Journal of Shoulder and Elbow Surgery
Volume 12, Issue 1 , Pages 35-39 , January 2003

Stress shielding and bone resorption in shoulder arthroplasty

References 

  1. Bauer TW, Schils J. The pathology of total joint arthroplasty. II. Mechanisms of implant failure. Skeletal Radiol. 1999;28:483–497
  2. Dujovne AR, Bobyn JD, Krygier JJ, Miller JE, Brooks CE. Mechanical compatibility of noncemented hip prostheses with the human femur. J Arthroplasty. 1993;8:7–22
  3. Engh CA, Bobyn JD, Glassman AH. Porous-coated hip replacement. The factors governing bone ingrowth, stress shielding, and clinical results. J Bone Joint Surg Br. 1987;69:45–55
  4. Engh CA, Bobyn JD. The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Clin Orthop. 1988;231:7–28
  5. Harris WH. Will stress shielding limit the longevity of cemented femoral components of total hip replacement?. Clin Orthop. 1992;274:120–123
  6. Huiskes R. Some fundamental aspects of human joint replacement. Analyses of stresses and heat conduction in bone-prosthesis structures. Acta Orthop Scand Suppl. 1980;185:1–208
  7. Huiskes R. The various stress patterns of press-fit, ingrown, and cemented femoral stems. Clin Orthop. 1990;261:27–38
  8. Huiskes R, Weinans H, van Rietbergen B. The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin Orthop. 1992;274:124–134
  9. Kerner J, Huiskes R, van Lenthe GH, et al.  Correlation between pre-operative periprosthetic bone density and post-operative bone loss in THA can be explained by strain-adaptive remodelling. J Biomech. 1999;32:695–703
  10. Rozing PM, Obermann WR. Osteometry of the glenohumeral joint. J Shoulder Elbow Surg. 1999;8:438–442
  11. Stewart MP, Kelly IG. Total shoulder replacement in rheumatoid disease: 7- to 13-year follow-up of 37 joints. J Bone Joint Surg Br. 1997;79:68–72
  12. Sumner DR, Galante JO. Determinants of stress shielding: design versus materials versus interface. Clin Orthop. 1992;274:202–212
  13. Sumner DR, Turner TM, Igloria R, Urban RM, Galante JO. Functional adaptation and ingrowth of bone vary as a function of hip implant stiffness. J Biomech. 1998;31:909–917
  14. Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elbow Surg. 1997;6:495–505
  15. Turner TM, Sumner DR, Urban RM, Igloria R, Galante JO. Maintenance of proximal cortical bone with use of a less stiff femoral component in hemiarthroplasty of the hip without cement. An investigation in a canine model at six months and two years. J Bone Joint Surg Am. 1997;79:1381–1390
  16. van Rietbergen B, Huiskes R, Weinans H, et al.  ESB Research Award 1992. The mechanism of bone remodeling and resorption around press-fitted THA stems. J Biomech. 1993;26:369–382
  17. Wolff J. The law of bone remodelling. Heidelberg: Springer-Verlag; 1986;

 Reprint requests: J. Nagels, MD, Department of Orthopaedics, Orthopaedic Laboratory, B0-Q-56, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands (E-mail: j.nagels@xs4all.nl).

PII: S1058-2746(02)86807-0

doi: 10.1067/mse.2003.22

Journal of Shoulder and Elbow Surgery
Volume 12, Issue 1 , Pages 35-39 , January 2003