Stresses in cement mantles of hip replacements: effect of femoral implant sizes, body mass index and bone quality

Comput Methods Biomech Biomed Engin. 2009 Oct;12(5):501-10. doi: 10.1080/10255840902718626.

Abstract

The effects of femoral prosthetic heads of diameters 22 and 28 mm were investigated on the stability of reconstructed hemi-pelves with cement mantles of thicknesses 1-4 mm and different bone qualities. Materialise medical imaging package and I-Deas finite element (FE) software were used to create accurate geometry of a hemi-pelvis from CT-scan images. Our FE results show an increase in cement mantle stresses associated with the larger femoral head. When a 22 mm femoral head is used on acetabulae of diameters 56 mm and above, the probability of survivorship can be increased by creating a cement mantle of at least 1 mm thick. However, when a 28 mm femoral head is used, a cement mantle thickness of at least 4 mm is needed. Poor bone quality resulted in an average 45% increase in the tensile stresses of the cement mantles, indicating resulting poor survivorship rate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthroplasty, Replacement, Hip*
  • Body Mass Index*
  • Finite Element Analysis
  • Hip Prosthesis*
  • Humans
  • Probability
  • Prosthesis Design*
  • Tensile Strength
  • Tomography, X-Ray Computed