scholarly journals Cemented short‐stem total hip arthroplasty: Characteristics of line‐to‐line versus undersized cementing techniques using a validated CT‐based finite element analysis

2020 ◽  
Author(s):  
Fahimeh Azari ◽  
Amelie Sas ◽  
Karl P. Kutzner ◽  
Andreas Klockow ◽  
Thierry Scheerlinck ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Short Stem ◽  
Element Analysis ◽  
Total Hip ◽  
Cementing Techniques

scholarly journals Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora. Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.

scholarly journals Short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora.Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

‘Pre-launch’ finite element analysis of a short-stem total hip arthroplasty system consisting of two implant types

2019 ◽  
Vol 61 ◽  
pp. 31-37 ◽  
Author(s):  
Matthias Lerch ◽  
Henning Windhagen ◽  
Agnes-Elisabeth Kurtz ◽  
Stefan Budde ◽  
Bernd-Arno Behrens ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Short Stem ◽  
Element Analysis ◽  
Total Hip

scholarly journals Metaphyseal anchoring short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Shuang G. Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a metaphyseal anchoring short and standard stem in native biomechanical femora. Methods The subject specific finite element models of biomechanical femora, one native and two with implanted metaphyseal anchoring SHA (Metha, B. Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusions Both, short and standard THA, cause unloading of the proximal femur. However, the metaphyseal anchoring SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load patterns implicate a reduced stress shielding proximally for metaphyseal anchoring SHA stems and might be able to translate in a better bone preservation.

scholarly journals Short Stem Hip Arthroplasty Provides a More Physiological Load Transfer: a Comparative Finite Element Analysis Study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background: Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora.Methods: The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution.Results: Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally.Conclusions: Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

scholarly journals Short stem hip arthroplasty provides a more physiological load transfer: a comparative finite element analysis study

2020 ◽  
Author(s):  
Shuang G Yan ◽  
Yan Chevalier ◽  
Fanxiao Liu ◽  
Xingyi Hua ◽  
Anna Schreiner ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Load Transfer ◽  
High Stress ◽  
Short Stem ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Total Hip

Abstract Background Short stem total hip arthroplasty (SHA) preserves femoral bone stock and is supposed to provide a more natural load transfer compared to standard stem total hip arthroplasty (THA). As comparative biomechanical reference data are rare we used a finite element analysis (FEA) approach to compare cortical load transfer after implantations of a cementless short and standard stem in native biomechanical femora. Methods The subject specific finite element models of biomechanical femora, one native and two with implanted SHA (Metha, B.Braun Aesculap) and standard THA (CLS, Zimmer-Biomet), were generated from computed tomography datasets. The loading configuration was performed with an axial force of 1400 N. Von Mises stress was used to investigate the change of cortical stress distribution. Results Compared to the native femur, a considerable reduction of cortical stress was recorded after implantation of SHA and standard THA. The SHA showed less reduction proximally with a significant higher metaphyseal cortical stress compared to standard THA. Moreover, the highest peak stresses were observed metaphyseal for the SHA stem while for the standard THA high stress pattern was observed more distally. Conclusion Both, short and standard THA, cause unloading of the proximal femur. However, SHA features a clearly favorable pattern in terms of a lower reduction proximally and improved metaphyseal loading, while standard THA shows a higher proximal unloading and more distal load transfer. These load pattern implicate a reduced stress shielding proximally for SHA and might be able to translate in a better bone preservation.

Total hip arthroplasty-finite element analysis validation

2002 ◽  
Author(s):  
D. Leone ◽  
L. Breglia ◽  
J. Gander ◽  
J. Ibets ◽  
C. Teeling ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Element Analysis ◽  
Total Hip

scholarly journals Bone remodeling after total hip arthroplasty with a short stemmed metaphyseal loading implant: Finite element analysis validated by a prospective DEXA investigation

2012 ◽  
Vol 30 (11) ◽  
pp. 1822-1829 ◽  
Author(s):  
Matthias Lerch ◽  
Agnes Kurtz ◽  
Christina Stukenborg-Colsman ◽  
Ingo Nolte ◽  
Nelly Weigel ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Total Hip Arthroplasty ◽  
Bone Remodeling ◽  
Hip Arthroplasty ◽  
Element Analysis ◽  
Total Hip
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