Design and manufacturing of femoral stems for the Indian population

Several researchers have stressed the need for a proper implant-patient match in hip joint replacements, in particular, for cementless femoral stems. Some of the complications of mismatch are aseptic loosening, improper load distribution, and discomfort. In this study, the differences in dimensions between femurs of elderly Indians and those of populations from other regions are compared in order to solve the problem of a possible geometric mismatch between a selected implant and the femurs of an Indian patients are concerned. This paper also describes a methodology for implant designing from measured anthropometric data, fit evaluation, finite element (FE) stress analysis and subsequently implant manufacturing using the CAM (Computer Aided Manufacturing) technique. The machining of the Titanium alloy femoral stem is usually performed on a 5 Axis CNC (Computer Numerical Control) machining center. However, in this study the machining of the femoral stem was effectively performed on a 3 Axis CNC machining center to emphasize on economical benefits for low cost manufacturing strategy.