The effect of dorsal rim loss on the initial stability of the BioMedtrix cementless acetabular cup.

BMC Vet Res

From the Comparative Orthopaedics Biomechanics Laboratory, College of Veterinary Medicine, University of Florida, Gainesville, FL, USA.

Published: March 2015

AI Article Synopsis

  • The study investigates the impact of loss of dorsal acetabular rim (DAR) on the stability of cementless BFX acetabular cups in canines.
  • The experimental tests, using both foam blocks and cadaveric pelvises, reveal that while normal loading shows no significant difference in stability with up to 50% DAR loss, failure occurred primarily due to bone fractures instead.
  • Overall, it concludes that BFX cup stability seems unaffected by DAR loss within this threshold under standard physiological conditions.

Article Abstract

Background: Loss of dorsal acetabular rim (DAR) is a common sequela to canine hip dysplasia. The purpose of this study is to evaluate the effect of DAR loss on the initial stability of the cementless (BFX) acetabular cup. BFX cups were implanted into foam blocks reamed to resemble acetabulae with simulated 0, 25, 50, and 75% DAR loss. Models were tested in edge loading of the lateral surface of the cup with an indenter, and in centered loading with an articulated femoral prosthesis. Additionally, cups were implanted into paired cadaveric canine hemipelves with either no DAR depletion, or removal of 50% of the DAR, and acutely loaded to failure with an articulated femoral prosthesis.

Results: Mean load measured at 1 mm cup displacement during edge loading was not significantly different in foam blocks with loss of 0, 25, 50, and 75% DAR (360 ± 124 N, 352 ± 42 N, 330 ± 81 N, 288 ± 43 N, respectively; P = 0.425). Mean load to failure with centered loads was greatest in blocks with 0% DAR loss (2828 ± 208 N; P < 0.001), but was not significantly different between 25, 50, and 75% DAR loss (2270 ± 301 N, 1924 ± 157 N, 1745 ± 118 N). In cadaveric testing, neither mean load to failure (P = 0.067), stiffness (P = 0.707), nor energy (P = 0.228) were significantly different in control hemipelves and those with 50% depletion of the DAR. Failure in all acetabulae occurred due to acetabular bone fracture at forces in supraphysiologic ranges.

Conclusions: BFX cup stability under normal physiologic loads does not appear to be compromised in acetabulae with up to 50% DAR loss.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4371846PMC
http://dx.doi.org/10.1186/s12917-015-0383-zDOI Listing

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