ArticleBone & joint research2022
Comparison of periprosthetic femoral fracture torque and strain pattern of three types of femoral components in experimental model.
Article in Bone & joint research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Maximizing stem body size may reduce the risk of postoperative periprosthetic fractures : an analysis of 2,757 CPT femoral components.Bone & joint open · 2026Article
- Low Rate of Periprosthetic Femoral Fracture in Dorr Type B and C Femurs With the Anterior Approach Using Stems Cemented According to the "French Paradox".Arthroplasty today · 2026Article
- Stem design and sizing influence torsional periprosthetic fracture resistance of cemented stems in osteoporotic femoral models: a comparative biomechanical study.Arthroplasty (London, England) · 2026Article
- Osteoporotic Bone Quality Significantly Increases Proximal Stress Concentration: A Comparative Thermoelastic Stress Analysis with Normal Composite Femurs.Bioengineering (Basel, Switzerland) · 2026Article
- In silico analysis of fixation device strain patterns in the postoperative proximal femur: Effects of bone quality during gait.Clinical biomechanics (Bristol, Avon) · 2025Article
- Comparison of Fracture Resistance Using Two Different Major Cemented Stems in Osteoporotic Bone Models.Journal of clinical medicine · 2025Article
- Cementing technique of the femur in primary THA: the French paradox.EFORT open reviews · 2025Article
- Experimental periprosthetic fractures with collarless polished tapered cemented stems.International orthopaedics · 2024Article
- Collarless Polished Tapered Stems of Identical Shape Provide Differing Outcomes for Stainless Steel and Cobalt Chrome: A Biomechanical Study.Journal of functional biomaterials · 2023Article
- Total Hip Replacement with Use of the French Paradox Cementing Technique for a Shortened Charnley-Kerboull Stem via a Bikini Approach.JBJS essential surgical techniquesArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsPeriprosthetic hip fractures (PPFs) after total hip arthroplasty are difficult to treat. Therefore, it is important to identify modifiable risk factors such as stem selection to reduce the occurrence of PPFs. This study aimed to clarify differences in fracture torque, surface strain, and fracture type analysis between three different types of cemented stems.
methodsWe conducted biomechanical testing of bone analogues using six cemented stems of three different types: collarless polished tapered (CPT) stem, Versys Advocate (Versys) stem, and Charnley-Marcel-Kerboull (CMK) stem. Experienced surgeons implanted each of these types of stems into six bone analogues, and the analogues were compressed and internally rotated until failure. Torque to fracture and fracture type were recorded. We also measured surface strain distribution using triaxial rosettes.
resultsThere was a significant difference in fracture torque between the three stem types (p = 0.036). Particularly, the median fracture torque for the CPT stem was significantly lower than that for the CMK stem (CPT vs CMK: 164.5 Nm vs 200.5 Nm; p = 0.046). The strain values for the CPT stem were higher than those for the other two stems at the most proximal site. The fracture pattern of the CPT and Versys stems was Vancouver type B, whereas that of the CMK stem was type C.
conclusionOur study suggested that the cobalt-chromium alloy material, polished surface finish, acute-square proximal form, and the absence of a collar may be associated with lower fracture torque, which may be related to PPF. Cite this article:
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