keyword
MENU ▼
Read by QxMD icon Read
search

Femoral stem design

keyword
https://www.readbyqxmd.com/read/28648706/total-hip-intraoperative-femur-fracture-do-the-design-enhancements-of-a-second-generation-tapered-wedge-stem-reduce-the-incidence
#1
Nicholas D Colacchio, Claire E Robbins, Mehran S Aghazadeh, Carl T Talmo, James V Bono
BACKGROUND: Intraoperative femur fracture (IFF) is a well-known complication in primary uncemented total hip arthroplasty (THA). Variations in implant instrumentation design and operative technique may influence the risk of IFF. This study investigates IFF between a standard uncemented tapered-wedge femoral stem and its second-generation successor with the following design changes: size-specific medial curvature, proportional incremental stem growth, modest reduction in stem length, and distal lateral relief...
May 15, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28634092/alarmingly-high-rate-of-implant-fractures-in-one-modular-femoral-stem-design-a-comparison-of-two-implants
#2
Ritesh R Shah, Jeffrey M Goldstein, Nancy E Cipparrone, Alexander C Gordon, Matthew L Jimenez, Wayne M Goldstein
BACKGROUND: Reports of implant fracture at the modular junction have been seen in modular neck designs, stem-sleeve modular femoral stems, and diaphyseal engaging bi-body modular stems. To date, however, there has never been a direct comparison between 2 different implant designs from the same modular family. The purpose of this study is to compare the rate of implant failure of 2 such stem-sleeve modular femoral stem designs, the S-ROM and Emperion, to further identify factors which increase the risk of this mode of failure...
May 22, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28629234/healing-of-osteochondral-defects-via-endochondral-ossification-in-an-ovine-model
#3
Helen Lydon, Alan Getgood, Frances M D Henson
OBJECTIVE: The objective of this study was to describe the mechanism of healing of osteochondral defects of the distal femur in the sheep, a commonly used translational model. Information on the healing mechanism be useful to inform the design of tissue engineering devices for joint surface defect repair. DESIGN: A retrospective study was conducted examining 7-mm diameter osteochondral defects made in the distal medial femoral condyle of 40 adult female sheep, comprising control animals from 3 separate structures...
June 1, 2017: Cartilage
https://www.readbyqxmd.com/read/28608754/a-preliminary-study-comparing-microfracture-and-local-adherent-transplantation-of-autologous-adipose-derived-stem-cells-followed-by-intraarticular-injection-of-platelet-rich-plasma-for-the-treatment-of-chondral-defects-in-rabbits
#4
Timea Spakova, Judita Amrichova, Jana Plsikova, Denisa Harvanova, Slavomir Hornak, Valent Ledecky, Jan Rosocha
Objective This study aimed to compare microfracture and application of adipose-derived stem cells (ADSCs) by local adherent technique enhanced by platelet-rich plasma (PRP) to provide a new approach for the repair of cartilage defect. Design Full-thickness cylindrical defects were created in the medial femoral condyle in 9 New Zealand White rabbits (5 months old, 4.65 ± 0.20 kg). Two groups of rabbits ( n = 3) were either treated with ADSCs (Group 1) or the microfracture technique (Group 2) following intraarticular injection of PRP 3 times in weekly intervals...
June 1, 2017: Cartilage
https://www.readbyqxmd.com/read/28589313/effect-of-a-collar-on-subsidence-and-local-micromotion-of-cementless-femoral-stems-in-vitro-comparative-study-based-on-micro-computerised-tomography
#5
Valérie Malfroy Camine, Hannes A Rüdiger, Dominique P Pioletti, Alexandre Terrier
PURPOSE: The aim of this study is to quantitatively compare the difference in primary stability between collarless and collared versions of the same femoral stem. Specifically, we tested differences in subsidence and micromotion. METHODS: Collarless and collared versions of the same cementless femoral stem were implanted in two groups of six fresh-frozen cadaveric femurs. Each implanted femur was then subsequently tested for axial compressive and torsional loadings...
