Effects of stemmed and nonstemmed hip replacement on stress distribution of proximal femur and implant

详细信息    查看全文

• 作者：Chun-Ming Chen (1)
  Wen-Chi Tsai (2) (3)
  Shang-Chih Lin (4)
  Ching-Shiow Tseng (1)
  
  1. Department of Mechanical Engineering ; National Central University ; Taoyuan ; Taiwan
  2. BoneCare Orthopedic Centers ; Han-Chiung Clinics ; Taipei ; Taiwan
  3. Department of Orthopedic Surgery ; National Taiwan University Hospital ; Taipei ; Taiwan
  4. Graduate Institute of Biomedical Engineering ; National Taiwan University of Science and Technology ; No. 43 ; Sec. 4 ; Keelung Rd ; Taipei ; 106 ; Taiwan
  
• 关键词：Hip ; Stemmed ; Nonstemmed ; Stress ; shielding ; Finite ; element
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：1,405 KB
• 参考文献：1. Callaghan, JJ, Forest, EE, Olejniczak, JP, Goetz, DD, Johnston, RC (1998) Charnley total hip arthroplasty in patients less than fifty years old. A twenty to twenty-five-year follow-up note. J Bone Joint Surg Am 80: pp. 704-714
  2. Chiu, KY, Ng, TP, Tang, WM, Poon, KC, Ho, WY, Yip, D (2001) Charnley total hip arthroplasty in Chinese patients less than 40聽years old. J Arthroplasty 16: pp. 92-101 6" target="_blank" title="It opens in new window">CrossRef
  3. Keener, JD, Callaghan, JJ, Goetz, DD, Pederson, DR, Sullivan, PM, Johnston, RC (2003) Twenty-five-year results after Charnley total hip arthroplasty in patients less than fifty years old: a concise follow-up of a previous report. J Bone Joint Surg Am 85: pp. 1066-1072
  4. Park, YS, Lee, JY, Yun, SH, Jung, MW, Oh, I (2003) Comparison of hydroxyapatite- and porous-coated stems in total hip replacement. Acta Orthop Scand 74: pp. 259-263
  5. Epinette, JA, Manley, MT (2003) Fifteen years of clinical experience with hydroxyapatite coating in joint arthroplasty. Springer, Health and Medicine - Medical Specialties. Clinical, New York, pp. 217-224
  6. Lutz, A, Nackenhorst, U, Lewinski, G, Windhagen, H, Floerkemeier, T (2010) Numerical studies on alternative therapies for femoral head necrosis. A finite element approach and clinical experience. Biomech Model Mechanobiol 10: pp. 627-640 61-3" target="_blank" title="It opens in new window">CrossRef
  7. Chen, WP, Tai, CL, Shih, CH, Hsieh, PH, Leou, MC, Lee, MS (2004) Selection of fixation devices in proximal femur rotational osteotomy: clinical complications and finite element analysis. Clin Biomech 19: pp. 255-262 6/j.clinbiomech.2003.12.003" target="_blank" title="It opens in new window">CrossRef
  8. Mont, MA, Hungerford, DS (1995) Non-traumatic avascular necrosis of the femoral head. J Bone Joint Surg Am 77: pp. 459-474
  9. Siguier, T, Siguier, M, Judet, T, Charnley, G, Brumpt, B (2001) Partial resurfacing arthroplasty of the femoral head in avascular necrosis. Methods, Indications, and Results. Clin Orthop 386: pp. 85-92 6-200105000-00011" target="_blank" title="It opens in new window">CrossRef
  10. Orishimo, KF, Claus, AM, Sychterz, CJ, Engh, CA (2003) Relationship between polyethylene wear and osteolysis in hips with a second-generation porous-coated cementless cup after seven years of follow-up. J Bone Joint Surg Am 85: pp. 1095-1099
  11. Joshi, MG, Advani, SG, Miller, F, Santare, MH (2000) Analysis of a femoral hip prosthesis designed to reduce stress shielding. J Biomech 33: pp. 1655-1662 6/S0021-9290(00)00110-X" target="_blank" title="It opens in new window">CrossRef
  12. Shih, CH, Chen, WP, Tai, CL, Kuo, RF, Wu, CC, Chen, CH (1997) New concepts-biomechanical studies of a newly designed femoral prosthesis (cervico-trochanter prosthesis). Clin Biomech 12: pp. 482-490 6/S0268-0033(97)00032-6" target="_blank" title="It opens in new window">CrossRef
  13. Chen, WP, Tai, CL, Lee, MS, Lee, PC, Liu, CP, Shih, CH (2004) Comparison of stress shielding among different cement fixation modes of femoral stem in total hip arthroplasty 鈥?A three-dimensional finite element analysis. J Med Biol Eng 24: pp. 183-187
  14. Tai, CL, Chen, WP, Lee, MS, Lee, PC, Shih, CH (2004) Comparison of stress shielding between straight and curved stem in cementless total hip arthroplasty 鈥?an in vitro experimental study. J Med Biol Eng 24: pp. 177-181
  15. Padgett, DE, Warashina, H (2004) The unstable total hip replacement. Clin Orthop 420: pp. 72-79 6-200403000-00011" target="_blank" title="It opens in new window">CrossRef
  16. Maloney, WJ, Schmalzried, T, Harris, WH (2003) Analysis of long-term cemented total hip arthroplasty retrievals. Clin Orthop 405: pp. 70-78 6-200212000-00009" target="_blank" title="It opens in new window">CrossRef
  17. Bugbee, WD, Culpepper, WJ, Engh, CA, Engh, CA (1997) Long-term clinical consequences of stress-shielding after total hip arthroplasty without cement. J Bone Joint Surg Am 79: pp. 1007-1012
