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In cemented Total Hip Arthroplasty (THA), material chosen for femoral stem and cross section of stem itself, proved to be critical parameters for, stress distribution in the femoral components, interfacial stresses and micro movements.…

Medical Physics · Physics 2014-03-10 Shantanu Singh , AP Harsha

Short and long-term stabilities of cementless implants are strongly determined by the interfacial load transfer between implants and bone tissue. Stress-shielding effects arise from shear stresses due to the difference of material…

Cementless implants have become widely used for total hip replacement surgery. The long-term stability of these implants is achieved by bone growing around and into the porous surface of the implant, a process called osseointegration.…

Medical Physics · Physics 2022-11-01 Katharina Immel , Vu-Hieu Nguyen , Guillaume Haiat , Roger A. Sauer

The primary stability of the femoral stem (FS) implant determines the surgical success of cementless 15 hip arthroplasty. During the insertion, a compromise must be found for the number and energy of 16 impacts that should be sufficiently…

While cervical arthroplasty using Total Disc Replacement (TDR) implants is an established treatment for persistent neck and arm pain, revision rates limit it from reaching its full potential. To address the underlying complications, we…

Computational Engineering, Finance, and Science · Computer Science 2026-02-12 Lucia Kölle , Victor Oei , Ida Mónus , Syn Schmitt , Daniel Haschtmann , Fabio Galbusera , Stephen J. Ferguson , Benedikt Helgason

The aim of this work was to simulate the behaviour of hip prostheses under mechanical shocks. When hip joint is replaced by prosthesis, during the swing phase of the leg, a microseparation between the prosthetic head and the cup could…

Medical Physics · Physics 2012-03-29 Juliana Uribe , Jérôme Hausselle , Jean Geringer

This study presents a computational optimisation framework of a hip implant through the development of a functionally graded biomimetic lattice structure, whose design was structurally optimised to limit stress shielding. The optimisation…

Medical Physics · Physics 2026-01-27 Mahtab Vafaeefar , Conall Quinn , Kevin M. Moerman , Ted J. Vaughan

Powered ankle-foot prostheses can often reduce the energy cost of walking by assisting with push-off. However, focus on providing mechanical work may lead to ignoring or exacerbating common issues with chronic pain, irritation, pressure…

Robotics · Computer Science 2024-11-01 Mark A. Price , Frank C. Sup

A tunable stiffness bone rod was designed, optimized, and 3D printed to address the common shortcomings of existing bone rods in the healing of long fractured bones. The common deficiencies of existing bone fixations are high stiffness,…

Applied Physics · Physics 2025-07-25 Mohammad Saber Hashemi , Karl H. Kraus , Azadeh Sheidae

This paper considers the degradation of alumina and zirconia toughened alumina vs. alumina for hip implants. The materials are as assumed to be load bearing surfaces subjected to shocks in wet conditions. The load is a peak of force; 9 kN…

Medical Physics · Physics 2013-11-28 Juliana Uribe , Jean Geringer , Laurent Gremillard , Bruno Reynard

Background 15 The success of cementless hip arthroplasty depends on the primary stability of the femoral stem. It remains difficult to assess the optimal number of impacts to guarantee the femoral stem stability while avoiding bone…

This work proposes a gradient-based method to design bone implants using triply-periodic minimal surfaces (TPMS) of spatially varying thickness to maximize bone in-growth. Bone growth into the implant is estimated using a finite element…

Computational Engineering, Finance, and Science · Computer Science 2025-01-03 David Cohen , Julián A. Norato

Dynamic radiographic measurement of 3D TKA kinematics has provided important information for implant design and surgical technique for over 30 years. However, current methods of measuring TKA kinematics are too cumbersome or time-consuming…

Quantitative Methods · Quantitative Biology 2022-05-03 Andrew Jensen , Paris Flood , Lindsey Palm-Vlasak , Will Burton , Paul Rullkoetter , Scott Banks

Lower limb amputees often suffer skin and tissue problems from using their prosthesis which is a challenging biomechanical problem. The finite element method (FEM) has previously been applied to analyse internal mechanical conditions of the…

Medical Physics · Physics 2019-08-02 Sara Kallin , Asim Rashid , Kent Salomonsson , Peter Hansbo

We study transfers of ions and debris from bioceramics implanted in bone sites. A contamination of surrounding tissues may play a major role in aseptic loosening of the implant. For these reasons, bioceramics require studies of…

Biological Physics · Physics 2007-05-23 J. L. Irigaray , E. Chassot , G. Guibert , E. Jallot

Cage subsidence after instrumented lumbar spinal fusion surgery remains a significant cause of treatment failure, specifically for posterior or transforaminal lumbar interbody fusion. Recent advancements in computational techniques and…

Medical Physics · Physics 2024-06-26 Thijs Smit , Niels Aage , Daniel Haschtmann , Stephen J. Ferguson , Benedikt Helgason

Knee orthotic devices are widely proposed by physicians and medical practitioners for preventive or therapeutic objectives in relation with their effects, usually known as to stabilize joint or restrict ranges of motion. This study focuses…

Medical Physics · Physics 2014-09-22 Baptiste Pierrat , Jérôme Molimard , Paul Calmels , Laurent Navarro , Stéphane Avril

The transitional flow which initiates within the junction (anastomosis) of an arteriovenous fistula (AVF) is known to be a contributing factor in the onset of vascular disease. A novel treatment method involving the implantation of a…

This paper describes a two-dimensional (2D) finite element simulation for fracture and fatigue behaviours of pure alumina microstructures such as those found at hip prostheses. Finite element models are developed using actual Al2O3…

Medical Physics · Physics 2012-04-03 Kyungmok Kim , Bernard Forest , Jean Géringer

Some implants have approximately a lifetime of 15 years. The femoral stem, for example, should be made of 316L/316LN stainless steel. Fretting corrosion, friction under small displacements, should occur during human gait, due to repeated…

Medical Physics · Physics 2014-01-21 Jean Geringer , Mathew L. Taylor , Digby D. Macdonald
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