Objective: The aim: Of the research is to study of the stress distribution in the "bone-implant" system for various cases of elbow flexion and semipronation in the event of the radial head arthroplasty with the developed bipolar radial head (RH) implant and the bipolar KPS endoprosthesis.
Patients And Methods: Materials and methods: We developed a metal-metal bearing bipolar RH endoprosthesis providing an uncemented fixation due to a special porous coating and stem design. Using Solid Works software, we developed a geometrical model of the elbow joint with cartilaginous surfaces. Then, to refine the parameters of the finite-element model, calculation and visualization we transferred the model to the ANSYS complex.
Results: Results: The developed bipolar RH endoprosthesis with metal-metal bearing is a stiffer construction compared to the KPS endoprosthesis. However, the displacement fields in the joint and the value of arising maximum strains in the "bone-implant" system with the RH endoprosthesis have a smaller deviation from the strains arising in the healthy elbow joint than those in the "bone-implant" system with the KPS endoprosthesis.
Conclusion: Conclusions: The developed bipolar RH endoprosthesis does not cause any critical impacts on the joint surfaces and ligamentous apparatus of the elbow joint. All the elements of the developed bipolar RH endoprosthesis satisfy the requirements of an operative structure strength and stiffness. Strain fields arising in the bipolar RH endoprosthesis have a smaller deviation from the strains in the healthy joint in comparison with those occurring in the "bone-implant" system with the KPS endoprosthesis.
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Cureus
December 2024
Trauma and Orthopaedics, William Harvey Hospital, Ashford, GBR.
Background: Femoral neck fractures in elderly individuals cause significant morbidity, and their management is particularly challenging in rural areas where healthcare access is limited. The recommended treatment for displaced femoral neck fractures in elderly patients with poor mobility, cognitive dysfunction and multiple comorbidities is a hemiarthroplasty, which can be performed with various implants, including monopolar implants like Austin Moore prosthesis (AMP) and bipolar prosthesis (BP). In developing countries like India, rural areas often have constraints with healthcare resources.
View Article and Find Full Text PDFJ Orthop Surg (Hong Kong)
December 2024
National Orthopaedic Centre of Excellence in Research & Learning (NOCERAL) Department of Orthopaedic Surgery, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Bipolar hip endoprosthesis replacement is a commonly employed procedure in orthopaedic oncology that requires the resection and reconstruction of the proximal femur. With improving survival rates, issues of implant durability and acetabular wear have become increasingly important. The decision to replace the acetabulum in bipolar hip endoprosthesis replacement procedures remains a topic of debate.
View Article and Find Full Text PDFInjury
October 2024
University Hospital La Princesa, c/ Diego de León 62 28006 Madrid, Spain.
Injury
September 2024
Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy. Electronic address:
Introduction: The choice between hemiarthroplasty (HA) and total hip arthroplasty (THA) for displaced femoral neck fractures remains debated. There is increasing use in dual mobility cup total hip arthroplasty (DMC-THA) to prevent dislocations in these high-risk patients. Aim of this study is to retrospectively analyze patients treated in a single Center for femoral neck fracture comparing HA and DMC-THA in terms of: functional outcome, rate of complications and mortality.
View Article and Find Full Text PDFJ Clin Med
October 2024
Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, 07747 Jena, Germany.
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