دورية أكاديمية
The effect of a collar on primary stability of standard and undersized cementless hip stems: a biomechanical study.
العنوان: | The effect of a collar on primary stability of standard and undersized cementless hip stems: a biomechanical study. |
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المؤلفون: | Kistler M; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany. Manuel.Kistler@med.uni-muenchen.de., Steinbrück A; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany.; Orthopaedic Surgical Competence Center Augsburg (OCKA), Vinzenz-Von-Paul-Platz 1, 86152, Augsburg, Germany., Schmidutz F; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany.; Orthopaedic Center Rosenheim, Äußere Münchener Straße 94, 83026, Rosenheim, Germany., Paulus AC; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany.; Orthopaedic Specialist Center Weilheim, Johann-Baur-Str. 5, 82362, Weilheim, Germany., Holzapfel BM; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany., Woiczinski M; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU, Marchioninistraße 15, 81377, Munich, Germany.; Experimental Orthopaedics University Hospital Jena, Campus Eisenberg, Waldkliniken Eisenberg, Eisenberg, Germany. |
المصدر: | Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2024 Jun; Vol. 144 (6), pp. 2873-2879. Date of Electronic Publication: 2024 May 18. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: Berlin : Springer International, c1989- |
مواضيع طبية MeSH: | Hip Prosthesis* , Prosthesis Design* , Arthroplasty, Replacement, Hip*/methods , Arthroplasty, Replacement, Hip*/instrumentation, Biomechanical Phenomena ; Humans ; Prosthesis Failure |
مستخلص: | Introduction: Aseptic loosening and periprosthetic fractures are main reasons for revision after THA. Quite different from most other stem systems, Corail cementless hip stems show better survival rates than their cemented counterpart, which can possibly be explained by the use of a collar. The study aimed to investigate primary stability with standard and undersized hip stems both collared and collarless. Materials and Methods: Primary stability of cementless, collared and collarless, femoral stems was measured in artificial bones using both undersized and standard size. After preconditioning, 3D micromotion was measured under cyclic loading at the bone-implant interface. Results: The use of a collar resulted in higher micromotion within the same stem size but showed no statistically significant difference for both standard and undersized hip stems. The collared and collarless undersized stems showed no significant differences in 3D micromotion at the upper measuring positions compared to the standard stem size. Micromotion was significantly higher in the distal measuring positions, with and without collar, for the undersized stems (vs. standard collarless stem size). Conclusion: The key finding is that the collarless and collared Corail hip stems, within one stem size, showed no significant differences in primary stability. Undersized stems showed significantly higher micromotion in the distal area both with and without collar. (© 2024. The Author(s).) |
References: | Arthroplast Today. 2020 Jan 06;6(1):99-103. (PMID: 32211484) Clin Biomech (Bristol, Avon). 2020 Dec;80:105167. (PMID: 32977213) Clin Orthop Relat Res. 1986 Jul;(208):108-13. (PMID: 3720113) Acta Orthop. 2006 Apr;77(2):177-97. (PMID: 16752278) Bone Joint J. 2019 Jul;101-B(7):779-786. (PMID: 31256663) J Biomech. 2020 Mar 26;102:109517. (PMID: 31767284) Bone Joint J. 2016 Apr;98-B(4):461-7. (PMID: 27037427) J Arthroplasty. 2006 Sep;21(6 Suppl 2):53-9. (PMID: 16950062) Arch Orthop Trauma Surg. 2017 Oct;137(10):1435-1441. (PMID: 28865042) J Orthop Traumatol. 2023 Feb 22;24(1):9. (PMID: 36811821) J Arthroplasty. 2020 Apr;35(4):1074-1078. (PMID: 31787355) Int Orthop. 2018 Jan;42(1):49-57. (PMID: 28589313) Clin Biomech (Bristol, Avon). 2021 Jul;87:105411. (PMID: 34144390) J Biomech. 2017 Jan 25;51:128-132. (PMID: 27914627) J Biomech. 1993 Aug;26(8):969-90. (PMID: 8349721) Sci Rep. 2021 May 24;11(1):10797. (PMID: 34031476) Bone Joint J. 2013 Jun;95-B(6):747-57. (PMID: 23723267) J Arthroplasty. 2011 Dec;26(8):1549-55. (PMID: 21570801) Bone Joint J. 2021 Apr;103-B(4):650-658. (PMID: 33789487) J Orthop Res. 2024 Apr;42(4):829-836. (PMID: 37971200) SICOT J. 2022;8:43. (PMID: 36367405) J Biomech. 2001 Jul;34(7):859-71. (PMID: 11410170) |
فهرسة مساهمة: | Keywords: Biomechanics; Collar; Micromotion; Primary stability; Total hip arthroplasty (THA); Undersizing |
تواريخ الأحداث: | Date Created: 20240518 Date Completed: 20240627 Latest Revision: 20240630 |
رمز التحديث: | 20240630 |
مُعرف محوري في PubMed: | PMC11211124 |
DOI: | 10.1007/s00402-024-05374-7 |
PMID: | 38762654 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1434-3916 |
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DOI: | 10.1007/s00402-024-05374-7 |