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| Content Provider | The American Society of Mechanical Engineers (ASME) Digital Collection |
|---|---|
| Author | Norman, T. L. Ackerman, E. S. Smith, T. S. Gruen, T. A. Yates, A. J. Blaha, J. D. Kish, V. L. |
| Copyright Year | 2006 |
| Abstract | Cementless total hip femoral components rely on press-fit for initial stability and bone healing and remodeling for secondary fixation. However, the determinants of satisfactory press-fit are not well understood. In previous studies, human cortical bone loaded circumferentially to simulate press-fit exhibited viscoelastic, or time dependent, behavior. The effect of bone viscoelastic behavior on the initial stability of press-fit stems is not known. Therefore, in the current study, push-out loads of cylindrical stems press-fit into reamed cadaver diaphyseal femoral specimens were measured immediately after assembly and 24h with stem-bone diametral interference and stem surface treatment as independent variables. It was hypothesized that stem-bone interference would result in a viscoelastic response of bone that would decrease push-out load thereby impairing initial press-fit stability. Results showed that push-out load significantly decreased over a 24h period due to bone viscoelasticity. It was also found that high and low push-out loads occurred at relatively small amounts of stem-bone interference, but a relationship between stem-bone interference and push-out load could not be determined due to variability among specimens. On the basis of this model, it was concluded that press-fit fixation can occur at relatively low levels of diametral interference and that stem-bone interference elicits viscoelastic response that reduces stem stability over time. From a clinical perspective, these results suggest that there could be large variations in initial press-fit fixation among patients. |
| Starting Page | 13 |
| Ending Page | 17 |
| Page Count | 5 |
| File Format | |
| ISSN | 01480731 |
| e-ISSN | 15288951 |
| Journal | Journal of Biomechanical Engineering |
| Volume Number | 128 |
| Issue Number | 1 |
| DOI | 10.1115/1.2133766 |
| Language | English |
| Publisher | The American Society of Mechanical Engineers |
| Publisher Date | 2005-05-06 |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Bone Power presses Stability Stress Viscoelasticity |
| Content Type | Text |
| Resource Type | Article |
| Subject | Physiology (medical) Biomedical Engineering |
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