1. Similar stress repartition for a standard uncemented collared femoral stem versus a shortened collared femoral stem
- Author
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Jean Marc Puch, Cécile Batailler, Elvire Servien, Sébastien Lustig, Jobe Shatrov, Axel Schmidt, Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL), Laboratoire de Biomécanique et Mécanique des Chocs (LBMC UMR T9406 ), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Gustave Eiffel, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Sydney Orthopaedic Research Institute, Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM ), and Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Université Savoie Mont Blanc (USMB [Université de Savoie] [Université de Chambéry])
- Subjects
[SDV]Life Sciences [q-bio] ,0206 medical engineering ,02 engineering and technology ,Femoral stem ,Clinical study ,Stress (mechanics) ,03 medical and health sciences ,0302 clinical medicine ,Stress repartition ,Repartition ,von Mises yield criterion ,Medicine ,Orthopedics and Sports Medicine ,Orthopedic surgery ,Orthodontics ,030222 orthopedics ,Short stem ,Hip ,business.industry ,Significant difference ,Finite element analysis ,020601 biomedical engineering ,Surgery ,Original Article ,Total hip arthroplasty ,business ,Uncemented stem ,RD701-811 - Abstract
Introduction: The design of uncemented femoral stems for use in total hip arthroplasty has evolved. Several uncemented short stems have been developed with different bone fixations, shapes, or stem lengths. The literature analyzing the biomechanical performance of short to standard stem lengths is limited. The aim was to compare the stress repartition on a standard uncemented stem and a shortened uncemented femoral stem with the same design features. Material and methods: This finite element analysis assessed the stress repartition on two femoral components with the same design (uncemented, collared, proximal trapezoidal cross-section, and a tapered quadrangular distal stem) but with two different lengths. The shortened stem was shorter by 40 mm compared to the standard stem. The stress repartition was analysed according to the Von Mises criterion. Results: The stress repartition was similar for the standard and shorter stem without significant difference (p = 0.94). The mean Von Mises stress was 58.1 MPa [0.2; 154.1] for the standard stem and 57.2 MPa [0.03; 160.2] for the short stem. The distal part of the standard stem, which was removed in the short stem, had mean stress of 3.7 MPa [0.2; 7.0]. Conclusion: The finite element analysis found similar stress repartitions between a standard uncemented collared stem and a short, collared stem with the same design. A clinical study assessing the clinical outcomes and the bone remodelling with a collared short stem would be interesting to confirm these first promising results.
- Published
- 2021