Evidence map›Paper›PMID 40630863›Full record

ArticleFrontiers in surgery2025

Biomechanical impact of enoxaparin sodium-chitosan-PMMA bone cement in hip arthroplasty: a preliminary finite element analysis.

Jianchao Chen, Xinzhe Ma, Zhiyong Li, Weiye Fan, Lijie Ma

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Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Jianchao ChenDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China.
Xinzhe MaDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China.
Zhiyong LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China.
Weiye FanDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China.
Lijie MaDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the material parameters of PMMA and ES-CS-PMMA, and compare the stress distribution differences in hip arthroplasty postoperatively using finite element analysis. Methods: The Young's modulus and Poisson's ratio of PMMA and ES-CS-PMMA were calculated by measuring the propagation speed of ultrasound waves through the bone cements. Using CT images of a healthy adult male, a three-dimensional model of the natural femur and two postoperative 3D models (with PMMA and ES-CS-PMMA as adhesives) were established. Simulating slow walking motion, stress distribution differences in the cement sheath and femur were observed between the two postoperative models. Results: The Young's modulus of PMMA was 4,127 MPa with a Poisson's ratio of 0.25; ES-CS-PMMA exhibited an Young's modulus of 4,331 MPa and a Poisson's ratio of 0.28. In the two postoperative models, no significant differences were observed in stress distribution within the cement sheath or femur after prosthesis implantation. Compared to the natural femur, both PMMA and ES-CS-PMMA reduced cortical stress postoperatively, transferring stress to the femoral stem. In the distal region of the prosthesis, mean stress was significantly reduced post-implantation. In the midsection of the prosthesis, the implanted prosthesis bore higher peak stress than the natural femur. Conclusions: This study measured the material parameters of PMMA and ES-CS-PMMA. Compared to PMMA, using ES-CS-PMMA as an adhesive in hip arthroplasty did not alter the stress distribution of the cement sheath or femur post-implantation.

Indexed as

biomechanicalbone cementfinite element analysiship arthroplastypolymethyl methacrylate

Identifiers

PMID40630863
PMCPMC12234562

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