June 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28579018/does-using-a-polyethylene-rm-press-fit-cup-modify-the-preparation-of-the-acetabulum-and-acetabular-offset-in-primary-hip-arthroplasty
#6
Roger Erivan, Sylvain Aubret, Guillaume Villatte, Aurélien Mulliez, Stéphane Descamps, Stéphane Boisgard
INTRODUCTION: When performing total hip arthroplasty (THA), it is important to maintain the femoral and acetabular offsets to ensure good joint stability and to restore the function of the hip abductor muscles. In our practice, we mainly use a lateralized stem and hollow out the acetabulum to the quadrilateral plate to accommodate a press-fit polyethylene cup. However, the repercussions of this preparation method, which is driven by the cup's design, are not known. We carried out a retrospective study to assess 1) the changes in the femoral and acetabular offset, 2) the height of the center of rotation, and 3) the repercussions on wear...
June 1, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28578471/retrieval-evidence-of-impingement-at-the-third-articulation-in-contemporary-dual-mobility-cups-for-total-hip-arthroplasty
#7
Anna Di Laura, Harry S Hothi, Johann Henckel, Arianna Cerquiglini, Ming Han Lincoln Liow, Young-Min Kwon, John A Skinner, Alister J Hart
PURPOSE: We aimed to assess polyethylene liners of retrieved hips of one design of a dual mobility (DM) cup liner and two designs of femoral stems to better understand the role of femoral stem design on polyethylene impingement. METHODS: This was a case-control study involving 70 retrieved highly cross-linked polyethylene (X3) liners used with ABGII (n = 35) and Rejuvenate (n = 35) stems (Stryker). All polyethylene liners were assessed for evidence of rim deformation and the damage quantified using metrology methods...
June 4, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28566326/retrieval-analysis-of-metal-and-ceramic-femoral-heads-on-a-single-cocr-stem-design
#8
A Di Laura, H Hothi, J Henckel, I Swiatkowska, M H L Liow, Y-M Kwon, J A Skinner, A J Hart
OBJECTIVES: The use of ceramic femoral heads in total hip arthroplasty (THA) has increased due to their proven low bearing wear characteristics. Ceramic femoral heads are also thought to reduce wear and corrosion at the head-stem junction with titanium (Ti) stems when compared with metal heads. We sought to evaluate taper damage of ceramic compared with metal heads when paired with cobalt chromium (CoCr) alloy stems in a single stem design. METHODS: This retrieval study involved 48 total hip arthroplasties (THAs) with CoCr V40 trunnions paired with either CoCr (n = 21) or ceramic (n = 27) heads...
May 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/28462906/biomimetic-design-and-fabrication-of-multilayered-osteochondral-scaffolds-by-low-temperature-deposition-manufacturing-and-thermal-induced-phase-separation-techniques
#9
Ting Zhang, Hefeng Zhang, Laquan Zhang, Shuaijun Jia, Jian Liu, Zhuo Xiong, Wei Sun
Integrative osteochondral repair is a useful strategy for cartilage-defect repair. To mimic the microenvironment, it is necessary that scaffolds effectively mimic the extracellular matrix of natural cartilage and subchondral bone. In this study, biomimetic osteochondral scaffolds containing an oriented cartilage layer, a compact layer, and a three-dimensional (3D)-printed core-sheath structured-bone layer were developed. The oriented cartilage layer was designed to mimic the structural and material characteristics of native cartilage tissue and was fabricated with cartilage matrix-chitosan materials, using thermal-induced phase-separation technology...
May 2, 2017: Biofabrication
https://www.readbyqxmd.com/read/28457199/bone-regeneration-mediated-by-a-bioactive-and-biodegradable-ecm-like-hydrogel-based-on-elastin-like-recombinamers
#10
Dante J Coletta, Arturo Ibáñez-Fonseca, Liliana R Missana, María V Jammal, Ezequiel J Vitelli, Mariangeles Aimone, Facundo Zabalza, João Paulo Mardegan Issa, Matilde Alonso, José Carlos Rodríguez-Cabello, Sara Feldman
The morbidity of bone fractures and defects is steadily increasing due to changes in the age pyramid. As such, novel biomaterials that are able to promote the healing and regeneration of injured bones are needed in order to overcome the limitations of auto-, allo-, and xenografts, while providing a ready-to-use product that may help to minimize surgical invasiveness and duration. In this regard, recombinant biomaterials, such as elastin-like recombinamers (ELRs), are very promising as their design can be tailored by genetic engineering, thus allowing scalable production and batch-to-batch consistency, amongst others...
