Preconditions for the development of aseptic instability in the total cement-free endoprosthesis of the hip joint
DOI:
https://doi.org/10.15674/0030-59872009110-16Keywords:
hip joint, endoprosthetics, aseptic instability, stressed-deformed stateAbstract
The authors developed biomechanical and three-dimensional mathematical models of the femoral component of the endoprosthesis, implanted to the medullary canal of the femoral bone, and studied the stresses, which appeared in the bone around the endoprosthesis stem. A stressed-deformed state of the bone was calculated, when the form of the femoral component of the endoprosthesis absolutely corresponded to that of the medullary canal, and in cases without this correspondence. Also, biomechanical and three-dimensional mathematical models of the acetabulum with a cement-free acetabular prosthesis component were developed. A stressed-deformed state of the bone in cases of the hemispherical shape of the endoprosthesis cup with and without any additional fixing with screws was calculated. An expediency of the use of screws for fixing the endoprosthesis cavity was assessed. A stressed-deformed state of the bone was also calculated for the cases, when the endoprosthesis cup had the shape of a truncated cone
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