Effect of stem modulus in a total hip arthroplasty model

J Bone Joint Surg Br. 1991 Jan;73(1):43-6. doi: 10.1302/0301-620X.73B1.1991773.

Abstract

The purpose of this study was to determine the biological effects of the elastic modulus of the femoral stem in canine hip arthroplasty. Cementless total hip arthroplasty was performed in 12 dogs, six had a low elastic modulus polyacetal resin stem and six had a high modulus stainless steel stem. The components were otherwise similar. At six and 12 months after operation, radiographic and histomorphometric analysis showed that those with steel implants had more cortical porosity than did the other group (p less than 0.01). We suggest that the elastic modulus of the implant is an important factor in controlling cortical bone resorption. A low modulus femoral prosthesis can significantly decrease bone resorption which might otherwise eventually lead to implant failure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Bone and Bones / physiology*
  • Collagen / analysis
  • Dogs
  • Elasticity
  • Hip Joint / diagnostic imaging
  • Hip Joint / pathology
  • Hip Prosthesis*
  • Models, Biological
  • Osseointegration / physiology
  • Osteoblasts / cytology
  • Prosthesis Design
  • Radiography
  • Stress, Mechanical

Substances

  • Collagen