torsional forces gener ated in press-fit acetabula r shells with … · 2020. 9. 23. · cr femoral...
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Torsional F
NTRODUCTIONFrictional torqu
oading and motiacetabular bone - iThe purpose of thpress-fit acetabulaconventional pressdesign. The dual marticulation (Figurpolyethylene inserpolyethylene insert
MATERIALS ANTest Specimen
PSL and AnatomicNJ) were tested inhell groups were
polyethylene inserfemoral heads. Gpolyethylene inserwere tested with a OD LFIT CoCr femof the LFIT (lowmplantation proce
been reported to articulating with cassembled with commercially avaMahwah, NJ).
Deformed Shelwas created in a pdensity of 30lb/mplantation [3]. echniques, the blo
and this provided aand Trident shelechniques). The single axis MTS T
force at a rate of 5block was then claimulate in vivo enHyclone, Logan,
constant axial loaunderwent angularhell for 100 cycles
A torque cell at theHz. Maximum absohe data acquired.
Figure 2. Two-PoConfiguration
Forces Genera
+1 Ra
N ue is generated aton. These torsioimplant interface, his study was to ar shells generates-fit acetabular shemobility shells arre 1), one betwrt (external beart and a femoral hea
ND METHODS ns: 54mm outer dc Dual Mobility (An both undeformedtested: Group onerts and Low FricGroup two was rts and LFIT CoC48mm OD ADM moral head. The
w friction ion tress has been in clireduce the linearconventional poly
Ti6Al4V trunnailable taper des
l Testing: A two-polyurethane foamft3, to replicate Consistent with cks were machinea diametrical pressls, respectively
shells were assemTest System (MT5mm/min until theamped onto a 3-axnvironment, 50% UT) was applied
ad of 2450N wasr displacement of s at a rate of 0.75He base of the test frolute torque was r
int Relief
Figu
ated in Press-F
aja, L K; 1Scholl, L+1 Stryker Orthop
t the hip joint dunal forces are trwhich may influeinvestigate whet
e less torque whells that have a fire designed to ha
ween the acetaburing) and the otad (internal bearin
diameter (OD), SADM) shells (Stryd and deformed ste was tested with ction Ion Treatme
tested with 44Cr femoral heads.
X3 polyethylene iCoCr heads used
reatment) type. Tnical use for over
r wear rate by 28yethylene [2]. Allnions machined sign, V40 (Stryk
-point relief configm block (Pacific L
shell deformatADM and Tride
ed to simulate “lines-fit of 1.5mm and(as prescribed b
mbled into the foaS Corp, MN) by shells were comp
xis MTS Test Systdiluted Alpha Cad to the articulats applied while ±20º about the c
Hz. [4, 5]. rame measured torecorded for each t
Figure 3. T
ure 1. Dual Points
Fit Acetabular
L; 1Schmidig, G; 1Hpaedics, Mahwah,
lokeshkum
uring normal gaitransmitted to the
ence loosening [1]ther dual mobilityhen compared toxed bearing insert
ave dual points ofular shell and ather between the
ng).
Solid-back Tridentyker Orthopaedicstates. Two Trident28mm Trident X3ent (LFIT), CoCr
4mm Trident X3The ADM shells
insert and a 28mmin this study were
This nitrogen ionr a decade and has8% in vivo whenl specimens were
to replicate aker Orthopaedics
guration (Figure 2)Labs, WA) with ation upon initiaent shell surgicae to line” reamingd 1.8mm for ADMby their surgicaam blocks using a
applying an axiapletely seated. Thetem (Figure 3). Toalf Fraction Serumting interfaces. Athe femoral head
central axis of the
rque at a rate of 25test specimen from
Test Setup
s of Articulation
r Shells with F
Heffernan, C; 1ThaNJ, 2 St. [email protected]
t e .
