Publicou 6 edições por ano
ISSN Imprimir: 0278-940X
ISSN On-line: 1943-619X
Indexed in
A Critical Analysis of Stress Shielding Evaluation of Hip Prostheses
RESUMO
In vitro evaluation of the load transfer of hip prostheses has been performed in recent years for the purpose of understanding the stress shielding phenomena. Over 200 papers were reviewed to determine if a standard exists to evaluate and compare the performance of hip stems. Surprisingly, it was found that little agreement exists in the testing protocol. This makes it very difficult to compare the results reported in different investigations. In several cases very incomplete data are reported about the testing conditions, thus making it impossible to compare the results. This article focuses on: (1) how the loading conditions should be chosen based on physiological loading in a way to give a reproducible setup; (2) how the femur should be constrained; (3) how to generate the same system of loads in the intact and the implanted femur; (4) how to define a reference system; (5) how the specimen type and sample size are chosen; (6) the advantages and limitations of the different strain measurement techniques; (7) how the testing parameters have been chosen in the literature; and (8) how the accuracy of the results has been reported in the literature.
-
Baleani Massimiliano, Cristofolini Luca, Toni Aldo, Initial stability of a new hybrid fixation hip stem: Experimental measurement of implant-bone micromotion under torsional load in comparison with cemented and cementless stems, Journal of Biomedical Materials Research, 50, 4, 2000. Crossref
-
Juszczyk Mateusz Maria, Cristofolini Luca, Viceconti Marco, The human proximal femur behaves linearly elastic up to failure under physiological loading conditions, Journal of Biomechanics, 44, 12, 2011. Crossref
-
Cristofolini Luca, Schileo Enrico, Juszczyk Mateusz, Taddei Fulvia, Martelli Saulo, Viceconti Marco, Mechanical testing of bones: the positive synergy of finite–element models andin vitroexperiments, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, 368, 1920, 2010. Crossref
-
Cristofolini Luca, Taddei Fulvia, Baleani Massimiliano, Baruffaldi Fabio, Stea Susanna, Viceconti Marco, Multiscale investigation of the functional properties of the human femur, Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences, 366, 1879, 2008. Crossref
-
COLOMBO MAURIZIO, RAIMONDI MANUELA T., VILLA TOMASO, QUAGLINI VIRGINIO, PIETRABISSA RICCARDO, THE BIOMECHANICS OF INTRAMEDULLARY NAILING: A PROTOCOL FOR LABORATORY TESTING, Journal of Mechanics in Medicine and Biology, 02, 01, 2002. Crossref
-
Turner A. W. L., Gillies R. M., Sekel R., Morris P., Bruce W., Walsh W. R., Computational bone remodelling simulations and comparisons with DEXA results, Journal of Orthopaedic Research, 23, 4, 2005. Crossref
-
Monti Luisa, Cristofolini Luca, Viceconti Marco, Methods for Quantitative Analysis of the Primary Stability in Uncemented Hip Prostheses, Artificial Organs, 23, 9, 1999. Crossref
-
Luo Ying, Engelmayr George, Auguste Debra T., da Silva Ferreira Lino, Karp Jeffrey M., Saigal Rajiv, Langer Robert, 3D Scaffolds, in Principles of Tissue Engineering, 2014. Crossref
-
Ramos A., Relvas C., Completo A., Simões J. A., The formation of cracks at cement interfaces of different femoral stem designs, European Orthopaedics and Traumatology, 4, 4, 2013. Crossref
-
