ArticleInternational orthopaedics2023
Stress shielding effect after total hip arthroplasty varies between combinations of stem design and stiffness-a comparing biomechanical finite element analysis.
Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- A comparative meta-analysis of stress shielding between short-stem and conventional femoral stem in total hip arthroplasty.BMC musculoskeletal disorders · 2026Pooled it
- Trial
- Bone-Sparing Hip Arthroplasty in Young and Active Patients: A Narrative Review.Journal of clinical medicine · 2026Review
- Comparison of Periprosthetic Femoral Bone Remodeling After Total Hip Arthroplasty with Zimmer VerSys Taper Stem or VerSys Midcoat Stem: Long-Term Outcomes.Journal of clinical medicine · 2026Article
- Toward next-generation hip implants: From failure mechanisms to translational design.Journal of orthopaedic translation · 2026Review
- Radiological stability of a quadrangular uncemented femoral component compared with its shortened version in primary total hip arthroplasty : a prospective randomized controlled trial.Bone & joint open · 2026Article
- Is there a true match in the femoral medullary cavity between neutral and flexion alignment of the stem on a female (Asian) population?BMC musculoskeletal disorders · 2026Article
- Design and optimisation of patient-specific porous femoral stems.Journal of orthopaedic surgery and research · 2025Article
- Conceptual Design and Additive Manufacturing of a Bidirectional Gradient Gyroid Structure for Tibial Stem.Annals of biomedical engineering · 2025Article
- Does the ratio of stem-to-femur length matter? A validated finite element analysis.Journal of experimental orthopaedics · 2025Article
- Variations in bone mineral density after joint replacement: A systematic review examining different anatomical regions, fixation techniques and implant design.Journal of experimental orthopaedics · 2025Review
- Numerical Simulation of the Effect of Electrical Stimulation on Disuse After Hip Replacement.Biomedicines · 2025Article
- Cementless fixation in total joint arthroplasty: Factors impacting osseointegration.Journal of clinical orthopaedics and trauma · 2025Review
- Improved primary stability and load transfer of a customized osseointegrated transfemoral prosthesis compared to a commercial one.Journal of orthopaedic surgery and research · 2025Article
- Long-term follow-up result of short metaphyseal femoral stem in primary total hip arthroplasty: A retrospective study.World journal of orthopedics · 2025Article
- Low preserved proximal femoral bone stock volume as a risk factor for periprosthetic femoral fractures. A study of 90 femurs.Frontiers in surgery · 2025Article
- Experimental Analysis of Stress Shielding Effects in Screw Spacers Placed in Porcine Spinal Tissue.Journal of functional biomaterials · 2024Article
- Analysis of Postoperative Complication and Revision Rates and Mid- to Long-Term Implant Survival in Primary Short-Stem Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
- Incidence and management of secondary deformities after megaendoprosthetic proximal femur replacement in skeletally immature bone sarcoma patients.Archives of orthopaedic and trauma surgery · 2024Article
- Revision of Failed Short Stems in Total Hip Arthroplasty.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTotal hip arthroplasty (THA) has become a highly frequent orthopaedic procedure. Multiple approaches have been made to design the femoral component for THA with a mechanical behaviour as close as possible to a natural femur. The aim of this study was to compare different combinations of design and biomechanical properties of THA prostheses and their impact on stress shielding of the periprosthetic bone.
methodsVirtual implantation of different stem designs (straight standard stem, straight short stem, anatomical short stem) by finite element analysis based on in vivo data from computer tomography was performed. For each stem, three grades of stiffness were generated, followed by a strain analysis.
resultsReduction of stem stiffness led to less stress shielding. Implantation of an anatomical short-stem prosthesis with low stiffness provided the most physiological strain-loading effect (p < 0.001).
conclusionA combination of a short and an anatomically designed stem with a low stiffness might provide a more physiological strain transfer during THA. Biomechanical properties of the femoral component for THA should be considered as a multifactorial function of dimensions, design, and stiffness.
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