April 29, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/28442161/zurich-cementless-total-hip-replacement
#11
REVIEW
David Hummel
Total hip replacement (THR) is the gold standard treatment of intractable pain from hip dysplasia. THR procedures are divided into 2 main categories: cemented and cementless, with hybrid a combination. The Zurich Cementless THR system uses a combination of press-fit (acetabular component) and locking screw (femoral component) fixation designed to address the main challenge facing cemented systems (aseptic loosening) while providing the benefit of immediate stability with its novel locking screw implantation system for the femoral stem...
July 2017: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/28418269/is-a-hollow-centralizer-necessary-when-using-a-polished-tapered-cemented-femoral-stem
#12
Erik Weber, Christer Olsson, Uldis Kesteris, Gunnar Flivik
Background and purpose - A tapered, polished and collarless stem is normally equipped with a hollow centralizer to prevent the stem from becoming end-bearing in the cement as the stem subsides. In a randomized clinical trial, we evaluated such a stem (MS-30), which was initially introduced with a solid centralizer but was later recommended to be fitted with a hollow centralizer. We hypothesized that while the stem would sink more, it would become rotationally stable and have less retroversion with a hollow centralizer than with a solid centralizer...
April 18, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28395391/dual-mobility-acetabular-cups-in-primary-total-hip-arthroplasty-in-patients-at-high-risk-for-dislocation
#13
Steven F Harwin, Jaydev B Mistry, Morad Chughtai, Anton Khlopas, Chukwuweike Gwam, Jared M Newman, Carlos A Higuera, Peter M Bonutti, Arthur L Malkani, Frank R Kolisek, Ronald E Delanois, Michael A Mont
INTRODUCTION: Postoperative dislocation occurs in approximately 2% of primary total hip arthroplasties (THAs). Risk factors associated with dislocation include: age of 70 years or older, body mass index (BMI) of 30 kg/m2 or greater, alcohol abuse, and neuro-degenerative diseases such as multiple sclerosis or Parkinson's disease. As a result, dual-mobility articulations, which have been typically used for revision procedures, have become an increasingly popular option for these "at risk" primary THAs...
April 11, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28392688/evaluation-of-zinc-doped-mesoporous-hydroxyapatite-microspheres-for-the-construction-of-a-novel-biomimetic-scaffold-optimized-for-bone-augmentation
#14
Weilin Yu, Tuan-Wei Sun, Chao Qi, Zhenyu Ding, Huakun Zhao, Shichang Zhao, Zhongmin Shi, Ying-Jie Zhu, Daoyun Chen, Yaohua He
Biomaterials with high osteogenic activity are desirable for sufficient healing of bone defects resulting from trauma, tumor, infection, and congenital abnormalities. Synthetic materials mimicking the structure and composition of human trabecular bone are of considerable potential in bone augmentation. In the present study, a zinc (Zn)-doped mesoporous hydroxyapatite microspheres (Zn-MHMs)/collagen scaffold (Zn-MHMs/Coll) was developed through a lyophilization fabrication process and designed to mimic the trabecular bone...
2017: International Journal of Nanomedicine
https://www.readbyqxmd.com/read/28391517/preoperative-digital-planning-versus-postoperative-outcomes-in-total-hip-arthroplasty-using-a-calcar-guided-short-stem-frequent-valgization-can-be-avoided
#15
Karl Philipp Kutzner, Joachim Pfeil, Mark Predrag Kovacevic
INTRODUCTION: Modern total hip arthroplasty is largely dependent on the successful preservation of hip geometry. Thus, a successful implementation of the preoperative planning is of great importance. The present study evaluates the accuracy of anatomic hip reconstruction predicted by 2D digital planning using a calcar-guided short stem of the newest generation. METHODS: A calcar-guided short stem was implanted in 109 patients in combination with a cementless cup using the modified anterolateral approach...