Tsai Andrew G., Reich Michael S., Bensusan Jay, Ashworth Timothy, Marcus Randall E., Akkus Ozan, A fatigue loading model for investigation of iatrogenic subtrochanteric fractures of the femur, Clinical Biomechanics, 28, 9-10, 2013. Crossref
-
Bieger Ralf, Ignatius Anita, Reichel Heiko, Dürselen Lutz, Biomechanics of a short stem: In vitro primary stability and stress shielding of a conservative cementless hip stem, Journal of Orthopaedic Research, 31, 8, 2013. Crossref
-
Morishima Takkan, Ginsel Bastiaan L., Choy Godwin G.H., Wilson Lance J., Whitehouse Sarah L., Crawford Ross W., Periprosthetic Fracture Torque for Short Versus Standard Cemented Hip Stems: An Experimental In Vitro Study, The Journal of Arthroplasty, 29, 5, 2014. Crossref
-
Cristofolini Luca, Erani Paolo, Grupp Thomas, Jansson Volkmar, Viceconti Marco, In Vitro Long-term Fatigue Endurance of the Secondary "Cement Injection Stem" Hip Prosthesis, Artificial Organs, 31, 6, 2007. Crossref
-
George Subin P., Saravana Kumar Gurunathan, Patient specific parametric geometric modelling and finite element analysis of cementless hip prosthesis, Virtual and Physical Prototyping, 8, 1, 2013. Crossref
-
Rosenbaum Teri G, Bloebaum Roy D, Ashrafi Shadi, Lester D Kevin, Ambulatory Activities Maintain Cortical Bone after Total Hip Arthroplasty, Clinical Orthopaedics and Related Research, 450, 2006. Crossref
-
Kowalczyk Piotr, Design Optimization of Cementless Femoral Hip Prostheses Using Finite Element Analysis, Journal of Biomechanical Engineering, 123, 5, 2001. Crossref
-
Danesi Valentina, Zani Lorenzo, Scheele Axel, Berra Francesco, Cristofolini Luca, Reproducible reference frame for in vitro testing of the human vertebrae, Journal of Biomechanics, 47, 1, 2014. Crossref
-
Bougherara Habiba, Bureau Martin, Campbell Melissa, Vadean Aurelian, Yahia L'Hocine, Design of a biomimetic polymer-composite hip prosthesis, Journal of Biomedical Materials Research Part A, 82A, 1, 2007. Crossref
-
Olcum Melis, Ozcivici Engin, Daily application of low magnitude mechanical stimulus inhibits the growth of MDA-MB-231 breast cancer cells in vitro, Cancer Cell International, 14, 1, 2014. Crossref
-
Lewandrowski Kai-Uwe, Cattaneo Maurice V., Gresser Joseph D., Wise Donald L., White Roslyn L., Bonassar Lawrence, Trantolo Debra J., Effect of a Poly(propylene fumarate) Foaming Cement on the Healing of Bone Defects, Tissue Engineering, 5, 4, 1999. Crossref
-
Cristofolini L, Juszczyk M, Taddei F, Viceconti M, Strain distribution in the proximal human femoral metaphysis, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 223, 3, 2009. Crossref
-
Completo A., Fonseca F., Simões J. A., Finite Element and Experimental Cortex Strains of the Intact and Implanted Tibia, Journal of Biomechanical Engineering, 129, 5, 2007. Crossref
-
Rosenbaum Chou Teri G., Child Jeremy R., Naughtin Ryan J., Rigdon Ryan R., Schumann Craig, Bloebaum Roy D., The relationship between femoral periprosthetic cortical bone geometry and porosity after total hip arthroplasty, Journal of Biomedical Materials Research Part A, 87A, 1, 2008. Crossref
-
Bougherara Habiba, Klika Václav, Maršík František, Mařík Ivo A., Yahia L'Hocine, New predictive model for monitoring bone remodeling, Journal of Biomedical Materials Research Part A, 95A, 1, 2010. Crossref
-
Cristofolini L, Juszczyk M, Taddei F, Field R E, Rushton N, Viceconti M, Stress shielding and stress concentration of contemporary epiphyseal hip prostheses, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 223, 1, 2009. Crossref
-
