Effect of cementless acetabular cup geometry on strain distribution and press-fit stability

J Arthroplasty. 1997 Feb;12(2):207-12. doi: 10.1016/s0883-5403(97)90068-1.

Abstract

Use of cementless acetabular cups, which are slightly larger than the reamed acetabulum, can provide press-fit stability without screws; however, the ideal cup geometry to maximize stability is not clear. Acetabular strain distribution, deformation, and implant stability were studied using an axisymmetric finite-element model, and mechanical stability was assessed by testing lever-out and extraction forces required to displace different cup geometries from foam bones. The implants tested included four nonhemispheric cup geometries and 1- and 2-mm oversized hemispheric geometries. A nonhemispheric cup that provides a gradual transition from a hemisphere at the dome to a larger peripheral dimension appears to maximize peripheral strains and implant stability without increasing overall acetabular deformation as much as a larger oversized hemispheric cup.

MeSH terms

  • Acetabulum*
  • Biomechanical Phenomena
  • Hip Prosthesis*
  • Humans
  • Prosthesis Design