Effect of simulated early weight bearing on micromotion and pullout strength of uncemented distal femoral stems.

Abstract:

:The effect of simulated early weight bearing on both micromotion and pullout strength of uncemented distal femoral stems was evaluated in this study. The effect of stem endosteal contact and bone quality on implant pullout strength was also analyzed. A randomized matched-pair study was performed using 8 bilateral pairs of fresh human cadaveric femoral specimens. Each specimen pair was dual-energy x-ray absorptiometry scanned, uniformly implanted, fluoroscopically imaged, and randomly assigned to the cycled or uncycled group. The cycled group received 5000 cycles of axial compressive loading (to 700 N) and the contralateral side was not cycled. Micromotion was monitored during cycling and compared with a failure threshold (150 µm), and all implants underwent direct axial distraction (pullout) testing. During cycling, minimal micromotion was observed with an asymptotic decrease in differential motion between the first and last 50 cycles. Both cycled and uncycled groups demonstrated no statistical difference in average pullout force (4888±2124 N vs 4367±1154 N; P=.43). The percentage of cortical contact for each implant was determined from panoramic fluoroscopy images using digital image analysis software. Contact area for the distal third of the stem showed the highest correlation with pullout force and with predicting pullout force. Bone quality did not correlate with pullout force (r(2)=0.367) or stem contact area (r(2)=0.394). In sum, press-fit uncemented femoral stems did not loosen or demonstrate decreased pullout strength with early weight bearing simulated by cyclical axial compressive loading.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Barr JS,White JK,Punt SE,Conrad EU 3rd,Ching RP

doi

10.3928/01477447-20150504-60

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

e417-22

issue

5

eissn

0147-7447

issn

1938-2367

journal_volume

38

pub_type

杂志文章
  • Retrospective comparison of H-graft and posterior vertebral graft procedures for the treatment of thoracolumbar burst fractures.

    abstract::A retrospective cohort study was conducted to compare fusion rates achieved by H-grafts, posterior vertebral grafts, and no graft for the surgical treatment of thoracolumbar fractures. Ninety-two patients were included in this study. The patients fell into 1 of 3 groups: those who received H-grafts (n=36), posterior v...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110826-05

    authors: Huang F,Zhu QS,Li YN,Chen JG,Zhao DM,Yang Y,Wu H

    更新日期:2011-10-05 00:00:00

  • Lateral mass versus hybrid construct for cervical laminectomy and fusion.

    abstract::Spine stabilization after C3-C7 laminectomy can be accomplished with many instrumentation options. A hybrid construct using lateral mass screws from C3 to C5 and pedicle screws at C7 can potentially maximize strength and solve the spatial constraints introduced by the placement of C6 lateral mass screws and C7 pedicle...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130327-27

    authors: Regan CM,Emmanuel S,Hornik C,Weinhold P,Lim MR

    更新日期:2013-04-01 00:00:00

  • Sandwich vertebral fracture in the study of adjacent-level fracture after vertebral cement augmentation.

    abstract::The literature is inconclusive on the development of adjacent-level vertebral fracture after initial cement augmentation. A preliminary hypotheses is that cement injection exaggerates force transmission to the adjacent vertebral bodies, thereby predisposing those levels to future fractures. A sandwich vertebra is an i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120725-24

    authors: Wang L,Yang H,Shi Y,Luo Z,Jiang W,Bao Z,Chen K,Wang G

    更新日期:2012-08-01 00:00:00

  • Recognizable magnetic resonance imaging characteristics of intramuscular myxoma.

    abstract::Extremity intramuscular myxoma is an uncommon, deep, benign soft-tissue neoplasm. It is characterized clinically by slow growth and minimal symptoms. Resection achieving wide surgical margins is curative. This article presents the imaging characteristics of five extremity intramuscular myxomas. Images of this benign n...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Schwartz HS,Walker R

    更新日期:1997-05-01 00:00:00

  • Hemiarthroplasty Is an Option for Patients Older Than 70 Years With Glenohumeral Osteoarthritis.

