A short stem with metaphyseal anchorage reveals a more physiological strain pattern compared to a standard stem - an experimental study in cadavaric bone.
Acta Bioeng Biomech
; 21(2): 153-159, 2019.
Article
em En
| MEDLINE
| ID: mdl-31741479
ABSTRACT
PURPOSE:
The proposed advantages of short stem hip arthroplasties are bone preserving strategies and less soft tissue damage. Bone preserving strategies do not only include a more proximal resection of the femoral neck, but especially for short stem hip arthroplasties with predominantly metaphyseal fixation a presumed more physiologic load transfer and thus a reduction of stress-shielding. However, the hypothesized metaphyseal anchorage associated with the aforementioned benefits still needs to be verified. Unfortunately, mid- to long-term clinical studies are missing.METHODS:
Therefore, the METHA short stem as a short stem with proposed metaphyseal anchorage and the Bicontact® standard stem were tested biomechanically in three pairs of cadaveric femora while strain gauges monitored their corresponding strain patterns.RESULTS:
For the METHA stem, the strains in all tested locations including the region of the calcar were similar to conditions of cadaver without implanted stem. The Bicontact stem showed approximately half of strain of the non-implanted cadaveric femura with slightly increasing strain from proximal to distal.CONCLUSIONS:
Summarizing, the current study revealed primary metaphyseal anchorage of the METHA short stem and a metaphyseal-diaphyseal anchorage of the Bicontact stem.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Desenho de Prótese
/
Estresse Mecânico
/
Fêmur
/
Prótese de Quadril
Limite:
Humans
Idioma:
En
Revista:
Acta Bioeng Biomech
Assunto da revista:
ENGENHARIA BIOMEDICA
/
FISIOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Alemanha