Biomechanical evaluation of acetabular cup implantation in cementless total hip arthroplasty

Kate A. Margalit, Kei Hayashi, Josh Jackson, Sun Young Kim, Tanya C. Garcia, K. Tomo Wiggans, Sean Aiken, Susan M Stover

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Objective: To report biomechanical properties of the Biologic Fixation System (BFX) acetabular cup impacted into a normal canine pelvis and to compare the effect of implant positioned to and beyond the medial acetabular wall. Study Design: In vitro cadaveric study. Animals: Hemipelves of mature, large-breed dogs (n=6). Methods: For each dog, 1 hemipelvis was reamed to the depth of the acetabular wall (group A) and 1 was reamed an additional 6 mm after penetration of the medial cortex of the acetabulum (group B). The hemipelves were implanted with acetabular cups and loaded in compression through a matching femoral prosthetic component until failure. Specimen stiffness, and failure displacement, load, and energy were determined from load and displacement data and results between groups compared with a paired t-test. Results: Mean failure load was greater in group A (3812 ± 391 N) than group B (2924 ± 316 N; P<.014). No other differences (P>.05) were observed between groups. Bone fracture (n=5) and cup displacement (1) occurred in group A whereas in group B there were 3 fractures and 3 cup displacements. Conclusions: Although medial placement of the BFX cup affected compressive failure loads, failure loads for both groups exceeded normal physiologic loads. Clinical Relevance: Medial positioning of the acetabular cup does not appear to compromise acetabular implant-pelvic stability under normal physiologic loads. Because arthroplasty candidates often have abnormal acetabular architecture, mechanical properties of the cup placed in acetabula without a dorsal rim should be investigated.

Original languageEnglish (US)
Pages (from-to)818-823
Number of pages6
JournalVeterinary Surgery
Volume39
Issue number7
DOIs
StatePublished - Oct 2010

ASJC Scopus subject areas

  • veterinary(all)

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    Margalit, K. A., Hayashi, K., Jackson, J., Kim, S. Y., Garcia, T. C., Wiggans, K. T., Aiken, S., & Stover, S. M. (2010). Biomechanical evaluation of acetabular cup implantation in cementless total hip arthroplasty. Veterinary Surgery, 39(7), 818-823. https://doi.org/10.1111/j.1532-950X.2010.00726.x