    abstract::Hemiarthroplasty (HA) of the shoulder has several potential advantages over total shoulder arthroplasty (TSA), particularly in the elderly population. This study reviewed long-term results of HA and TSA in patients older than 70 years with glenohumeral osteoarthritis. During a 30-year period, 403 shoulders had undergo...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20180621-03

    authors: Werthel JD,Schoch B,Adams JE,Schleck C,Cofield R,Steinmann SP

    更新日期:2018-07-01 00:00:00

  • Intramedullary reaming and nailing: its early effects on cortical bone vascularization.

    abstract::The early effect of reaming the medullary cavity prior to intramedullary nailing using Küntscher's method, on human cortical bone vascularization in the femur is discussed. In sections of the femur where the medullary tissue had been totally reamed, the inner two-thirds of the cortical bone tube was completely avascul...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Olerud S,Strömberg L

    更新日期:1986-09-01 00:00:00

  • Open vs endoscopic carpal tunnel release.

    abstract::We examined a consecutive group of patients who had undergone either open (34 patients) or single portal endoscopic (12 patients) carpal tunnel release performed by one surgeon over a period of 3 years. Fifty-seven total procedures were performed. There were no operative complications. Retrospective evaluation was don...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Gibbs KE,Rand W,Ruby LK

    更新日期:1996-12-01 00:00:00

  • Isolated fracture of the lateral malleolus.

    abstract::Isolated fractures of the lateral malleolus are stable only if no other ligaments are torn. These fractures are unstable if accompanied by a tear of the deltoid or anterior tibiofibular ligament and it may be necessary to demonstrate the resulting talar instability by stress radiographs. Stable fractures are best trea...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19810301-08

    authors: Yablon IG,Wasilewski S

    更新日期:1981-03-01 00:00:00

  • Modification of technique and results of atlantoaxial transfacet stabilization.

    abstract::A modification of the C1 C2 transfacet stabilization is reported. This technique allows a smaller incision to be made and provides a method for easier screw insertion. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: McGuire RA Jr,Harkey HL

    更新日期:1995-10-01 00:00:00

  • Teriparatide (rh [1-34] PTH) improved osteointegration of a hemiarthroplasty with signs of aseptic loosening.

    abstract::Incidences of osteoporosis and fragility fractures are constantly increasing, which are associated with increased morbidity and mortality. When these patients undergo surgery, a higher number of postoperative complications may be expected because of poor bone quality and delayed healing. As a result, poorer primary st...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110714-50

    authors: Oteo-Álvaro Á,Matas JA,Alonso-Farto JC

    更新日期:2011-09-09 00:00:00

  • Idiopathic osteoarthritis of the hip: incidence, classification, and natural history of 272 cases.

    abstract::Long-term clinical and radiographic data of 210 patients (272 hips) with idiopathic hip osteoarthritis were reviewed. Of the 272 hips, 218 (80%) were eccentric and 54 (20%) were concentric. In eccentric hips, the femoral head migrated superolaterally or superomedially, because of the eccentric development of the degen...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Hartofilakidis G,Karachalios T

    更新日期:2003-02-01 00:00:00

  • An occult acetabular fracture preceding a femoral neck fracture.

    abstract::This article describes the case of a 69-year-old patient with an occult acetabular fracture complicated by an ipsilateral femoral neck fracture occurring within 2 months. The acetabular fracture remained undiagnosed at examination due to insufficient clinical and radiographic data interpretation. The patient was assur...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090624-28

    authors: Lasanianos N,Kanakaris N,Giannoudis PV

    更新日期:2009-08-01 00:00:00

  • Total hip arthroplasty for alcoholic osteonecrosis of the femoral head.

    abstract::Osteonecrosis of the femoral head in the setting of alcohol abuse is a potential important cause of symptomatic hip disease in young patients. All cases of uncemented primary total hip arthroplasty (THA) with a primary operative diagnosis of osteonecrosis of the femoral head secondary to alcohol abuse treated at our i...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090511-06

    authors: Yuan B,Taunton MJ,Trousdale RT

    更新日期:2009-06-01 00:00:00

  • A technique for recording the EMG of electrically stimulated skeletal muscle.

