Engineering considerations in the design of double-cup hip replacement prostheses. 1978

S A Swanson

The diameter of the femoral neck ought not to be reduced, and to provide sufficient ranges of motion without impingement requires the largest practicable articular surface radius and perhaps a less than hemispherical acetabular articular surface. Wear is less with plastic cups and metallic balls than vice versa, and wearing life requires some minimum acetabular wall thickness, which depends on the diameter of the articular surface. Fixation grooves etc. should not reduce the effective wall thickness in highly-stressed regions. In practice, a nearly hemispherical acetabular component will often protrude medially or (preferably) laterally; such a protrusion is unlikely to weaken the fixation but could cause impingement, and could be removed with no loss. The available volume is best used by having the thickest acetabular wall where the wear should be greatest. For the femoral component, the simplest internal surface, a flat-ended cylinder, is also the best. A part-spherical inner surface cannot easily be filled with cement, and a skirt surrounding part or all of the femoral neck offers no advantages and some disadvantages.

UI MeSH Term Description Entries
D007595 Joint Prosthesis Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999) Joint Prostheses,Prostheses, Joint,Prosthesis, Joint
D008670 Metals Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed) Metal
D010969 Plastics Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Plastic
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D006621 Hip Joint The joint that is formed by the articulation of the head of FEMUR and the ACETABULUM of the PELVIS. Acetabulofemoral Joint,Acetabulofemoral Joints,Hip Joints,Joint, Acetabulofemoral,Joint, Hip,Joints, Acetabulofemoral,Joints, Hip
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic

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