The Journal of Bone and Joint Surgery, Vol 58, Issue 5 618-624, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
A stress analysis of the femoral stem in total hip prostheses
TP Andriacchi, JO Galante, TB Belytschko and S Hampton
A two-dimensional stress analysis was used to study the effects of some of
the factors leading to early fatigue failure of the femoral stem in total
hip prostheses. The results show that loss of proximal stem support at the
level of the calcar femorale will result in stem stress levels which can
lead to fatigue failure. In addition, the role of body weight and range of
cyclic stress fluctuation play an important role in fatigue life under
conditions where the stem has lost proximal support. These results indicate
that stem design could be improved by incorporating some means of ensuring
adequate support at the calcar femoralre maximum tensile stresses are found
to occur.