    abstract::A technique for recording the myoelectric activity of electrically stimulated muscle through its motor nerve without the interference of stimuli artifacts has been developed and tested. The technique consists of a wide band differential amplifier with fine intramuscular wire electrodes. The amplified signal is passed ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Solomonow M,Baratta R,Miwa T,Shoji H,D'Ambrosia R

    更新日期:1985-04-01 00:00:00

  • Dramatic increase in total knee replacement utilization rates cannot be fully explained by a disproportionate increase among younger patients.

    abstract::The incidence of total knee replacement in the United States more than doubled between 1999 and 2008, increasing from approximately 263,000 to 616,000 cases. The purpose of this study is to evaluate the claim that there has been a disproportionate increase in knee replacements among younger patients owing to expanding...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140626-58

    authors: Bernstein J,Derman P

    更新日期:2014-07-01 00:00:00

  • Osteoporotic ankle fractures: an approach to operative management.

    abstract::The incidence of osteoporosis is increasing as the elderly population grows. Because these patients remain active, fragility fractures of the ankle are becoming more common. The literature indicates a relatively high complication rate for non-operative management of ankle fractures in this patient cohort, leading surg...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20131120-07

    authors: McKean J,Cuellar DO,Hak D,Mauffrey C

    更新日期:2013-12-01 00:00:00

  • Cementless total shoulder arthroplasty: preliminary experience with thirteen cases.

    abstract::From February 1978 to March 1981, 13 English-McNab cementless, semiconstrained, implant shoulder arthroplasties were performed in 12 people. The ages of the patients at the time of surgery ranged from 53 to 73 years with an average of 62 years. The preoperative diagnoses were rheumatoid arthritis, primary osteoarthros...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19830401-04

    authors: Faludi DD,Weiland AJ

    更新日期:1983-04-01 00:00:00

  • Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids.

    abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140825-92

    authors: Schultzel MM,Johnson MH,Rosenthal HG

    更新日期:2014-09-01 00:00:00

  • Comparison of intramedullary nailing of distal third tibial shaft fractures: before and after traumatologists.

    abstract::We hypothesized that less malalignment and complications occur with intramedullary nailing of distal third tibia fractures (42A, B, C) after the implementation of orthopedic trauma surgeons to this level II community hospital. We also hypothesized that patients with < or =5 degrees of malalignment have poorer function...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Obremskey WT,Medina M

    更新日期:2004-11-01 00:00:00

  • Total En Bloc Spondylectomy for Primary and Metastatic Spine Tumors.

    abstract::This study reports the surgical and clinical outcomes of spinal tumors managed with total en bloc spondylectomy. The authors searched their prospectively maintained database for patients undergoing total en bloc spondylectomy between 2001 and 2013. Ten patients (9 men, 1 woman; average age, 50.7 years; range, 42-68 ye...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151020-08

    authors: Mesfin A,El Dafrawy MH,Jain A,Hassanzadeh H,Kebaish KM

    更新日期:2015-11-01 00:00:00

  • Pigmented villonodular synovitis: a clinical analysis of twenty-four cases treated at Henry ford hospital.

    abstract::This article describes the clinical findings, roentgenographic manifestations, gross and microscopic pathology, treatment, and results of 24 cases of pigmented villonodular synovitis treated at Henry Ford Hospital over a period of 25 years. We conclude that synovectomy is the treatment of choice, and we have experienc...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19800801-05

    authors: Wu KK,Ross PM,Guise ER

    更新日期:1980-08-01 00:00:00

  • Flexion distraction injuries of the thoracolumbar spine: a review.

    abstract::Flexion-distraction injuries of the thoracolumbar spine and the "seat belt syndrome" are reviewed. The incidence, pathogenesis, classification, diagnosis, and treatment of these injuries are discussed. ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Triantafyllou SJ,Gertzbein SD

