Micromotion and subsidence of a cementless conical fluted stem depending on femoral defect size - A human cadaveric study.

Background: Cementless modular endoprostheses with tapered fluted stems cover a wide spectrum of femoral defects in reconstructive surgery of the hip. Nevertheless, for these hip stems the recommendations concerning the minimum diaphyseal anchorage distance differ widely. The present experimental study investigated the primary stability of a conical fluted revision stem depending on different types of femoral bone defects.

Primary stability of a cementless modular revision hip stem in relation with the femoral defect size: A biomechanical study.

Purpose: Cementless modular fluted hip stems are commonly used in revision arthroplasty. Nevertheless, there is a wide spectrum of recommendations concerning the minimum bone stock required to enable osseous ingrowth and implant-bone micromotions <100 µm. This experimental study investigated the primary stability of a tapered cementless fluted revision stem depending on different types of bone defects.

Primary stability of total hip stems: does surgical technique matter?

Background: With this preliminary study we hypothesized a modified implantation technique may lead to higher primary stability than the conventional one.

Methods: In the conventional technique we used a sharp spoon to open the femoral cavity. Subsequently the opening was extended by increasing sizes of a sensing device to approve the final size.

A Novel Approach for Dynamic Testing of Total Hip Dislocation under Physiological Conditions.

Constant high rates of dislocation-related complications of total hip replacements (THRs) show that contributing factors like implant position and design, soft tissue condition and dynamics of physiological motions have not yet been fully understood. As in vivo measurements of excessive motions are not possible due to ethical objections, a comprehensive approach is proposed which is capable of testing THR stability under dynamic, reproducible and physiological conditions. The approach is based on a hardware-in-the-loop (HiL) simulation where a robotic physical setup interacts with a computational musculoskeletal model based on inverse dynamics.

Evaluation of electric field distribution in electromagnetic stimulation of human femoral head.

Electromagnetic stimulation is a common therapy used to support bone healing in the case of avascular necrosis of the femoral head. In the present study, we investigated a bipolar induction screw system with an integrated coil. The aim was to analyse the influence of the screw parameters on the electric field distribution in the human femoral head.