CRISTOFOLINI LUCA, BALEANI MASSIMILIANO, SCHILEO ENRICO, VAN SINT JAN SERGE, JUSZCZYK MATEUSZ MARIA, ÖHMAN CAROLINE, ZWIERZAK IWONA, LEFÈVRE PHILIPPE, JUSZCZYK JAN MARIA, VICECONTI MARCO, DIFFERENCES BETWEEN CONTRALATERAL BONES OF THE HUMAN LOWER LIMBS: A MULTISCALE INVESTIGATION, Journal of Mechanics in Medicine and Biology, 14, 03, 2014. Crossref
-
Cristofolini L, Metti C, Viceconti M, Strain patterns induced by press-fitting and by an external load in hip arthroplasty: A photoelastic coating study on bone models, The Journal of Strain Analysis for Engineering Design, 38, 4, 2003. Crossref
-
Li Chaodi, Zhou Yan, Bone Cement, Acrylic, in Encyclopedia of Medical Devices and Instrumentation, 2006. Crossref
-
Cristofolini Luca, Juszczyk Mateusz, Taddei Fulvia, Field Richard E., Rushton Neil, Viceconti Marco, Assessment of femoral neck fracture risk for a novel proximal epiphyseal hip prosthesis, Clinical Biomechanics, 26, 6, 2011. Crossref
-
Stolk J, Verdonschot N, Huiskes R, Hip-joint and abductor-muscle forces adequately represent in vivo loading of a cemented total hip reconstruction, Journal of Biomechanics, 34, 7, 2001. Crossref
-
Waide V, Cristofolini L, Stolk J, Verdonschot N, Toni A, Experimental investigation of bone remodelling using composite femurs, Clinical Biomechanics, 18, 6, 2003. Crossref
-
Wu Ge, Siegler Sorin, Allard Paul, Kirtley Chris, Leardini Alberto, Rosenbaum Dieter, Whittle Mike, D’Lima Darryl D, Cristofolini Luca, Witte Hartmut, Schmid Oskar, Stokes Ian, ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: ankle, hip, and spine, Journal of Biomechanics, 35, 4, 2002. Crossref
-
Ellenrieder Martin, Bader Rainer, Mittelmeier Wolfram, Steinhauser Erwin, How stiffness and distal interlocking of revision hip stems influence the femoral cortical strain pattern, Journal of Orthopaedic Science, 17, 3, 2012. Crossref
-
Viceconti Marco, Cristofolini Luca, Baleani Massimiliano, Toni Aldo, Pre-clinical validation of a new partially cemented femoral prosthesis by synergetic use of numerical and experimental methods, Journal of Biomechanics, 34, 6, 2001. Crossref
-
Cristofolini Luca, Erani Paolo, Savigni Paolo, Grupp Thomas, Thies Otto, Viceconti Marco, Increased long-term failure risk associated with excessively thin cement mantle in cemented hip arthroplasty: A comparative in vitro study, Clinical Biomechanics, 22, 4, 2007. Crossref
-
Britton J.R, Walsh L.A, Prendergast P.J, Mechanical simulation of muscle loading on the proximal femur: analysis of cemented femoral component migration with and without muscle loading, Clinical Biomechanics, 18, 7, 2003. Crossref
-
Cristofolini Luca, Viceconti Marco, In vitro stress shielding measurements can be affected by large errors, The Journal of Arthroplasty, 14, 2, 1999. Crossref
-
Cristofolini Luca, Conti Giorgia, Juszczyk Mateusz, Cremonini Sara, Sint Jan Serge Van, Viceconti Marco, Structural behaviour and strain distribution of the long bones of the human lower limbs, Journal of Biomechanics, 43, 5, 2010. Crossref
-
ŚCIGAŁA K., BĘDZIŃSKI R., FILIPIAK J., CHLEBUS E., DYBAŁA B., Application of generative technologies in the design of reduced stiffness stems of hip joint endoprosthesis, Archives of Civil and Mechanical Engineering, 11, 3, 2011. Crossref
-
Cristofolini Luca, Marchetti Alessandro, Cappello Angelo, Viceconti Marco, A novel transducer for the measurement of cement–prosthesis interface forces in cemented orthopaedic devices, Medical Engineering & Physics, 22, 7, 2000. Crossref
-
