Modelling debonded stem–cement interface for hip implants: effect of residual stresses

2002 ◽  
Vol 17 (1) ◽  
pp. 41-48 ◽  
Author(s):  
N Nuño ◽  
M Amabili
Author(s):  
N. Nun˜o

Implant looseining of cemented hip implants is one of the major causes of failure of the arthroplasty. In cemented hip implants, the polymethyl methacrylate (PMMA), also called bone cement, is used as grouting material between the stem and the surrounding bone. During polymerisation of the cement, residual stresses are generated in the bulk cement. The bone cement does not have a chemical bond with the stem nor the bone; however, it fills completely the space between the two and serves to distribute the load being transferred from the stem to the bone. Numerical analyses on the load transfer of cemented hip implants usually do not include the residual stresses due to cement curing at the stem-cement interface [1–2].


Author(s):  
N. Nun˜o

Implant loosening of cemented hip implants is one of the major causes of failure of the arthroplasty. In cemented hip implants, the polymethyl methacrylate (PMMA), also called bone cement, is used as grouting material between the stem and the surrounding bone. During polymerisation of the cement, residual stresses are generated in the bulk cement. The bone cement does not have a chemical bond with the stem nor the bone; however, it fills completely the space between the two and serves to distribute the load being transferred from the stem to the bone. Numerical analyses on the load transfer of cemented hip implants usually do not include the residual stresses due to cement curing at the stem-cement interface [1–2].


1982 ◽  
Vol 104 (1) ◽  
pp. 28-37 ◽  
Author(s):  
A. M. Ahmed ◽  
R. Nair ◽  
D. L. Burke ◽  
J. Miller

In this second part of a two-part report, an idealized model of the stem fixation system is analyzed to determine the adverse effects of the thermal stresses and displacements of bone cement during its curing process. The Shaffer-Levitsky stress-rate strain-rate law for chemically hardening material has been used. The results show that if the cement is surrounded by cancellous bone, as opposed to cortical bone, then transient tensile circumferential stresses in the cement and similar radial stresses at the stem/cement interface are generated. The former may cause flaws and voids within the still curing cement, while the latter may cause gaps at the interface.


2008 ◽  
Vol 41 ◽  
pp. S68
Author(s):  
M.A. Pérez ◽  
J.M. García-Aznar ◽  
M. Doblaré

2005 ◽  
Vol 490-491 ◽  
pp. 571-576
Author(s):  
Natalia Nuño ◽  
Dominic Plamondon

The initial fixation of the cemented hip prosthesis relies on the resistance of the interface between the metallic stem of the implant, the PMMA, and the adjacent bone. During the operation, the bone cement still in a liquid form is inserted between the implant and the bone. During polymerisation of the cement, residual stresses are generated in the bulk cement. An experiment has been devised to reproduce the in vivo behaviour of a cemented hip prosthesis, and to develop a technique to measure the residual stresses of the bone cement at the stem-cement interface. An idealized prosthesis (19-mm diameter) was placed inside a synthetic bone (outer diameter of 40 mm, inside diameter of 30 mm). The bone cement was poured between the stem and the bone. A sub-miniature load cell was inserted inside the idealized stem to measure directly the radial stresses generated by the cement curing on the hip stem. The tests are conducted at body temperature of 37°C to simulate the in-vivo conditions.


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