{"id":3029,"date":"2024-04-17T05:56:19","date_gmt":"2024-04-17T05:56:19","guid":{"rendered":"https:\/\/4nodes.org\/osteofitllc\/?p=3029"},"modified":"2026-06-03T08:32:36","modified_gmt":"2026-06-03T08:32:36","slug":"comparative-in-vitro-assessment-of-the-primary-stability-of-cementless-press-fit-acetabular-cups","status":"publish","type":"post","link":"https:\/\/4nodes.org\/osteofitllc\/comparative-in-vitro-assessment-of-the-primary-stability-of-cementless-press-fit-acetabular-cups\/","title":{"rendered":"Comparative in vitro assessment of the primary stability of cementless press-fit acetabular cups"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3029\" class=\"elementor elementor-3029\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c6fc8a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c6fc8a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a7f80e5\" data-id=\"a7f80e5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f6c914 elementor-widget elementor-widget-image\" data-id=\"7f6c914\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"461\" height=\"192\" src=\"https:\/\/4nodes.org\/osteofitllc\/wp-content\/uploads\/2024\/04\/Picture28.png\" class=\"attachment-full size-full wp-image-3032\" alt=\"Comparative in vitro assessment of the primary stability of cementless press-fit acetabular cups\" srcset=\"https:\/\/4nodes.org\/osteofitllc\/wp-content\/uploads\/2024\/04\/Picture28.png 461w, https:\/\/4nodes.org\/osteofitllc\/wp-content\/uploads\/2024\/04\/Picture28-300x125.png 300w\" sizes=\"(max-width: 461px) 100vw, 461px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6a7ea32 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6a7ea32\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dec00b3\" data-id=\"dec00b3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6baabd5 elementor-widget elementor-widget-text-editor\" data-id=\"6baabd5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"font-size: 24px;\"><b>Abstract<\/b><\/span><\/h4><p>Long-term stable osseointegration of porous-coated acetabular cups depends on bony ingrowth within their porous surface. For ingrowth to take place, one must ensure rigid initial fixation of the implant, by means of screws or by impaction or using a threaded ring. Primary stability is a prerequisite for long term stability through bony ingrowth. We tested several cups commonly used in our department to assess their primary stability. The study was done using synthetic EP-Dur polyurethane resin blocks (Bayer, Leverkusen, Germany). The blocks were fixed at a 45 degrees angle to the horizontal. They were subsequently reamed using the appropriate reamers and the cups tested were impacted into the resin blocks. Eleven 52-mm cups were tested.<\/p><p>The pull out force necessary to extract each cup was measured. The pull-out strength ranged from 7.63 to 55.46 Nm. We noted that the closer the cup was to a hemisphere, the better was the initial stability. The contact zone was at the periphery, and the greater the contact was with the resin, the better was the stability. Micromovements exceeding 150 microns prevent any bony ingrowth in vivo. Solid osseointegration can thus only be achieved if movements between implant and bone can be prevented. Our study indicated that initial fixation is essentially peripheral and that those cups that demonstrated the highest pull-out values also had the best peripheral contact. Our observations suggest that the geometry of the cup is more important than its surface macrostructure in terms of primary stability. To achieve stable fixation, we recommend using an oversized cup with a flattened dome to allow maximum peripheral contact.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Abstract Long-term stable osseointegration of porous-coated acetabular cups depends on bony ingrowth within their porous surface. For ingrowth to take place, one must ensure rigid initial fixation of the implant, by means of screws or by impaction or using a threaded ring. Primary stability is a prerequisite for long term stability through bony ingrowth. We&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[238],"tags":[],"post_series":[],"class_list":["post-3029","post","type-post","status-publish","format-standard","hentry","category-design-and-function","entry","no-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.0 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Acetabular Cups - Comparative Assessment Cementless Press fit<\/title>\n<meta name=\"description\" content=\"Explore the performance and stability of acetabular cups in orthopedic procedures. 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