The primary fixation of cementless hip prostheses is related to the shape of stem. When there is complicated loading in the rotational direction, the mechanical fixation of hip stem is considered to provide a good primary fixation. The purpose of this study was to evaluate whether the IMC stem with a characteristic fixation, which was developed by a group at Kitasato University, contributes to primary fixation by finite element analysis.
Analysis was performed at a friction coefficient of 0.1 with automatic contact, under the restriction of the distal femoral end. The following three loading conditions were used: i) step loading of the joint resultant force in the region around the hip stem, ii) loading in the rotational direction, simulating distortion, and iii) loading of the weight that is loaded on femoral head during walking. The displacement of the IMC stem in the x-, y-, and z-axis directions and rotational direction was calculated by simulation, and the stress of the stem and bone was determined.
The rotational displacement, which is a clinical problem in hip prosthesis stems, was lower in the IMC stem than in other stems reported. The displacement of the IMC stem in the z-axis direction was low, indicating a low risk of sinking. The inter-locking, which is characteristic of the IMC stem, functioned to suppress its rotation, indicating that the locking method of this stem contributed to the rotational stability. Since no stress concentration was detected in certain regions, it was considered that there are no risks of the breakage of the IMC stem and bone. It was suggested that a good fixation of the IMC stem can be obtained because the stress level is appropriate for the primary fixation.
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