0
Articles   |    
Proximal strain distribution in the loaded femur. An in vitro comparison of the distributions in the intact femur and after insertion of different hip-replacement femoral components

The Journal of Bone & Joint Surgery.  1978; 60:75-85 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

The distribution of strain in the proximal part of loaded cadaver femora was measured in vitro using strain gauges applied to the cortex. The loading conditions simulated single-limb stance and the strains were recorded first with the femora intact and then with the femoral components of six different designs inserted. Each femur served as its own control. After insertion of a femoral component, the pattern of strain in the proximal part of the femur was reversed compared with that in the intact femur, in that the maximum strain occurred around the tip of the prosthesis rather than at the calcar femorale. A massive decrease in stress in the region of the calcar femorale was found when the implants were in place, and it was concluded that this decrease could contribute substantially to the calcar femorale resorption sometimes observed in patients after total hip replacement. Transfer of load directly to the calcar femorale through a larger collar in direct contact with the cortical bone restored 30 to 40 per cent of the normal strain to the calcar femorale and shifted the strain pattern toward normal. Compared with the less stiff stems tested, the larger, stiffer stems, which provide more protection against fatigue failure, did not affect the strain pattern adversely.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Hip
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    05/18/2012
    TX - University of North Texas Health Science Center
    03/07/2012
    KY - University of Louisville Dept. of Orthopaedic Surgery
    02/16/2012
    MA - Beth Israel Deaconess Medical Center