  18. Tai, CL, Shih, CH, Chen, WP, Lee, SS, Liu, YL, Hsieh, PH, Chen, WJ (2003) Finite element analysis of the cervico-trochanteric stemless femoral prosthesis. Clin Biomech 18: pp. S53-S58 6/S0268-0033(03)00085-8" target="_blank" title="It opens in new window">CrossRef
  19. Munting, E, Verhelpen, M (1995) Fixation and effect on bone strain pattern of a stemless hip prosthesis. J Biomech 28: pp. 949-961 6/0021-9290(94)00146-U" target="_blank" title="It opens in new window">CrossRef
  20. Chen, TH, Lung, CY, Cheng, CK (2009) Biomechanical comparison of a new stemless hip prosthesis with different shapes-a finite element analysis. J Med Biol Eng 29: pp. 108-113
  21. Barrett, ARW, Davies, BL, Gomes, MPSF, Harris, SJ, Henckel, J, Jakopec, M, Baena, FMR, Cobb, JP (2006) Preoperative planning and intraoperative guidance for accurate computer-assisted minimally invasive hip resurfacing surgery. Proc IMechE Part H: J Eng Med 220: pp. 759-773 CrossRef
  22. Adams, D, Quigley, S (2005) Hip resurfacing: Past, present and future. J Orthop Nursing 9: pp. 87-94 6/j.joon.2005.03.008" target="_blank" title="It opens in new window">CrossRef
  23. Amstutz, HC, Duff, MJL, Campbell, PA, Dorey, FJ (2007) The Effects of Technique Changes on Aseptic Loosening of the Femoral Component in Hip Resurfacing. J Arthroplasty 22: pp. 481-489 6/j.arth.2006.08.001" target="_blank" title="It opens in new window">CrossRef
  24. Huang, CY, Luo, LJ, Lee, PY, Lai, JY, Wang, WT, Lin, SC (2010) Efficient segmentation algorithm for 3D bone models construction on medical images. J Med Biol Eng 31: pp. 375-386 CrossRef
  25. Brand, RA, Pedersen, DR, Friederich, JA (1986) The sensitivity of muscle force predictions to changes in physiologic cross-sectional area. J Biomech 19: pp. 589-596 6/0021-9290(86)90164-8" target="_blank" title="It opens in new window">CrossRef
  26. Huiskes, R, Boeklagen, R (1989) Mathematical shape optimization of hip prosthesis design. J Biomech 22: pp. 793-804 6/0021-9290(89)90063-8" target="_blank" title="It opens in new window">CrossRef
  27. Duda, GN, Brand, D, Freitag, S, Lierse, W, Schneider, E (1996) Variability of femoral muscle attachments. J Biomech 29: pp. 1185-1190 6/0021-9290(96)00025-5" target="_blank" title="It opens in new window">CrossRef
  28. Simoes, JA, Vaz, MA, Blatcher, S, Taylor, M (2000) Influence of head constraint and muscle forces on the strain distribution within the intact femur. Med Eng Phy 22: pp. 453-459 6/S1350-4533(00)00056-4" target="_blank" title="It opens in new window">CrossRef
  29. Taylor, ME, Tanner, KE, Freeman, MAR, Yettram, AL (1996) Stress and strain distribution within the intact femur: compression or bending?. Med Eng Phy 18: pp. 122-131 6/1350-4533(95)00031-3" target="_blank" title="It opens in new window">CrossRef
  30. Shih, KS, Tseng, CS, Lee, CC, Lin, SC (2008) Influence of muscular contractions on the stress analysis of distal femoral interlocking nailing. Clin Biomech 23: pp. 38-44 6/j.clinbiomech.2007.08.020" target="_blank" title="It opens in new window">CrossRef
  31. Hoffler, CE, Moore, KE, Kozloff, K, Zysset, PK, Goldstein, SA (2000) Age, gender, and bone lamellae elastic moduli. J Orthop Res 18: pp. 432-437 CrossRef
  32. Reilly, DT, Burstein, AH (1975) The elastic and ultimate properties of compact bone tissue. J Biomech 8: pp. 393-405 6/0021-9290(75)90075-5" target="_blank" title="It opens in new window">CrossRef
  33. Wirtz, DC, Schiffers, N, Pandorf, T, Radermacher, K, Weichert, D, Forst, R (2000) Critical evaluation of known bone material properties to realize anisotropic FE-simulation of the proximal femur. J Biomech 33: pp. 1325-1330 6/S0021-9290(00)00069-5" target="_blank" title="It opens in new window">CrossRef
  34. Spears, IR, Morlock, MM, Pfleiderer, M, Schneider, E, Hille, E (1999) The influence of friction and interference on the seating of a hemispherical press-fit cup: a finite element investigation. J Biomech 32: pp. 1183-1189 6/S0021-9290(99)00121-9" target="_blank" title="It opens in new window">CrossRef
  35. Nuno, N, Groppetti, R, Senin, N (2006) Static coefficient of friction between stainless steel and PMMA used in cemented hip and knee implants. Clin Biomech 21: pp. 956-962 6/j.clinbiomech.2006.05.008" target="_blank" title="It opens in new window">CrossRef
  36. Chen, CC, Cheng, CT, Lin, CS, Lin, SC, Chiang, CC, Luo, CA, Tseng, CS (2014) Biomechanical effects of bone-implant fitness and screw breakage on the stability and stress performance of the nonstemmed hip system. Clin Biomech 29: pp. 161-169 6/j.clinbiomech.2013.11.017" target="_blank" title="It opens in new window">CrossRef
  37. Asgari, SA, Hamouda, AMS, Mansor, SB, Singh, H, Mahdi, E, Wirza, R, Prakash, B (2004) Finite element modeling of a generic stemless hip implant design in comparison with conventional hip implants. Finite Elem Anal Des 40: pp. 2027-2047 6/j.finel.2004.02.003" target="_blank" title="It opens in new window">CrossRef
  38. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/15/312/prepub
  
