Document Type
Article
Language
eng
Publication Date
2010
Publisher
BioMed Central
Source Publication
Journal of Orthopaedic Surgery and Research
Source ISSN
1749-799X
Original Item ID
doi: 10.1186/1749-799X-5-40
Abstract
Background
In-vitro mechanical tests are commonly performed to assess pre-clinically the effect of implant design on the stability of hip endoprostheses. There is no standard protocol for these tests, and the forces applied vary between studies. This study examines the effect of the abductor force with and without application of the anterior-posterior hip contact force in the in-vitro assessment of cementless hip implant stability.
Methods
Cementless stems (VerSys Fiber Metal) were implanted in twelve composite femurs which were divided into two groups: group 1 (N = 6) was loaded with the hip contact force only, whereas group 2 (N = 6) was additionally subjected to an abductor force. Both groups were subjected to the same cranial-caudal hip contact force component, 2.3 times body weight (BW) and each specimen was subjected to three levels of anterior-posterior hip contact load: 0, -0.1 to 0.3 BW (walking), and -0.1 to 0.6 BW (stair climbing). The implant migration and micromotion relative to the femur was measured using a custom-built system comprised of 6 LVDT sensors.
Results
Substantially higher implant motion was observed when the anterior-posterior force was 0.6BW compared to the lower anterior-posterior load levels, particularly distally and in retroversion. The abductor load had little effect on implant motion when simulating walking, but resulted in significantly less motion than the hip contact force alone when simulating stair climbing.
Conclusions
The anterior-posterior component of the hip contact load has a significant effect on the axial motion of the stem relative to the bone. Inclusion of the abductor force had a stabilizing effect on the implant motion when simulating stair climbing.
Recommended Citation
Park, Youngbae; Albert, Carolyne; Yoon, Yong-San; Fernlund, Göran; Frei, Hanspeter; and Oxland, Thomas R., "The Effect of Abductor Muscle and Anterior-Posterior Hip Contact Load Simulation on the In-vitro Primary Stability of a Cementless Hip Stem" (2010). Biomedical Engineering Faculty Research and Publications. 272.
https://epublications.marquette.edu/bioengin_fac/272
Comments
Published version. Journal of Orthopaedic Surgery and Research, Vol. 5, No. 40 (2010). DOI. © 2010 Park et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.