ReviewFrontiers in bioengineering and biotechnology2021
Femoral Stems With Porous Lattice Structures: A Review.
Review in Frontiers in bioengineering and biotechnology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The trial behind it
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Who cites it
21 citing papers in PubMed.
- Toward next-generation hip implants: From failure mechanisms to translational design.Journal of orthopaedic translation · 2026Review
- A Review of the Variations in Design Features in Diaphyseal Engaging Tapered Fluted Titanium Femoral Stems in Revision Total Hip Arthroplasty.Hip & pelvis · 2026Review
- Lattice Structures in Additive Manufacturing for Biomedical Applications: A Systematic Review.Polymers · 2025Review
- Finite element analysis of short-segment fixation combined with expandable polyetheretherketone vertebral body replacement in osteoporotic vertebrae.BMC musculoskeletal disorders · 2025Article
- Mechanobiological evaluation of solid and multiple porous humeral stem architectures in reverse shoulder arthroplasty based on design and materials: a finite element study.Frontiers in bioengineering and biotechnology · 2025Article
- Magnesium as an emerging bioactive material for orthopedic applications: bedside needs lead the way from innovation to clinical translation.Regenerative biomaterials · 2025Review
- Article
- Advanced topology of triply periodic minimal surface structure for osteogenic improvement within orthopedic metallic screw.Materials today. Bio · 2024Article
- Increased stability of short femoral stem through customized distribution of coefficient of friction in porous coating.Scientific reports · 2024Article
- Debulking of the Femoral Stem in a Primary Total Hip Joint Replacement: A Novel Method to Reduce Stress Shielding.Bioengineering (Basel, Switzerland) · 2024Article
- Common Factors in Shoulder and Hip Arthroplasty Implant Failures: A Historical Review.Journal of clinical medicine · 2024Review
- Powder Bed Fusion 3D Printing in Precision Manufacturing for Biomedical Applications: A Comprehensive Review.Materials (Basel, Switzerland) · 2024Review
- Multiscale Homogenization Techniques for TPMS Foam Material for Biomedical Structural Applications.Bioengineering (Basel, Switzerland) · 2023Article
- Biomechanical Effects of the Porous Structure of Gyroid and Voronoi Hip Implants: A Finite Element Analysis Using an Experimentally Validated Model.Materials (Basel, Switzerland) · 2023Article
- Multi-Scale Topology Optimization of Femoral Stem Structure Subject to Stress Shielding Reduce.Materials (Basel, Switzerland) · 2023Article
- Capability of auxetic femoral stems to reduce stress shielding after total hip arthroplasty.Journal of orthopaedic translation · 2023Article
- Design of 3D-printed prostheses for reconstruction of periacetabular bone tumors using topology optimization.Frontiers in bioengineering and biotechnology · 2023Article
- A novel hybrid design and modelling of a customised graded Ti-6Al-4V porous hip implant to reduce stress-shielding: An experimental and numerical analysis.Frontiers in bioengineering and biotechnology · 2023Article
- Immunomodulatory biomaterials for implant-associated infections: from conventional to advanced therapeutic strategies.Biomaterials research · 2022Review
- Stress Shielding and Bone Resorption of Press-Fit Polyether-Ether-Ketone (PEEK) Hip Prosthesis: A Sawbone Model Study.Polymers · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cementless femoral stems are prone to stress shielding of the femoral bone, which is caused by a mismatch in stiffness between the femoral stem and femur. This can cause bone resorption and resultant loosening of the implant. It is possible to reduce the stress shielding by using a femoral stem with porous structures and lower stiffness. A porous structure also provides a secondary function of allowing bone ingrowth, thus improving the long-term stability of the prosthesis. Furthermore, due to the advent of additive manufacturing (AM) technology, it is possible to fabricate femoral stems with internal porous lattices. Several review articles have discussed porous structures, mainly focusing on the geometric design, mechanical properties and influence on bone ingrowth. However, the safety and effectiveness of porous femoral stems depend not only on the characteristic of porous structure but also on the macro design of the femoral stem; for example, the distribution of the porous structure, the stem geometric shape, the material, and the manufacturing process. This review focuses on porous femoral stems, including the porous structure, macro geometric design of the stem, performance evaluation, research methods used for designing and evaluating the femoral stems, materials and manufacturing techniques. In addition, this review will evaluate whether porous femoral stems can reduce stress shielding and increase bone ingrowth, in addition to analyzing their shortcomings and related risks and providing ideas for potential design improvements.
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