H. Nagerl et al., MEASUREMENT OF THE SPATIAL MICROMOVEMENT OF HIP ENDOPROSTHESES AS A FUNCTION OF THE SPATIAL FORCE SYSTEM - A PILOT-STUDY, Zeitschrift fur Orthopadie und Ihre Grenzgebiete, 134(2), 1996, pp. 99-110
A precision measurement method (resolution: 0.1 mu m) is described tha
t simultaneously tracks spatial movement of the prosthesis and its ben
ding as a function of the spatial force system (three force and three
torque components). With this technique, we examined the effects of co
mplete separation between shaft and cement on bending and micromovemen
t. With regard to mechanical stability a completely tied and a loosene
d prosthesis differ only in respect to torsional load: the loosened pr
osthesis bears a 2.5-fold larger torsion flexibility. In both cases th
e shaft does not move like a rigid body: it bends up or down depending
on the way the torque acts. It is the torques (that are produced by t
he forces) rather than the forces themselves that are responsible for
the extent of micromovement and bending. In the completely loosened sh
aft, the shaft's apex only moves either intrusively or extrusively acc
ording to the directions of the torque vector: the horizontal movement
cannot be resolved. The data suggest that shafts that are freely moun
ted into its cement quiver load the cement layer in a less damaging fa
shion than tied shafts.