title: The stability of the femoral component of a minimal invasive total hip replacement system.
abstract: In this study, the initial stability of the femoral component of a minimal invasive total hip replacement was biomechanically evaluated during simulated normal walking and chair rising. A 20 mm diameter canal was created in the femoral necks of five fresh frozen human cadaver bones and the femoral heads were resected at the smallest cross-sectional area of the neck. The relatively short, polished, taper-shaped prostheses were cemented centrally in this canal according to a standardized procedure. A servohydraulic testing machine was used to apply dynamic loads to the prosthetic head. Radiostereophotogrammetric analysis was used to measure rotations and translations between the prosthesis and bone. In addition, the reconstructions were loaded until failure in a static, displacement-controlled test. During the dynamic experiments, the femoral necks did not fail and no macroscopical damage was detected. Maximal values were found for normal walking with a mean rotation of about 0.2 degrees and a mean translation of about 120 microm. These motions stabilized during testing. The mean static failure load was 4714 N. The results obtained in this study are promising and warrant further development of this type of minimal invasive hip prosthesis.
authors.affiliation: Orthopaedic Research Laboratory, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
authors.forename: M M M
authors.initials: MM
authors.lastname: Willems
authors.forename: J
authors.initials: J
authors.lastname: Kooloos
authors.forename: P
authors.initials: P
authors.lastname: Gibbons
authors.forename: N
authors.initials: N
authors.lastname: Minderhoud
authors.forename: T
authors.initials: T
authors.lastname: Weernink
authors.forename: N
authors.initials: N
authors.lastname: Verdonschot
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D002102:Cadaver; D019544:Equipment Failure Analysis; D005270:Femur Head / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D066298:In Vitro Techniques; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011475:Prosthesis Failure; D016896:Treatment Outcome