April 8, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28385929/cemented-versus-cementless-hemiarthroplasty-for-a-displaced-fracture-of-the-femoral-neck-a-systematic-review-and-meta-analysis-of-current-generation-hip-stems
#16
REVIEW
H D Veldman, I C Heyligers, B Grimm, T A E J Boymans
AIMS: Our aim was to prepare a systematic review and meta-analysis to compare the outcomes of cemented and cementless hemiarthroplasty of the hip, in elderly patients with a fracture of the femoral neck, to investigate the mortality, complications, length of stay in hospital, blood loss, operating time and functional results. MATERIALS AND METHODS: A systematic review and meta-analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines on randomised controlled trials (RCTs), studying current generation designs of stem only...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28375671/outcome-in-design-specific-comparisons-between-highly-crosslinked-and-conventional-polyethylene-in-total-hip-arthroplasty
#17
Per-Erik Johanson, Ove Furnes, Leif Ivar Havelin, Anne Marie Fenstad, Alma B Pedersen, Søren Overgaard, Göran Garellick, Keijo Mäkelä, Johan Kärrholm
Background and purpose - Most registry studies regarding highly crosslinked polyethylene (XLPE) have focused on the overall revision risk. We compared the risk of cup and/or liner revision for specific cup and liner designs made of either XLPE or conventional polyethylene (CPE), regarding revision for any reason and revision due to aseptic loosening and/or osteolysis. Patients and methods - Using the Nordic Arthroplasty Register Association (NARA) database, we identified cup and liner designs where either XLPE or CPE had been used in more than 500 THAs performed for primary hip osteoarthritis...
April 4, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28363891/cement-in-cement-revision-of-the-femoral-stem-analysis-of-1179-first-time-revisions-in-the-swedish-hip-arthroplasty-register
#18
COMPARATIVE STUDY
P H J Cnudde, J Kärrholm, O Rolfson, A J Timperley, M Mohaddes
AIMS: Compared with primary total hip arthroplasty (THA), revision surgery can be challenging. The cement-in-cement femoral revision technique involves removing a femoral component from a well-fixed femoral cement mantle and cementing a new stem into the original mantle. This technique is widely used and when carried out for the correct indications, is fast, relatively inexpensive and carries a reduced short-term risk for the patient compared with the alternative of removing well-fixed cement...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28300706/tapered-stems-one-third-proximally-coated-have-higher-complication-rates-than-cylindrical-two-third-coated-stems-in-patients-with-high-hip-dislocation-undergoing-total-hip-arthroplasty-with-step-cut-shortening-osteotomy
#19
V Emre Ozden, G Dikmen, B Beksac, I Remzi Tozun
BACKGROUND: The results of cementless stems in total hip arthroplasty (THA) done because of congenital dislocation with step-cut osteotomy is not well known, particularly the influence of the design and the role of extent of porous coating. Therefore we performed a retrospective study to evaluate the mid to long-term results THA performed with a single type acetabular component and different geometry and fixation type stems with ceramic bearings in the setting of step-cut subtrochanteric osteotomy in high hip dislocated (HHD) patients...
June 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28283706/three-dimensional-analysis-of-the-proximal-anterior-femoral-flare-and-torsion-anatomic-bases-for-metaphyseally-fixed-short-stems-design
#20
Elhadi Sariali, Yohan Knaffo
PURPOSE: The use of femoral stems with a short metaphyseal fixation may lead to fractures or subsidence. Such failures may be related to a mismatch between the torsions or the sagittal flares of the stem and the femur. The goal of our study was to perform a 3D analysis of the proximal metaphyseal femur anatomy with a special focus on the anterior proximal flare and torsion. Such data may help to detect the outlier patients for whom a short metaphyseal fixation should be avoided. METHODS: A prospective study included 80 consecutive patients who underwent a primary cementless THA with a 3D CT-scan based pre-operative planning...
March 10, 2017: International Orthopaedics
keyword
keyword
89119
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"