کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6204611 1603746 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
In vitro initial stability of a stemless humeral implant
ترجمه فارسی عنوان
استقرار اولیه در ایمپلنت پوستی ساق پا در شرایط آزمایشگاهی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی


- Primary stability of a novel stemless humeral implant was assessed using two methods.
- Bone quality has a significant influence on micromotion.
- Joint load has a significant influence on micromotion.
- Implant size has no influence on micromotion.
- Displacement sensors overestimate true micromotion, optical system are recommended.

BackgroundStemless humeral prostheses have been recently introduced. We measured for the first time their in vitro primary stability and analyzed the influence of three clinically important parameters (bone quality, implant size and post-operative loading) on micromotion. We also assessed if displacement sensors are appropriate to measure implant micromotion.MethodsA stemless humeral implant (Sidus® Stem-Free Shoulder, Zimmer GmbH, Winterthur, Switzerland) was implanted in 18 cadaveric humeri. Three-dimensional motion of the implant was measured under dynamic loading at three load magnitudes with displacement sensors. Additionally, the relative motion at the bone-implant interface was measured with an optical system in four specimens.ResultsMicromotion values derived from the displacement sensors were significantly higher than those measured by the optical system (P < 0.005). Analysis of variance (ANOVA) indicated that bone density (P < 0.0005) and load (P < 0.0001) had a significant effect on implant micromotion, however the effect of implant size was not statistically significant (P = 0.123).InterpretationMicromotion of this stemless design was shown to be significantly dependent on cancellous bone density. Patients must therefore have adequate bone quality for this procedure. The influence of load magnitude on micromotion emphasizes the need for controlled post-operative rehabilitation. Measurements with displacement sensors overestimate true interface micromotion by up to 50% and correction by an optical system is strongly recommended.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Biomechanics - Volume 32, February 2016, Pages 113-117
نویسندگان
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