Femoral Implant Stem with Discrete Steps for Load Distribution
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Solution Overview
Problem
Traditional femoral implants used in hip resurfacing surgeries face issues such as premature loading leading to stem displacement, stress shielding due to uneven bone density, and misalignment during insertion, which can result in fractures or implant loosening.
Innovation Solution
A femoral implant with a stem featuring discrete steps concentrated towards the base, which distributes loads more evenly to cancellous bone, preventing distal migration and stress shielding, and ensures proper alignment through self-centering during insertion.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If a thick stem is used to anchor the implant in the femur, then the implant stability is improved, but stress shielding occurs due to preferential load transfer through the stem
Solution Approach 1:
The stem is segmented into multiple sections with varying diameters and discrete steps along its length. This segmentation allows different regions to serve different functions: proximal regions with larger diameter provide anchorage, while distal regions with smaller diameter reduce stress shielding by allowing bone to share the load.
Solution Approach 2:
Different sections of the stem have different local properties - the proximal end has a larger diameter for stable anchorage in the femoral head, while the distal end has a smaller diameter to minimize stress shielding. The discrete steps create localized load transfer zones that distribute stresses evenly to the cancellous bone.
2Force
If a frustoconical stem profile is used to transfer longitudinal loads, then load transfer capability is improved, but the stem may act like a log splitter and break open the base of the femoral head and femoral neck under premature loading
Solution Approach 1:
The discrete steps along the stem create gradual transition zones that cushion the impact of load transfer. Instead of a sudden frustoconical taper that concentrates stress, the steps provide intermediate stages that distribute the loading more gradually, preventing the log splitter effect on the femoral head base.
Solution Approach 2:
The continuous frustoconical profile is segmented into discrete steps, creating a stepped profile rather than a smooth taper. This segmentation breaks up the continuous stress concentration that would occur with a traditional frustoconical design, allowing load transfer while protecting the femoral head base from fracture.
3Ease of operation
If the stem is inserted without self-centering features, then insertion simplicity is maintained, but misalignment occurs during insertion leading to improper positioning
Solution Approach 1:
The discrete steps on the stem create a self-centering mechanism during insertion. As the stem is inserted into the prepared cavity, the steps naturally engage with corresponding features in the bone, guiding the stem into proper alignment without requiring complex external alignment tools or procedures.
Solution Approach 2:
The rounded tip of the stem provides a curved leading edge that facilitates smooth insertion and self-alignment within the medullary canal. The curvature allows the stem to naturally find its proper orientation as it is inserted, improving alignment precision while maintaining insertion simplicity.
4Quantity of substance
If a narrow proximal stem is used to accommodate healthy bone, then bone preservation is improved, but the stem cannot fill the majority of the medullary canal to anchor the implant
Solution Approach 1:
The stem profile is segmented with a narrow proximal end that accommodates healthy bone, and a wider distal end that fills the medullary canal for anchorage. The discrete steps connect these different diameter regions, allowing each section to fulfill its specific function without compromising the other.
Solution Approach 2:
The stem has an asymmetric profile with different diameters at different locations along its length. The proximal end is narrower to preserve bone, while the distal end is wider for anchorage. This asymmetric design resolves the contradiction by allowing the stem to be narrow where bone preservation is critical and wide where anchorage is needed.
Data Source
AI summary
A femoral implant (10) comprises a distal end and a proximal end. A stem (12) is provided at the distal end of the implant (10) and comprises a rounded tip (16) for insertion into a femur, in use, and a body (18) of generally tapering form extending in a distal direction from a base to the tip (16). A femoral head (14) is provided at the proximal end of the implant (10) and extends from the base (20) of the stem (12). The body (18) of the stem (12) includes a plurality of discrete steps (22, 24, 26, 28, 30), located between the tip (16) and the base (20), and the steps (22, 24, 26, 28, 30) are concentrated more towards the base (20) of the stem (12) than towards the tip (16).


