Fixation has been shown to be the primary indicator of an implant's long-term success. Failure to achieve attachment, especially in acetabular and TKR, has been attributed to a lack of initial stability and gaps between the implant and bone. Gaps greater than 150 microns allow fibrous tissue to form. Properly addressing implant design features can help avoid adverse outcomes. ASTM International Standards (F1854-09) do not assess the relationship between porosity of the coating and that of cancellous bone, which can lead to an absence of mechanical interlock. This study developed a virtual program that uses human cancellous bone to predict potential skeletal attachment for implants properly placed for TJR. The goal of the Virtual Paradigm was to assess initial contact surface area at the time of implantation. Seven human femurs and tibias were used. Bones from 11 males and 3 females were used, ages ranging from 40 to 61. Five porous coatings were assessed: Biofoam (Wright Medical), Fiber Mesh, CSTI, Tantalum (Zimmer), and P² (DJO Global).Introduction
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