Li Chaodi, Granger Christopher, Schutte H.Del, Biggers Sherrill B, Kennedy John M, Latour Robert A, Progressive failure analysis of laminated composite femoral prostheses for total hip arthroplasty, Biomaterials, 23, 21, 2002. Crossref
-
Conti Giorgia, Cristofolini Luca, Juszczyk Mateusz, Leardini Alberto, Viceconti Marco, Comparison of three standard anatomical reference frames for the tibia–fibula complex, Journal of Biomechanics, 41, 16, 2008. Crossref
-
Weinans Harrie, R. Sumner Dale, Igloria Ruben, Natarajan Raghu N, Sensitivity of periprosthetic stress-shielding to load and the bone density–modulus relationship in subject-specific finite element models, Journal of Biomechanics, 33, 7, 2000. Crossref
-
Luo Ying, Engelmayr George, Auguste Debra T., Ferreira Lino da Silva, Karp Jeffrey M., Saigal Rajiv, Langer Robert, Three-Dimensional Scaffolds, in Principles of Tissue Engineering, 2007. Crossref
-
Cristofolini L., Varini E., Pelgreffi I., Cappello A., Toni A., Device to measure intra-operatively the primary stability of cementless hip stems, Medical Engineering & Physics, 28, 5, 2006. Crossref
-
Cristofolini Luca, Bini Stefano, Toni Aldo, In vitro testing of a novel limb salvage prosthesis for the distal femur, Clinical Biomechanics, 13, 8, 1998. Crossref
-
Birnbaum K., Pandorf T., Finite element model of the proximal femur under consideration of the hip centralizing forces of the iliotibial tract, Clinical Biomechanics, 26, 1, 2011. Crossref
-
Stolk J., Verdonschot N., Cristofolini L., Toni A., Huiskes R., Finite element and experimental models of cemented hip joint reconstructions can produce similar bone and cement strains in pre-clinical tests, Journal of Biomechanics, 35, 4, 2002. Crossref
-
Schileo Enrico, Taddei Fulvia, Malandrino Andrea, Cristofolini Luca, Viceconti Marco, Subject-specific finite element models can accurately predict strain levels in long bones, Journal of Biomechanics, 40, 13, 2007. Crossref
-
Cristofolini Luca, Teutonico Amelia Saponara, Monti Luisa, Cappello Angelo, Toni Aldo, Comparative in vitro study on the long term performance of cemented hip stems: validation of a protocol to discriminate between “good” and “bad” designs, Journal of Biomechanics, 36, 11, 2003. Crossref
-
Bougherara Habiba, Rahim Ehsan, Shah Suraj, Dubov Anton, Schemitsch Emil H., Zdero Rad, A Preliminary Biomechanical Assessment of a Polymer Composite Hip Implant Using an Infrared Thermography Technique Validated by Strain Gage Measurements, Journal of Biomechanical Engineering, 133, 7, 2011. Crossref
-
Decking Ralf, Puhl Wolfhart, Simon Ulrich, Claes Lutz E., Changes in strain distribution of loaded proximal femora caused by different types of cementless femoral stems, Clinical Biomechanics, 21, 5, 2006. Crossref
-
Bieger Ralf, Ignatius Anita, Decking Ralf, Claes Lutz, Reichel Heiko, Dürselen Lutz, Primary stability and strain distribution of cementless hip stems as a function of implant design, Clinical Biomechanics, 27, 2, 2012. Crossref
-
Completo A., Fonseca F., Simões J.A., Experimental validation of intact and implanted distal femur finite element models, Journal of Biomechanics, 40, 11, 2007. Crossref
-
Mouttet A., Philippot R., Farizon F., Vallotton P.-H., Ibnou-Zekri N., Étude à cinq ans de recul d’une tige anatomique revêtue d’hydroxyapatite, Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Moteur, 94, 8, 2008. Crossref
-
Cristofolini Luca, Erani Paolo, Bialoblocka-Juszczyk Ewa, Ohashi Hirotsugu, Iida Satoshi, Minato Izumi, Viceconti Marco, Effect of undersizing on the long-term stability of the Exeter hip stem: A comparative in vitro study, Clinical Biomechanics, 25, 9, 2010. Crossref
