A. Rotem, EFFECT OF IMPLANT MATERIAL PROPERTIES ON THE PERFORMANCE OF A HIP-JOINT REPLACEMENT, Journal of medical engineering & technology, 18(6), 1994, pp. 208-217
A composite material implant prosthesis for hip replacement has been d
eveloped. The design of the Prosthesis substructure was based on inves
tigation of the stress and strain fields that Le,ere developed in the
human femur at the proximal end when a prosthesis stem had been insert
ed into it. The prosthesis stem structure was of unidirectional fibrou
s composite material core (graphite fibres in polysulfone matrix), wra
pped with four layers of the same material but orientated at different
angles. The orthotropic moduli of the outer layer are very close to t
he moduli of a human cortical bone in the vertical and circumferential
directions. The moduli increased gradually from the outer layer to th
e inner core. A three-dimensional finite element model of the prosthes
is and the bone has been constructed and loaded with the range of forc
es that might appear upon operation. The behaviour of the composite pr
osthesis and the femur was then compared with the intact femur and thr
ee other types of prosthesis materials, namely stainless steel, titani
um, an isoelastic material and a hypothetical one with moduli identica
l to the cortical bone. The titanium has modulus of elasticity that is
only half of the stainless steel. It was Sound that the composite pro
sthesis gave the best performance for most of the categories that were
examined.