A canine composite femoral stem. An in vivo study

To evaluate a carbon fiber/polysulfone composite femoral stem, a press-fit unilateral hemiarthroplasty was performed in 17 greyhounds. The implant was designed to have strength and elastic properties commensurate with the proximal canine femur. The implant geometry was such that the naturally occurring internal cancellous structures of the proximal femur would be preserved and participate in load transfer from the implant to the bone. Animals were killed at one, five, ten, 16, and 24 months. At necropsy all the femoral stems were well fixed and functioning. All implants maintained their structural integrity. Radiographs and computed tomography scans showed a constructive bone remodeling response. Histologic analysis revealed a benign host tissue response, with few inflammatory cells observed. Both bone and fibrous tissue were observed at the implant-host tissue interface. Implants fabricated from carbon/polysulfone composites have the potential for use in load-bearing applications. An implant with appropriate elastic properties provides the opportunity for the natural bone remodeling response to enhance implant stability. Naturally occurring internal cancellous structures can be utilized for load transfer by femoral components. Press-fit devices with no physical or chemical bone-bonding mechanisms can attain long-term successful functional performance.