The application of new composite materials for total joint arthroplasty
- PMID: 10146540
The application of new composite materials for total joint arthroplasty
Abstract
The material and design issues for the composite hip stem development are examined. The development of the "isoelastic" hip is based on the hypothesis that the matching of the material modulus to that of cortical bone will result in an optimal stress transfer to the bone, resulting in a minimal bone loss. The biomechanical data showed no statistical difference in strain transfer in the bone before or after implantation of low modulus stems. The clinical reports of a number of earlier "isoelastic" devices showed evidence of loosening and lack of stability. The current interest has been in the development of femoral components made from carbon fiber reinforced polyaryletherketone, polysulfone, and carbon/carbon composites. As these materials are optimized, it is important to look into matching the rigidity of bone. Moreover, the unsupported neck area needs to be as strong as metal, like Ti6-Al4-V, to prevent failure, whereas the femoral component inside the bone needs to have lower rigidity. Therefore, monolithic composite material from neck area to the distal stem will not withstand the loading needs and a material optimization scheme is required to come up with a long-lasting composite device. Lastly, the price vs. patient benefits for these composite material stems need to be established.
Similar articles
-
Composite technology for total hip arthroplasty.Clin Orthop Relat Res. 1988 Oct;(235):224-36. Clin Orthop Relat Res. 1988. PMID: 3416528
-
Isoelasticity and total hip arthroplasty.Orthopedics. 1991 Mar;14(3):323-8. Orthopedics. 1991. PMID: 2020631
-
[Experimental protocol for mechanical characterization of a femoral implant of carbon-Peek composite hip prosthesis in fatigue].Chirurgie. 1997 Jan;121(9-10):658-62. Chirurgie. 1997. PMID: 9138327 French.
-
New polymer materials in total hip arthroplasty. Evaluation with radiostereometry, bone densitometry, radiography and clinical parameters.Acta Orthop Suppl. 2005 Feb;76(315):3-82. Acta Orthop Suppl. 2005. PMID: 15790289 Review.
-
The evolution of hip resurfacing arthroplasty.Orthop Clin North Am. 2005 Apr;36(2):125-34, vii. doi: 10.1016/j.ocl.2005.01.006. Orthop Clin North Am. 2005. PMID: 15833450 Review.
Cited by
-
Carbon Fiber Implants in Orthopaedic Oncology.J Clin Med. 2022 Aug 24;11(17):4959. doi: 10.3390/jcm11174959. J Clin Med. 2022. PMID: 36078889 Free PMC article. Review.
-
Survivorship of a low-stiffness extensively porous-coated femoral stem at 10 years.Clin Orthop Relat Res. 2010 Feb;468(2):433-40. doi: 10.1007/s11999-009-0950-3. Epub 2009 Jun 26. Clin Orthop Relat Res. 2010. PMID: 19557489 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Other Literature Sources
Research Materials