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Implantation of the Femoral Stem into a Bed of Titanium Granules Using Vibration
Author(s) -
Per-Axel Alffram,
Lars Bruce,
Lars M. Bjursten,
Gunnar B. J. Andersson,
Robert M. Urban
Publication year - 2007
Publication title -
upsala journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.808
H-Index - 41
eISSN - 2000-1967
pISSN - 0300-9734
DOI - 10.3109/2000-1967-192
Subject(s) - medicine , titanium , fixation (population genetics) , biomedical engineering , femur , bone tissue , autopsy , dentistry , surgery , pathology , metallurgy , materials science , population , environmental health
This study describes a new method for the fixation of titanium hip stem prostheses based on interdigitation of irregularly shaped porous titanium granules onto bone tissue. The granules were distributed into the prepared femoral cavity using a vibrating tool, and the stem was vibrated and tapped into the bed of granules. In this pilot study, 5 patients were followed between 9 and 15 years. The clinical results were excellent and the prostheses remained stable. Autopsy (one specimen) and computer tomography (three patients) show that the granules become incorporated by bone ingrowth.

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