[The modular hip revision stem made of titanium alloy--influence and optimisation of bending stiffness].
The MRP-Titan Revision stem has proved to be a highly successful implant system for revision arthroplasty of the hip. Good and excellent clinical and radiological results with spontaneous filling of bony defects have been reported, The observation of atrophy of the proximal femur associated with stem diameters > 17mm prompted us to examine the bending stiffness of stems of various diameters. To determine their static bending characteristics, the stems were tested under axial pressure loads in accordance with Euler's buckling case. Dynamic tests were performed with the mono-axial servohydraulic test equipment MTS 810. From a stem diameter of 18 mm upwards, deflection of the stem under loading decreased disproportionately, in direct correlation with the stem stiffness. By optimising the geometry and varying the alloy it is possible to obtain a constant ISD factor for the modular MRP-Titan revision stem


CONCLUSIONS
The MRP-Titan revision stem is a reliable implant system for revision arthroplasty of the hip. Clinical findings of atrophy of the proximal femur associated with stem diameters > 17 mm was found to be correlated with a disproportionate increase in bending stiffness. The aim of further developments will be to reduce the stiffness of larger-diameter stems by making changes to the design and/or to the alloy (Ti15Mo, Ti13Nb13Zr, Ti12Mo6Zr2Fe2).
Med-Titan, Erlangen. ulrich.holzwarth@med-titan.de
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Holzwarth
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Zeiler
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Lintner
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Schuh
D019245:Compressive Strength; D004548:Elasticity; D019544:Equipment Failure Analysis / Q000379:methods*; D006622:Hip Prosthesis; D012086:Reoperation / Q000295:instrumentation*; D014025:Titanium; D016474:Weight-Bearing
C070282:Ti-6Al-7Nb alloy; D014025:Titanium