The effect of bone growth onto massive prostheses collars in protecting the implant from fracture

Paul Fromme, Gordon W. Blunn, William J. Aston, Tasneem Abdoola, Jacob Koris, Melanie J. Coathup

Research output: Contribution to journalArticlepeer-review

108 Downloads (Pure)

Abstract

Limb-sparing distal femoral endoprotheses used in cancer patients have a high risk of aseptic loosening. It had been reported that young adolescent patients have a higher rate of loosening and fatigue fracture of intramedullary stems because the implant becomes undersized as patients grow. Extracortical bone growth into the grooved hydroxyapatite-coated collar had been shown to reduce failure rates. The stresses in the implant and femur have been calculated from Finite Element models for different stages of bone growth onto the collar. For a small diameter stem without any bone growth, a large stress concentration at the implant shoulder was found, leading to a significant fracture risk under normal walking loads. Bone growth and osseointergration onto the implant collar reduced the stress level in the implant to safe levels. For small bone bridges a risk of bone fracture was observed.

Original languageEnglish
Pages (from-to)19-25
Number of pages7
JournalMedical Engineering & Physics
Volume41
Early online date10 Jan 2017
DOIs
Publication statusPublished - Mar 2017

Keywords

  • Adolescent
  • Bone Development
  • Child
  • Durapatite
  • Elastic Modulus
  • Femur
  • Finite Element Analysis
  • Humans
  • Prosthesis Design
  • Prosthesis Failure
  • Stress, Mechanical

Fingerprint

Dive into the research topics of 'The effect of bone growth onto massive prostheses collars in protecting the implant from fracture'. Together they form a unique fingerprint.

Cite this