-
Sayyidmousavi Alireza, Bougherara Habiba, Investigation of stress shielding around the Stryker Omnifit and Exeter periprosthetic hip implants using an irreversible thermodynamic-based model, Journal of Biomedical Materials Research Part B: Applied Biomaterials, 100B, 5, 2012. Crossref
-
Østbyhaug Per Olav, Klaksvik Jomar, Romundstad Pål, Aamodt Arild, Primary stability of custom and anatomical uncemented femoral stems, Clinical Biomechanics, 25, 4, 2010. Crossref
-
Grassi Lorenzo, Hraiech Najah, Schileo Enrico, Ansaloni Mauro, Rochette Michel, Viceconti Marco, Evaluation of the generality and accuracy of a new mesh morphing procedure for the human femur, Medical Engineering & Physics, 33, 1, 2011. Crossref
-
Li Ming G., Rohrl Stephan M., Wood David J., Nivbrant Bo, Periprosthetic Changes in Bone Mineral Density in 5 Stem Designs 5 Years After Cemented Total Hip Arthroplasty. No Relation to Stem Migration, The Journal of Arthroplasty, 22, 5, 2007. Crossref
-
Gillies R.M, Morberg P.H, Bruce W.J.M, Turnbull A, Walsh W.R, The influence of design parameters on cortical strain distribution of a cementless titanium femoral stem, Medical Engineering & Physics, 24, 2, 2002. Crossref
-
Wik Tina Strømdal, Experimental evaluation of new concepts in hip arthroplasty, Acta Orthopaedica, 83, sup345, 2012. Crossref
-
Cristofolini L., Viceconti M., Grecula M.J., Morris R.P., Laughlin J.C., Buford W.L., Patterson R.M., Comments on "Femoral surface strain in intact composite femurs: A custom computer analysis of the photoelastic coating technique" [with reply], IEEE Transactions on Biomedical Engineering, 48, 8, 2001. Crossref
-
Cristofolini Luca, Baleani Massimiliano, Toni Aldo, , The Journal of Arthroplasty, 21, 3, 2006. Crossref
-
Varini Elena, Bialoblocka-Juszczyk Ewa, Lannocca Maurizio, Cappello Angelo, Cristofolini Luca, Assessment of implant stability of cementless hip prostheses through the frequency response function of the stem–bone system, Sensors and Actuators A: Physical, 163, 2, 2010. Crossref
-
Cristofolini Luca, Juszczyk Mateusz, Martelli Saulo, Taddei Fulvia, Viceconti Marco, In vitro replication of spontaneous fractures of the proximal human femur, Journal of Biomechanics, 40, 13, 2007. Crossref
-
van Arkel Richard J., Jeffers Jonathan R.T., In vitro hip testing in the International Society of Biomechanics coordinate system, Journal of Biomechanics, 49, 16, 2016. Crossref
-
Wik T S, Enoksen C, Klaksvik J, Østbyhaug P O, Foss O A, Ludvigsen J, Aamodt A, In vitrotesting of the deformation pattern and initial stability of a cementless stem coupled to an experimental femoral head, with increased offset and altered femoral neck angles, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 225, 8, 2011. Crossref
-
Monti L, Cristofolini L, Viceconti M, Interface biomechanics of the Anca Dual Fit hip stem: Anin vitroexperimental study, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 215, 6, 2001. Crossref
-
Ke X, Sutton M A, Lessner S M, Yost M, Towards the standardization of in vitro load transfer investigations of hip prostheses, The Journal of Strain Analysis for Engineering Design, 34, 1, 1999. Crossref
-
Waide V, Cristofolini L, Toni A, A CAD-CAM methodology to produce bone-remodelled composite femurs for preclinical investigations, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 215, 5, 2001. Crossref
-
