The present paper deals with biomechanical investigations applying static pressures to endoprosthetic hip shafts implanted into cadaveric femora with bone cement. The purpose of the investigations was to observe the maximal breakload of the femora or endoprosthesis. We did experiments with 27 femora and implanted 4 different endoprostheses (3 metallic shafts and 1 ceramic shaft). The investigations showed a significant difference between metallic and ceramic shafts in maximal breakload. The metallic shafts showed a favourable load distribution from the prostheses shafts to the femora. That means a higher breakload when the angle between prosthesis-collar and shaft is more than 140 degrees.
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Injury
January 2025
Department of Orthopedic Surgery, McGovern Medical School, UTHealth Science Center at Houston, 5420 West Loop S. Suite 1300, Bellaire, TX, 77401, USA. Electronic address:
Introduction: Clinical data on osseointegration (OI) for limb replacement indicates a concerning increase in mechanical complications after five years post-implantation. Since adequate bone-implant contact and proper implant alignment are critical factors for successful osseointegration, it is essential to identify the factors influencing these outcomes. This study aimed to assess the effects of residual femur length and implant sizing on bone-implant contact and implant alignment.
View Article and Find Full Text PDFJ Mech Behav Biomed Mater
January 2025
Laboratory for Biomechanics and Biomaterials (LBB), Department of Orthopedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, 30625, Hannover, Germany. Electronic address:
In hip arthroplasty, relative movements between the femoral stem and bone can lead to implant loosening, resulting in extensive bone loss. Acoustic emission (AE) analysis is a promising technique for a nondestructive and noninvasive detection of these relative movements. To develop such a detection method, in vitro investigations using piezoelectric AE sensors on implant stems in artificial or human femora are required to characterize the AE signals induced by loosening.
View Article and Find Full Text PDFJ Am Acad Orthop Surg
December 2024
From the Department of Orthopaedic Surgery (Chen, Liu, Gallo, Kusnezov, Chung, Christ, and Heckmann), and the Department of Radiology (Hwang), Keck School of Medicine of USC, Los Angeles, CA.
Bone Joint Res
December 2024
Department of Orthopaedic Surgery and Traumatology, Hospital La Paz-IdPAZ, Universidad Autónoma de Madrid, Madrid, Spain.
Aims: Electromagnetic induction heating has demonstrated in vitro antibacterial efficacy over biofilms on metallic biomaterials, although no in vivo studies have been published. Assessment of side effects, including thermal necrosis of adjacent tissue, would determine transferability into clinical practice. Our goal was to assess bone necrosis and antibacterial efficacy of induction heating on biofilm-infected implants in an in vivo setting.
View Article and Find Full Text PDFEur J Orthop Surg Traumatol
November 2024
McGovern Medical School, University of Texas Health Science Center at Houston, 5420 West Loop S. Suite 1300, Bellaire, TX, 77401, USA.
Purpose: Registry data shows that less surgeons are resurfacing the patella during total knee arthroplasty (TKA). This tendency highlights the importance of matching trochlear and native patellar anatomy. Currently, there is a lack of consensus on implant design that best accommodates native patellae.
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