Medical Engineering & Physics
Volume 28, Issue 5 , Pages 475-482 , June 2006

Device to measure intra-operatively the primary stability of cementless hip stems

  • L. Cristofolini

      Affiliations

    • Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy
    • DIEM, Università degli Studi di Bologna, Viale Risorgimento 2, 40136 Bologna, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 051 6366577; fax: +39 051 6366863.
  • ,
  • E. Varini

      Affiliations

    • Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy
    • DEIS, Università degli Studi di Bologna, Viale Risorgimento 2, 40136 Bologna, Italy
  • ,
  • I. Pelgreffi

      Affiliations

    • Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy
  • ,
  • A. Cappello

      Affiliations

    • DEIS, Università degli Studi di Bologna, Viale Risorgimento 2, 40136 Bologna, Italy
  • ,
  • A. Toni

      Affiliations

    • Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy

Received 7 February 2005 ,Revised 18 July 2005 ,Accepted 19 July 2005.

References 

  1. Kapandji A. Physiologie articulaire. In: La Hanche, Librerie Maloine SA, 1982. Fascicule II.I.
  2. Rydell NW. Forces acting on the femoral head prosthesis. Acta Orthop Scand. 1966;37(Suppl. 88):96–125
  3. Maloney WJ, Jasty M, Burke DW, O’Connor DO, Zalenski EB, Bragdon CR, et al. Biomechanical and histologic investigation of uncemented total hip arthroplasties: A study of autopsy-retrieved femurs after in vivo cycling. Clin Orthop Rel Res. 1989;249:129–140
  4. Schneider E, Kinast C, Eulenberger J, Wyder D, Eskilsson G, Perren SM. A comparative study of the initial stability of cementless hip prostheses. Clin Orthop Rel Res. 1989;248:200–209
  5. Søballe K. Hydroxyapatite ceramic coating for bone implant fixation: Mechanical and histological studies in dogs. Acta Orthop Scand. 1993;(Suppl. 255):1–58
  6. Harris WH, Mulroy RD, Maloney WJ, Burke DW, Chandler HP, Zalenski EB. Intraoperative measurement of rotational stability of femoral components of total hip arthroplasty. Clin Orthop. 1991;266:119–126
  7. Pilliar RM, Lee JM, Maniatopoulos C. Observations on the effect of movement on bone ingrowth into porous-surfaced implants. Clin Orthop Rel Res. 1986;208:108–113
  8. Goodman SB. The effects of micromotion and particulate materials on tissue differentiation: Bone chamber studies in rabbits. Acta Orthop Scand. 1994;(Suppl. 258):1–43
  9. Ishiguro N, Kojima T, Ito T, Saga S, Anma H, Kurokouchi K, et al. Macrophage activation and migration in interface tissue around loosening total hip arthroplasty components. J Biomed Mater Res. 1997;35:399–406
  10. Schutzer SF, Grady-Beson J, Jasty M, O’Connor DO, Bragdon C, Harris WH. Influence of intraoperative femoral fractures and cerclage wiring on bone ingrowth into canine porous coated femoral components. J Arthroplasty. 1995;10:823–829
  11. Schwartz JTJ, Mayer JG, Engh CA. Femoral fractures during non-cemented total hip arthroplasty. J Bone Joint Surg [Am]. 1989;71(8):1135–1142
  12. Otani T, Witheside LA. Failure of cementless fixation of the femoral component in total hip arthroplasty. Ortho Clin North Am. 1992;23:335–346
  13. Schmidt AH, Kyle RF. Periprosthetic fractures of the femur. Ortho Clin North Am. 2002;33:143–152
  14. Harman MK, Toni A, Cristofolini L, Viceconti M. Initial stability of uncemented hip stems: an in vitro protocol to measure torsional interface motion. Med Eng Physics. 1995;17:163–171
  15. Callaghan JJ, Fulghum CS, Lsisson RR, Stranne SK. The effect of femoral stem geometry on interface motion in uncemented porous-coated total hip prostheses: Comparison of straight-stem and curved-stem designs. J Bone Joint Surg Am. 1992;74:839–848
  16. Nunn D, Freeman MA, Tanner KE, Bonfield W. Torsional stability of the femoral component of total hip arthroplasty: Response to an anteriorly applied load. J Bone Joint Surg Am. 1989;71:452–455
  17. Heller MO, Bergmann G, Deuretzbacher G, Claes L, Haas NP, Duda GN. Influence of femoral anteversion on proximal femoral loading: measurement and simulation in four patients. Clin Biomech. 2001;16:644–649
  18. Bergmann G, Graichen F, Rohlmann A. Is staircase walking a risk for the fixation of hip implants?. J Biomech. 1995;28:535–553
  19. Hodge WA, Carlson KL, Fijan RS, Burgess RG, Riley PO, Harris WH, et al. Contact pressures from an instrumented hip endoprosthesis. J Bone Joint Surg. 1989;71-A:1378–1386
  20. Kotzar GM, Davy DT, Goldberg WM, Heiple KG, Berilla J, Brown RH, et al. Telemeterized in vivo hip joint force data: a report on two patients after total hip surgery. J Orthop Res. 1991;9:621–633
  21. Monti L, Cristofolini L, Viceconti M. Methods for quantitative analysis of the primary stability in uncemented hip prostheses. Art Org. 1999;23:851–859
  22. Phillips TW, Nguyen LT, Munro SD. Loosening of cementless femoral stems: a biomechanical analysis of immediate fixation with loading vertical, femur horizontal. J Biomech. 1991;24(1):37–48
  23. Baleani M, Cristofolini L, Toni A. Initial stability of a new hybrid fixation hip stem experimental measurement of implant-bone micromotion under torsional load in comparison with cemented and cementless stems. J Biomed Mater Res. 2000;50:605–615
  24. Total Hip Replacement. NIH Consens Statement, 1994. Sep 12–14, 12(5):1–31.
  25. Cristofolini L, Viceconti M, Cappello A, Toni A. Mechanical validation of whole bone composite femur models. J Biomech. 1996;29:525–535
  26. Doyle JF, Phillips JW. Manual of experimental stress analysis. Vol. 24. Society for Experimental Mechanics; 1991;
  27. Monti L, Cristofolini L, Toni A, Ceroni RG. In vitro testing of the primary stability of the VerSys enhanced taper stem: a comparative study in intact and intraoperatively cracked femora. Proc Inst Mech Eng. 2001;215(part H):75–83
  28. Cristofolini L. A critical analysis of stress shielding evaluation of hip prostheses. Crit Rev Biomed Eng. 1997;25:409–483

PII: S1350-4533(05)00160-8

doi: 10.1016/j.medengphy.2005.07.015

Medical Engineering & Physics
Volume 28, Issue 5 , Pages 475-482 , June 2006