Imperial College London

Dr Warren Macdonald

Faculty of EngineeringDepartment of Bioengineering

Senior Teaching Fellow
 
 
 
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Contact

 

+44 (0)20 7594 6372w.macdonald

 
 
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Location

 

B 3.25Bessemer BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{Macdonald:1999,
author = {Macdonald, W and Carlsson, LV and Charnley, GJ and Jacobsson, CM},
journal = {Proc Inst Mech Eng [H]},
pages = {33--39},
title = {Press-fit acetabular cup fixation: principles and testing},
url = {http://hdl.handle.net/10044/1/1328},
volume = {213},
year = {1999}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Pre-clinical testing of the fixation of press-fit acetabular components of total hip prostheses relies on cadaver or synthetic bone, but the properties and geometry of bone models differ from those of physiological bone. Cup designs use varied mechanisms for initial stability in bone; therefore, using different analogues and tests is appropriate. Press-fit cup stability was tested in the following: firstly, polyurethane (PU) foam modelling cancellous support; secondly, glass-fibre reinforced epoxide (GFRE) tubes modelling acetabular cortical support; thirdly, cadaveric acetabula. Three commercial cups [Harris-Galante II (H-G-II), Zimmer; Optifix, Smith & Nephew, Richards; porous coated anatomic (PCA), Howmedica] and an experimental cup with enhanced rim fixation were tested in three modes: direct pull-out, lever-out and axial torque. The fixation stabilities measured in the PU and the GFRE models showed trends consistent with those in cadaver bone, differing in the oversizing and cup geometry. The experimental cup was significantly more secure in most modes than other cups; the H-G II and Optifix cups showed similar stabilities, lower than that of the experimental cup but greater than that of the PCA cup (analysis of variance and Tukey's highly significant test; p < 0.001). The stabilities measured in cadaver bone more closely approximated those in GFRE. The use of several bone analogues enables separation of fixation mechanisms, allowing more accurate prediction of in vivo performance.
AU - Macdonald,W
AU - Carlsson,LV
AU - Charnley,GJ
AU - Jacobsson,CM
EP - 39
PY - 1999///
SN - 0954-4119
SP - 33
TI - Press-fit acetabular cup fixation: principles and testing
T2 - Proc Inst Mech Eng [H]
UR - http://hdl.handle.net/10044/1/1328
VL - 213
ER -