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KMID : 0372919960170010061
Journal of Biomedical Engineering Research
1996 Volume.17 No. 1 p.61 ~ p.70
A Three-Dimensional Finite Element Study of Interface Micromotion in a Non-Cement Total Hip stem



Abstract
In cementless total hip arthroplasty(THA), an initial stability of the femoral component is mandatory to achieve bony inyowth and secondary long term fixation. Primary stability of the femoral component can be obtained by minimizing the magnitude of relative micromotions at bone stem interface. An accurate evaluation of interf¡¯¡¯¡¯¡¯ace micromotion and stress/strain fields in the bone-implant system may be relevant for better understanding of clinical situations and improving THA design. Recently finite element method(FEM)was introduced in¡¯¡¯¡¯¡¯orthopaedic research field due to its unique capacity to evaluate stress in structure of complex shape, loading and material behavior. The authors developed the 3-dimensional finite element model of proximal femur with Multilock L M stem of 1179 blick elements to analyse the micromotions and mechanical behaviors at the bone-stem inteface in early post-operative period for the load simulating single leg stance. The results indicates that the values of relative motion for this well fit stem were 150un in maximum 82um in minimum and the largest relative motion was developed in medial region of Proximal femur and in anterior-posterior direction. The motion in the proximal bone was much greater than in the distal bone and the stress pattern showed high stress concentration on the cortex near the tip of the stem. These findings indicate that the loading on the hip joint in the early postoperative situation before achieving bony ingrowth could produce large micromotion of 150um and clinicaly non-cemented THA patient should not be allowed weight bearing strictly early in the postoperative period
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