RT Journal Article SR Electronic T1 The contour of cementless femoral stem has minor effect on initial periprosthetic von Mises stress distribution. A 3-dimensional finite element analysis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 947 OP 951 VO 30 IS 7 A1 Hu, Kong-Zu A1 Zhang, Xian-Long A1 Wang, Cheng-Tao A1 Ji, Wen-Ting YR 2009 UL http://smj.org.sa/content/30/7/947.abstract AB OBJECTIVE: To evaluate periprosthetic von Mises stress distribution with cementless femoral stems of various contours.METHODS: The study was carried out at the Department of Orthopaedics, Shanghai 6th Hospital, Shanghai, China between May 2008 and February 2009. Finite element models of proximal femoral replacement with 4 cementless stems (Alloclassic, Ribbed Anatomic, VerSys, and Securi-fit) of various contours were set up. Under the loading conditions of walking and stair climbing, 3-dimensional periprosthetic von Mises stresses were calculated, and the stress distribution patterns were compared.RESULTS: Periprosthetic stresses were increased in level 1, 2, and 3 under the 2 loading conditions, and more considerably in level 2 and 3. The stresses were higher on the medial side in all cases. No remarkable difference was found in the patterns between the 4 stems.CONCLUSION: The contour design of femoral stem has minor effect on initial periprosthetic von Mises stress distribution.