Saravana Kumar Gurunathan, George Subin Philip, Optimization of custom cementless stem using finite element analysis and elastic modulus distribution for reducing stress-shielding effect, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 231, 2, 2017. Crossref
-
Polgar K, Gill H S, Viceconti M, Murray D W, O'Connor J J, Strain distribution within the human femur due to physiological and simplified loading: Finite element analysis using the muscle standardized femur model, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 217, 3, 2003. Crossref
-
Monti L, Cristofolini L, Toni A, Ceroni R G, In vitro testing of the primary stability of the VerSys enhanced taper stem: A comparative study in intact and intraoperatively cracked femora, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 215, 1, 2001. Crossref
-
Cristofolini L, Viceconti M, Development and validation of a technique for strain measurement inside polymethyl methacrylate, The Journal of Strain Analysis for Engineering Design, 35, 1, 2000. Crossref
-
Bougherara H, Nazgooei S, Sayyidmousavi A, Maršık F, Mařík I A, Computation of bone remodelling after Duracon knee arthroplasty using a thermodynamic-based model, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 225, 7, 2011. Crossref
-
Cristofolini L, Varini E, Viceconti M, In-vitro method for assessing femoral implant—bone micromotions in resurfacing hip implants under different loading conditions, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 221, 8, 2007. Crossref
-
Al-Ali Musaddiq A., Al-Ali Muazez A., Takezawa Akihiro, Kitamura Mitsuru, Topology Optimization and Fatigue Analysis of Temporomandibular Joint Prosthesis, World Journal of Mechanics, 07, 12, 2017. Crossref
-
Cristofolini L, Teutonico A Saponara, Savigni P, Erani P, Viceconti M, Preclinical assessment of the long-term endurance of cemented hip stems. Part 1: Effect of daily activities - a comparison of two load histories, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 221, 6, 2007. Crossref
-
Caouette C, Yahia L’H, Bureau M N, Reduced stress shielding with limited micromotions using a carbon fibre composite biomimetic hip stem: a finite element model, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 225, 9, 2011. Crossref
-
Bialoblocka-Juszczyk E, Cristofolini L, Erani P, Viceconti M, Effect of long-term physiological activity on the long-term stem stability of cemented hip arthroplasty: in vitro comparison of three commercial bone cements, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 224, 1, 2010. Crossref
-
Viceconti M, Pancanti A, Varini E, Traina F, Cristofolini L, On the Biomechanical Stability of Cementless Straight Conical Hip Stems, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 220, 3, 2006. Crossref
-
Morellato Kavin, Grupp Thomas M., Bader Uwe, Sungu Mevluet, Fink Bernd, Cristofolini Luca, Standard and line-to-line cementation of a polished short hip stem: Long-term in vitro implant stability, Journal of Orthopaedic Research®, 36, 10, 2018. Crossref
-
Cristofolini Luca, Anatomical Reference Frames for Long Bones: Biomechanical Applications, in Handbook of Anthropometry, 2012. Crossref
-
Jeyapalina Sujee, Beck James Peter, Drew Alex, Bloebaum Roy D., Bachus Kent N., Pérez María Angeles, Variation in bone response to the placement of percutaneous osseointegrated endoprostheses: A 24-month follow-up in sheep, PLOS ONE, 14, 10, 2019. Crossref
-
Reikeras Olav, Aarnes Gudrun T, Steen Harald, Ludvigsen Per, Sagvolden Geir, Differences in External and Internal Cortical Strain with Prosthesis in the Femur, The Open Orthopaedics Journal, 5, 1, 2011. Crossref