    更新日期:1992-03-01 00:00:00

  • Comparative study of unilateral and bilateral pedicle screw fixation in posterior lumbar interbody fusion.

    abstract::A prospective, randomized clinical study was performed to determine whether unilateral pedicle screw fixation was comparable with bilateral fixation in 1- or 2-segment lumbar interbody fusion. One hundred eight patients with lumbar degenerative diseases were randomly assigned to the unilateral (n=56) or bilateral (n=5...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20120919-22

    authors: Xie Y,Ma H,Li H,Ding W,Zhao C,Zhang P,Zhao J

    更新日期:2012-10-01 00:00:00

  • Analysis of Retrieved Unicompartmental Knee Implants and Tissue: Third-Body Wear as a Potential Contributor to Progression of Arthritis to Adjacent Compartments.

    abstract::Unicompartmental knee arthroplasty (UKA) for the treatment of single-compartment osteoarthritis has been associated with polyethylene wear and progression of osteoarthritis into adjacent compartments, leading to revision. In this study, damage and clinical failure modes of retrieved UKA implants were investigated and ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20190424-06

    authors: Kaplan LM,Siljander MP,Verner JJ,Baker KC,Gehrke CK,Salisbury MR,Baker EA

    更新日期:2019-05-01 00:00:00

  • The effects of lower-extremity total joint replacement for arthritis on obesity.

    abstract::Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Heisel C,Silva M,dela Rosa MA,Schmalzried TP

    更新日期:2005-02-01 00:00:00

  • Slipped capital femoral epiphysis. An assessment of treatment modalities.

    abstract::Fifty-five patients underwent operative treatment of slipped capital femoral epiphyses at Children's Hospital Medical Center in Cincinnati, Ohio, between January 1975 and April 1980. Charts and x-rays were available for review in 45 of these patients with 68 affected hips; the incidence of bilaterality was 51%. Sixty-...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Bloom ML,Crawford AH

    更新日期:1985-01-01 00:00:00

  • DVT prophylaxis: better living through chemistry: opposes.

    abstract::The association between total hip arthroplasty and subsequent postoperative deep venous thrombosis is of particular concern because it can lead to symptomatic venous thromboembolic events. However, controversy remains about the optimal approach to prophylaxis. Some authors recommend the use of various chemoprophylacti...

    journal_title:Orthopedics

    pub_type: 评论,杂志文章

    doi:10.3928/01477447-20100722-41

    authors: Zywiel MG,Johnson AJ,Mont MA

    更新日期:2010-09-07 00:00:00

  • Evaluation of intermittent pneumatic compression devices.

    abstract::Venous blood flow rate in the lower extremity after applying different pneumatic compression devices was evaluated. Five healthy individuals, aged 21-35, were recruited for this study. The ability of six different pneumatic compression devices to increase femoral venous blood flow velocity was analyzed and compared to...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Whitelaw GP,Oladipo OJ,Shah BP,DeMuth KA,Coffman J,Segal D

    更新日期:2001-03-01 00:00:00

  • Rotational alignment of femoral component and flexion gap balance in patients with distal femoral torsional deformity using navigation-assisted TKA.

    abstract::We evaluated the rotational alignment of the femoral component after total knee arthroplasty in 46 patients with distal femoral torsional deformity using a navigation-assisted gap technique. Preoperative distal femoral torsional angle and postoperative rotational deviation of the femoral component were measured using ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090915-61

    authors: Lim HC,Bae JH,Neogi DS,Wang JH,Seok CW,Kim MK

    更新日期:2009-10-01 00:00:00

  • Efficacy of prophylactic antibiotics in arthroscopic surgery.

    abstract::A prospective, randomized, double-blind study of 437 patients undergoing arthroscopic diagnostic and operative procedures found that no deep infections occurred in any patient and only one superficial infection occurred in a patient who did not receive prophylactic antibiotics. One patient had a mild allergic reaction...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Wieck JA,Jackson JK,O'Brien TJ,Lurate RB,Russell JM,Dorchak JD

    更新日期:1997-02-01 00:00:00