs. The cement thickness is found to be one of the important fatigue failure parameters which affect the longevity of cemented femoral components, in which the thinner cement was significantly associated with early mechanical failure for shot-time period.

• Advances in materials Research
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• v.3 no.1
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• pp.271-281
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• 2014

The presence of cavities in the bone cement has a great importance for the transport of antibiotics, but its existence in this material can lead to its weakening by notch effect. The aim of this study allows providing a physical interpretation to the cavities interconnection by cracks observed experimentally. The most important stress of Von Mises is localized at the cement/bone interface near the free edge which is the seat of stress concentration. The presence and interaction of cavities in this site concentrate, by notch effect, stresses which tend to the tensile fracture stress of Bone cement.

• Journal of Periodontal and Implant Science
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• v.32 no.4
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• pp.753-767
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• 2002

The purpose of this study was to evaluate histologically the effect of LiF-maleic acid added calcium aluminate(LM-CA) bone cement & CA-PMMA composite bone cement on the healing of calvarial defect in Sprague-Dawley rats. The critical size defects were surgically produced in the calvarial bone using the 8mm trephine bur. The rats were divided in three groups : In the control group, nothing was applied into the defect of each rat. LM-CA bone cement was implanted in the experimental group 1 and CA-PMMA composite bone cement was implanted in the experimental group 2. Rats were sacrificed at 2, 8 weeks after surgical procedure. The specimens were examined by histologic analysis, especially about the bone-cement interface and the response of surrounding tissue. The results are as follows; 1. In the control group, inflammatory infiltration was observed at 2 weeks. At 8 weeks, periosteum and duramater were continuously joined together in the defect area. But the center of defect area was filled up with the loose connective tissue. 2. In the experimental group 1, the bonding between implanted bone cement and the existing bone was seen, which more increased in 8 weeks than 2 weeks. Inflammatory infiltration and the dispersion of implanted bone cement particles were seen in both 2 weeks and 8 weeks. 3. In the experimental group 2, implanted bone itself had a dimensional stability and no bonding between implanted bone cement and the existing bone was seen in both 2 weeks and 8 weeks. Implanted bone cement was encapsulated by fibrous connective tissue. In addition, inflammatory infiltration was seen around implanted bone cement. On the basis of these results, when LM-CA bone cement or CA-PMMA composite bone cement was implanted in rat calvarial defect, LM-CA bone cement can be used as a bioactive bone graft material due to ability of bonding to the existing bone and CA-PMMA can be used as a graft material for augmentation of bone-volume due to dimensional stability.

• Journal of the Korea Concrete Institute
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• v.23 no.4
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• pp.461-469
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• 2011

In this study, the effect of polyvinyl alcohol (PVA) fiber volume fraction on the pullout behavior of structural synthetic fiber in hybrid structural synthetic fiber and PVA fiber cement composites are presented. Pullout behavior of the hybrid fiber cement composites and structural synthetic fiber were determined by dog-bone bond tests. Test results found that the addition of PVA fiber can effectively enhance the structural synthetic fiber cement based composites pullout behavior, especially in fiber interface toughness. Pullout test results of the structural synthetic fiber showed the interface toughness between structural synthetic fiber and PVA fiber reinforced cement composites increases with the volume fraction of PVA fiber. The microstructural observation confirms the incorporation of PVA fiber can effectively enhance the interface toughness mechanism of structural synthetic fiber and PVA fiber reinforced cement composites.

• Journal of Biomedical Engineering Research
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• v.15 no.2
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• pp.183-188
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• 1994

In clinical orthopaedics, bone resoption in the cortex is often seen post operatively on X-rays or bone densitometry after total hip replacement (THR) in the form of cortical osteoporosis or atropy. Stress shielding of bone occurs, when a load, normally carried by the bone alone, is shared with an implant as a result, the bone stresses are abnormal and with remodelling analysis this may cause extensive proximal bone resoption, possibly weakening the bone bed to the point of failure. The author made finite element models of the cemented and non-cemented type implanted femoral stem with bone resorption of the proximal medial femur and studied the feed back effect of the various degree of bone resoption to THR system by parametric analysis on the stress of the femoral stem and interface. The results of the present finite element analysis implied that the extent of proximal bone resorption has the effect of more increasing stress on the distal stem tip, cement mantle and interface in both type of femoral stem and this high distal stress possibly can cause the mechanical failure of loosening or failure after THR.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.31 no.2A
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• pp.137-143
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• 2011

This study evaluated the effects of maleic anhydride grafted polypropylene powder (mPP) contents on the bond properties of cement mortar and nonpolar macro synthetic fibers (macro synthetic fiber). Dog-bone bond tests were performed to evaluate the bond performance of macro synthetic fiber in cement mortar with varying amounts of mPP (0%, 5%, 10%, 15%, 20%, 25%, 30% of cement weight). The bond properties (pullout behavior, pullout load and interface toughness) of macro synthetic fiber in cement mortar increased as the mPP contents was increased. The bond properties increased with the mPP contents. The microstructure of macro synthetic fiber surface was examined after the pullout test to analyze the frictional resistant force according to mPP contents during the pullout process of macro synthetic fiber in cement mortar. The scratched of macro synthetic fiber increased with the mPP contents.

• Journal of Adhesion and Interface
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• v.7 no.3
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• pp.1-9
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• 2006

To improve the poor mechanical and thermal properties of conventional PMMA bone cement, we impregnated three types of polyethylenes (PE) (200, 3,800, and 8,000 kg/mol). MMA/xylene solution was used to modify the surfaces of PEs and new composite PMMA bone cements were manufactured by impregnating 3 wt% of the surface-modified PEs into conventional PMMA bone cement. As molecuar weigth of PE increased, tensile strengths of the manufactured composite PMMA bone cements were improved. Also, we confirmed that the curing temperatures of the composite PMMA bone cements decreased from near $100^{\circ}C$ to $40^{\circ}C{\sim}80^{\circ}C$.