Effect of Humeral Stem Shape on Displacement in Elbow Implant

Article Preview

Abstract:

The daily activities are restricted by elbow architecture changes which causes instability and pain. Total elbow arthroplasty is considered last way to relief pain and instability. Various stem cross sectional shapes are designed to reduce loosening of the cemented stemmed implants. The purpose of this study is to analyse the effect of three different humeral stem shapes on implant displacement. Computed tomography scan image was used to reconstruct humerus bone. A three dimensional model of elbow humeral component with three different stem shapes (rectangular, triangular with round edges and circular) with the same length were modelled to be inserted in the constructed bone. All materials were assumed linear, homogenous, elastic and isotropic. A 4 N.m torque was applied and displacement for each implant was analysed. The results of this study showed displacement is more for distal region compared with proximal region. It was also found that rectangular stem had more resistance to torsional loading in comparison with circular and triangular. The present study demonstrates that changing the stem shapes affects the implant displacement and consequently the implant loosening.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

467-471

Citation:

Online since:

September 2013

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2013 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

[1] S. Antunaa, V. Vallina, Elbow arthroplasty: design, indications and results, Rev. Ortop. Traumatol. 50 (2006) 55-67.

Google Scholar

[2] J. Sanchez-Sotelo, Total Elbow Arthroplasty, J. Open Orthop. 5 (2011) 115-123.

Google Scholar

[3] M. L. Ramsey, Linked Total Elbow Arthroplasty, J. Oper. Tech. Orthop. 20 (2010) 48-57.

Google Scholar

[4] A. E. Kedgley, S. E. Takaki, P. Lang, C. E. Dunning, The Effect of Cross-Sectional Stem Shape on the Torsional Stability of Cemented Implant Components, J. Biomech. Eng. 129 (2007) 310-314.

DOI: 10.1115/1.2720907

Google Scholar

[5] B. G. Evans, A. U. Daniels, J. C. Serbousek , R. J. Mann, comparison of the mechanical designs of articulating elbow prostheses, Clin. Mater. 3 (1988) 235-248.

DOI: 10.1016/0267-6605(88)90060-1

Google Scholar

[6] A. Completo, J. Pereira, F. Fonseca, A. Ramos, C. Relvas, J. Simoes, Biomechanical analysis of total elbow replacement with unlinked iBP prosthesis, J. Clin. Biomech. 26 (2011) 990–997.

DOI: 10.1016/j.clinbiomech.2011.06.008

Google Scholar

[7] M. Heidari, M. R. A. Kadir, A. Fallahiarezoodar, M. N. Harun, M. Alizadeh, J. kashani, Biomechanical assessment of unconstrained elbow prosthesis after total elbow replacement: A finite element analysis, App. Mech. Mater. 234 (2012) 7-10.

DOI: 10.4028/www.scientific.net/amm.234.7

Google Scholar

[8] K. Takatori, H. Hashizume, H. Wake, H. Inoue, N. Nagayama , Analysis of stress distribution in the humeroradial joint, J. Orthop. Sci. 7 (2002) 650–657.

DOI: 10.1007/s007760200116

Google Scholar

[9] V. K. Goel, II-K. Lee, W. F. Blair, Effect of the Coonrad elbow prosthesis on stresses in the humerus, J. Clin. Biomech. 4 (1989) 11-l 6.

DOI: 10.1016/0268-0033(89)90062-4

Google Scholar

[10] R. S. Amarasinghe, R. A. M. Rupasinghe, P. Anurathan, S. R. Herath, Effects of geometry of the interamedullary stem of the ulna component of hinged elbow joint prostheses on the bone and implant bending stress, J. Mech. Med. Biol. 11 (2011).

DOI: 10.1142/s0219519411004228

Google Scholar

[11] R. Huiskes, N. Verdonschot, B. Nivbrant, Migration, Stem Shape and Surface Finish in Cemented Total Hip Arthroplasty, Clin. Orthop. Relat. Res. 355 (1998) 103–112.

DOI: 10.1097/00003086-199810000-00011

Google Scholar

[12] P. B Chang, K. A. Mann, D. L. Barte, Cemented Femoral Stem Performance. Effects of Proximal Bonding, Geometry, and Neck Length, Clin. Orthop. Relat. Res. 355 (1998) 57–69.

DOI: 10.1097/00003086-199810000-00007

Google Scholar

[13] J. C. T. van der Lugt, P. M. Rozing, Systematic review of primary total elbow prostheses used for the rheumatoid elbow, J. Clin. Rheumatol. 23 (2004) 291–298.

DOI: 10.1007/s10067-004-0884-9

Google Scholar