• 刊物主题：Orthopedics; Rehabilitation; Rheumatology; Sports Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2474

文摘

Background Despite improvements in shape, material, and coating for hip stem, both stress shielding and aseptic loosening have been the major drawbacks of stemmed hip arthroplasty. Some nonstemmed systems were developed to avoid rasping off the intramedullary canal and evacuating the bone marrow due to stem insertion. Methods In this study, the finite-element models of one intact, one stemmed, and two nonstemmed femora with minimal removal of the healthy neck were investigated to evaluate their biomechanical effects. The resurfacing (ball-shaped) and fitting (neck-shaped) systems were respectively selected as the representative of the ready- and custom-made nonstemmed implants. The stress distribution and interface micromotion were selected as the comparison indices. Results The results showed that stress distributions of the two nonstemmed femora are consistently more similar to the intact femur than the stemmed one. Around the proximal femur, the stem definitely induces the stress-shielding phenomenon of its counterparts. The fitting system with the anatomy-shaped cup can make intimate contact with the neck cortex and reduce the bone-cup micromotion and the implant stress. Comparatively, the reamed femoral head provides weaker support to the resurfacing cup causing higher interfacial micromotion. Conclusions The reserved femoral neck could act as the load-transferring medium from the acetabular cup, femoral neck, to the diaphysial bone, thus depressing the stress-shielding effect below the neck region. If the hip-cup construct can be definitely stabilized, the nonstemmed design could be an alternative of hip arthroplasty for the younger or the specific patients with the disease limited only to the femoral head.