Evidence map›Paper›PMID 41272730›Full record

ArticleJournal of orthopaedic surgery and research2025

A 15° valgus femoral prosthesis orientation optimizes biomechanics in hip resurfacing arthroplasty: a finite element analysis.

Mingyu Wen, Wenying Sun, Yuki Yamamuro, Justin Cobb, Shiyou Dai, Chuanhao Yin, Xiao Fan

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Mingyu WenQingdao University, Qingdao, 266011, China.
Wenying SunQingdao Municipal Hospital, Qingdao, 266011, China.
Yuki YamamuroMSk Laboratory, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, W6 8PR, UK.
Justin CobbMSk Laboratory, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, W6 8PR, UK.
Shiyou DaiQingdao Municipal Hospital, Qingdao, 266011, China.
Chuanhao YinQingdao Municipal Hospital, Qingdao, 266011, China. yinhaozia@163.com.
Xiao FanQingdao Municipal Hospital, Qingdao, 266011, China. fanxiao_2001@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip resurfacing arthroplasty (HRA), a viable alternative to total hip arthroplasty (THA), is often constrained by postoperative complications that are closely related to the orientation of femoral prosthesis. Although avoiding varus placement is widely accepted, the optimal prosthesis orientation remains unclear. This study aims to determine the optimal orientation of femoral prosthesis in HRA from a biomechanical perspective.

methodsA three-dimensional finite element model of the hip joint was developed based on CT data and incorporated a Birmingham Hip Resurfacing prosthesis. Five orientations were simulated: 30° varus, 15° varus, neutral, 15° valgus, and 30° valgus. A physiological load of 2100 N was applied to evaluate contact pressure, peak von Mises stress (VMS), and principal strain distributions in both the prosthesis and proximal femur.

resultsAt 30° varus, the highest peak VMS (204.0 MPa) and strain (6.12 × 10⁻

conclusionA 15° valgus orientation may represent the biomechanically optimal position for femoral prosthesis placement in HRA, effectively minimizing mechanical stress and strain while preserving physiological load transfer patterns. These findings offer practical guidance to enhance implant longevity and reduce the risk of postoperative complications.

Indexed as

Arthroplasty, Replacement, HipFemurFinite Element AnalysisHip JointHip ProsthesisProsthesis DesignBiomechanical PhenomenaHumansBiomechanicsComplicationsFinite element analysisHip resurfacing arthroplastyProsthesis orientation

Identifiers

PMID41272730
PMCPMC12639866

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