y o t f a e
t , t 3 r 3 s
m e n s n e a ,
) a l l g
M l a l e o
m A d e
5 m
Una stainto-linesame p SpeANOVundefocompa RESU Tabmobiliaveragfor eac
SheDe
Und In btorque44mmtwo gcompaundefothe du(p<.05It wasin aveboth hdeform DISC Shediameutilizethis stlowerbearinbenefihead/tNm into dispolyur Thean effthis stwhen perpennecesscompa SIGN
Fricfailurestudy design REFE[1] MMaruy[3] JinSchmiN.E. eal. Trmeetin
Fixed and Dua
akore, M; 1Nevelot’s Hospital, Springcom
deformed Shell Tnless steel block we fit with the shelprocedure as the decimen groups wVA test and a Tukormed and deforare individual prod
ULTS ble 1 contains theity and fixed bearge and standard dch individual test s
Table 1. Resu
ell State
FBear28m
eformed 3.5deformed 1.77both undeformed
e generated betweem heads was not stgroups were comarison with the dormed states, the ual mobility and f5). s observed that theerage torque generhead sizes tested; med and undeform
USSION ell deformation heter metal on mete a similar monobltudy suggest that s
torsional forcesng acetabular shelit both in terms of trunnion interfacen this study was sigslodge a Trident rethane block mode results of this stufect on torsional fotudy, we looked at
the head is rondicular load is asarily replicate pharing torsional valu
NIFICANCE ctional torque hae in some monobldemonstrated the
n do not generate e
ERENCES Ma, SM., et. al., J
yama, M., et. al., Cn, ZM., et. al., Pidig, G. et. al. J Aet. al., Medical Engrans ORS 2011, Png of the Orthopae
al Mobility Be
s, J; 2Perona, P G g Valley, IL
Testing: Each acewith a hemisphericll OD. The insertedeformed specimenwere statistically ckey post-hoc test atrmed states. Paireduct families in de
e results of the tring shells (n=5). deviation of maximspecimen is provid
ults - Maximum AFixed ring with
mm head
FBea44m
8 ± 0.87 3.87 ± 0.28 2.0and deformed sta
en the fixed bearintatistically signific
mbined into a sindual mobility shel
difference in averfixed bearing she
ere was statisticallrated for fixed beaNo significant dif
med dual mobility s
as been implicatetal bearings [6]. lock metal acetabushells with dual mo
as compared to lls in the deformef forces at the impl. The largest avegnificantly less thashell similar to
del [7]. udy suggest that sorces generated in t torsional forces g
otated about its applied to the shehysiological condiues between impla
s been raised as ock shell implant dual mobility she
elevated torsional f
Bone Joint Surg Clin Orthop RelatProc. Inst Mech rthroplasty, 2010 g. and Physics, 20
Poster 1210. [7] Tedic Research Soci
earing Insert D
etabular shell was al cavity that resued shells were tesns. compared with at 95% confidence ed t-tests were p
eformed and undef
testing performedFor each specime
mum absolute torded.
Absolute Torque (Fixed ring with
mm head
Duawith
in86 ± 0.26 1.00 ± 0.36 1.ates, the differencng shells with 28mcant. (p<0.05). Thengle fixed bearinlls. In both the drage torque generlls was statistical
ly significant (p<0aring shells whenfference was obsershells (p>0.05).
ed in shell failure Many dual mob
ular component. Tobility bearing des
conventional preed condition. Thilant/bone interface
erage measured toan the 68.4 Nm tothat used in thi
hell deformation ddual mobility AD
generated in a bencentral axis and
ell. While this moitions, it provides ant designs.
an issue, which designs when def
ells that also use forces when defor
Am, 1983, 65(3)t Res, 2000 Jan, (3Eng [H], 2006, Jun, 25(4), 644-53
008, 30, 1057-64.; Thakore, M et. al.iety, 2009, Poster
Designs
assembled in ulted in a line-sted using the
single-factor level for both performed to formed states.
d on the dual en group, the rque recorded
(Nm) al Mobility h 48/28mm
nsert/head .48 ± 0.28 .46 ± 0.24 ce in average mm heads and erefore, these
ng group for deformed and rated between ly significant
0.05) increase deformed for rved between
es with large bility designs The results of signs transmit ess fit, fixed is may be of e and also the orque of 3.86 orque required s study in a
does not have DM shells. In nch-top model d a constant odel does not
a means for
may lead to formed. This a monoblock
rmed.
), 366-70; [2] 370), 183-91; 220-299; [4]
3; [5] Bishop, [6] Grimes et , 55th Annual # 2024.
Poster No. 1057 • ORS 2012 Annual Meeting