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Biomechanics of the Birmingham hip resurfacing arthroplasty
Journal article   Open access

Biomechanics of the Birmingham hip resurfacing arthroplasty

K. L. Ong, S. M. Kurtz, M. T. Manley, N. Rushton, N. A. Mohammed and R. E. Field
Journal of bone and joint surgery. British volume, v 88-B(8), pp 1110-1115
Aug 2006
PMID: 16877617
url
https://doi.org/10.1302/0301-620x.88b8.17567View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open
url
https://doi.org/10.1302/0301-620X.88B8.17567View
Published, Version of Record (VoR) Open

Abstract

The effects of the method of fixation and interface conditions on the biomechanics of the femoral component of the Birmingham hip resurfacing arthroplasty were examined using a highly detailed three-dimensional computer model of the hip. Stresses and strains in the proximal femur were compared for the natural femur and for the femur resurfaced with the Birmingham hip resurfacing. A comparison of cemented versus uncemented fixation showed no advantage of either with regard to bone loading. When the Birmingham hip resurfacing femoral component was fixed to bone, proximal femoral stresses and strains were non-physiological. Bone resorption was predicted in the inferomedial and superolateral bone within the Birmingham hip resurfacing shell. Resorption was limited to the superolateral region when the stem was not fixed. The increased bone strain observed adjacent to the distal stem should stimulate an increase in bone density at that location. The remodelling of bone seen during revision of failed Birmingham hip resurfacing implants appears to be consistent with the predictions of our finite element analysis.

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77 citations in Scopus

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Collaboration types
Industry collaboration
Domestic collaboration
International collaboration
Web of Science research areas
Orthopedics
Surgery
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