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Convened under the auspicious of esteemed endorsers - ISTA

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one substitute.Material and MethodTitanium alloy Meridian ST Femoral Components (Stryker Orthopaedics, NJ) with aningrowth surface and 1/8” holes drilled into <strong>the</strong> medial, anterior and posterior aspects.Syn<strong>the</strong>tic composite femurs (Pacific Research Labs, WA) with gaps created in 32% <strong>of</strong>femoral canal [1].Typical surgical recommendations were followed for creating <strong>the</strong> femoral bone canal. Thetest group (n=3) had an injectable HA bone substitute pressed into <strong>the</strong> gaps (Figure 1, A). Thecontrol group (n=3) was tested without HA filler. Femur was shortened distally and oriented at0Ëš flexion and 0Ëš varus/valgus. Metal probes were placed in <strong>the</strong> 1/8” holes and LVDTs weremounted to <strong>the</strong> bone via a custom frame (Figure 1, B). Vertical LVDTs collectedsuperior/inferior displacement. Horizontal LVDTs collected medial/lateral displacement from<strong>the</strong> anterior and posterior probes and anterior/posterior displacement from <strong>the</strong> medial probe.Mechanical loading included an axial compressive load (0-1000 N at 200 N/s) followed by tentorsional cycles (8 N-m external torque to 6 N-m internal torque at 0.5 Hz). Calculations wereused find <strong>the</strong> interfacial micromotion which occurring at <strong>the</strong> bone/implant interface [2].ResultsData collected from anterior and medial horizontal probes showed axial compression producedgreater micromotion in control group than test group (Figure 2). During torsional loading, testgroup had reduced motion for anterior, medial and posterior probes. For both groups <strong>the</strong>re wasan increase in micromotion at medial probe when compared to anterior and posterior probes forboth axial and torsional loading. This indicated <strong>the</strong> implant tended to tilt in medially duringtesting.Translational motion was calculated from vertical probes and summed for axial and torsionalloading. The control group had larger total micromotion than <strong>the</strong> test group. The translationalcomponent <strong>of</strong> micromotion was greater than <strong>the</strong> rotational component.DiscussionThe purpose <strong>of</strong> this study was to determine whe<strong>the</strong>r <strong>the</strong> use <strong>of</strong> an injectable HA bone substitutewould reduce initial micromotion <strong>of</strong> a cementless press-fit hip implant. The addition <strong>of</strong> <strong>the</strong>bone substitute in <strong>the</strong> gaps significantly reduced both translational and rotational micromotion.This stabilizing feature along with <strong>the</strong> inductive properties <strong>of</strong> <strong>the</strong> HA can make it a valuableasset in orthopaedic implantation. The test was conducted for basic research and it does notrecommend <strong>the</strong> use <strong>of</strong> this product as described. The bone substitute is meant as a bone gapfiller and not for mechanical stability. Fur<strong>the</strong>r research is necessary to determine <strong>the</strong> usefulness<strong>of</strong> <strong>the</strong> bone substitute as a grouting agent.References1. Wu, L. et. al. J Zhejiang Univ. Science, 5;10:1270-1278 (2004).2. Yanoso-Scholl, L. et. al. ASME 2009, Lake Tahoe, CA.FiguresFigure 1 Figure 2 Figure 3file:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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