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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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ensure good short-term and long-term results 10 . Thus, any new design should be<br />

subjected to preclinical tests specifically designed to assess stability under physiological<br />

loads. Implant-bone micromotion is a reliable indicator of implant primary stability and<br />

a potential predictor of failure 11 . The purpose of this study was to measure stem-bone<br />

micromotion in the proximal component of the Re-Motion prosthesis after implanting in<br />

a cadaveric model.<br />

3. MATERIALS AND METHODS<br />

One fresh frozen human cadaveric radius of a woman was utilized. The age of the donor<br />

at the time of death was 72 years. The study was approved by the Mayo Clinic<br />

Institutional Review Board. The specimen did not present any sign of bony pathology<br />

by visual inspection and radiography. Extensometers were fixed to the medial and<br />

lateral distal surfaces of the radius (Figure 1), and in a similar fashion in the dorsal and<br />

volar orientation in order to measure the relative micromotion of the implant to the<br />

adjacent bony surface. Forces were applied to magnitudes of 20, 40 and 80 N to the<br />

medial (M), lateral (L), dorsal (D) and volar (V) edges of the implant while<br />

simultaneously recording micromotion. Micromotion of the tip of the stem relative to<br />

the bone was calculated utilizing the extensometer data and the geometry of the implant<br />

and radius for each loading condition.<br />

Figure 1: Mounted specimen after implantation of the Re-Motion radial component.<br />

M<br />

A geometric model was used to convert the vertical motion (measured from<br />

extensometers) to stem micromotion (Figure 2). In a right triangle, the tilting angle (α)<br />

was calculated from the extensometer displacement (D) (sin α = D/L). In an isosceles<br />

triangle, the stem micromotion at the level of tip (dt) was calculated from a (sin α/2 =<br />

[dt/2]/lt).<br />

V<br />

D<br />

L

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