-
Heyland Mark, Checa Sara, Kendoff Daniel, Duda Georg N., Anatomic grooved stem mitigates strain shielding compared to established total hip arthroplasty stem designs in finite-element models, Scientific Reports, 9, 1, 2019. Crossref
-
Decking Ralf, Claes Lutz, Biomechanik der prothetisch versorgten Hüfte, in AE-Manual der Endoprothetik, 2012. Crossref
-
Luo Ying, Three-dimensional scaffolds, in Principles of Tissue Engineering, 2020. Crossref
-
Tan Bowen, Tang Quan, Zhong Yongjin, Wei Yali, He Linfeng, Wu Yanting, Wu Jiabao, Liao Jinfeng, Biomaterial-based strategies for maxillofacial tumour therapy and bone defect regeneration, International Journal of Oral Science, 13, 1, 2021. Crossref
-
Østbyhaug P. O., Klaksvik J., Romundstad P., Aamodt A., An in vitro study of the strain distribution in human femora with anatomical and customised femoral stems, The Journal of Bone and Joint Surgery. British volume, 91-B, 5, 2009. Crossref
-
Wik T. S., Østbyhaug P. O., Klaksvik J., Aamodt A., Increased strain in the femoral neck following insertion of a resurfacing femoral prosthesis, The Journal of Bone and Joint Surgery. British volume, 92-B, 3, 2010. Crossref
-
Freitag Tobias, Bieger Ralf, Kiefer Hartmuth, Dornacher Daniel, Reichel Heiko, Ignatius Anita, Dürselen Lutz, Biomechanics of a calcar loading and a shortened tapered femoral stem: Comparative in-vitro testing of primary stability and strain distribution, Journal of Experimental Orthopaedics, 8, 1, 2021. Crossref
-
Tan Nathanael, van Arkel Richard, Topology Optimisation for Compliant Hip Implant Design and Reduced Strain Shielding, Materials, 14, 23, 2021. Crossref
-
Tatani I., Megas P., Panagopoulos A., Diamantakos I., Nanopoulos Ph., Pantelakis Sp., Comparative analysis of the biomechanical behavior of two different design metaphyseal-fitting short stems using digital image correlation, BioMedical Engineering OnLine, 19, 1, 2020. Crossref
-
Gujar Rahul A., Warhatkar Hemant N., In vitro estimation of fracture load and strain in sheep femur bone: Experimental approach, Materials Today: Proceedings, 44, 2021. Crossref
-
Youssefian Sina, Bressner Jarred A., Osanov Mikhail, Guest James K., Zbijewski Wojciech B., Levin Adam S., Sensitivity of the stress field of the proximal femur predicted by CT‐based FE analysis to modeling uncertainties, Journal of Orthopaedic Research, 40, 5, 2022. Crossref
-
Talaia P. M., Ramos A., Abe I., Schiller M. W., Lopes P., Nogueira R. N., Pinto J. L., Claramunt R., Simões J. A., Plated and Intact Femur Strains in Fracture Fixation Using Fiber Bragg Gratings and Strain Gauges, Experimental Mechanics, 47, 3, 2007. Crossref
-
Cristofolini Luca, In vitro evidence of the structural optimization of the human skeletal bones, Journal of Biomechanics, 48, 5, 2015. Crossref
-
Cristofolini Luca, Fractures of the proximal femur: correlates of radiological evidence of osteoporosis, Skeletal Radiology, 36, 7, 2007. Crossref
-
Nomura Jumpei, Takezawa Akihiro, Zhang Heng, Kitamura Mitsuru, Design optimization of functionally graded lattice infill total hip arthroplasty stem for stress shielding reduction, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 236, 4, 2022. Crossref
-
Zani Lorenzo, Erani Paolo, Grassi Lorenzo, Taddei Fulvia, Cristofolini Luca, Strain distribution in the proximal Human femur during in vitro simulated sideways fall, Journal of Biomechanics, 48, 10, 2015. Crossref