The elbow joint and its total arthroplasty. Part II. Finite element study

The stresses in various sections of two-dimensional models of the elbow joint, without and with a prosthesis (the humeral component of a total elbow prosthesis), were obtained using the finite element analysis method. Three parameters were varied: type of applied load; method of fixation of the prosthesis to the contiguous bone; and shape of the head of the prosthesis. The results are discussed with particular reference to stress shielding and overload in the cortical and cancellous bones, respectively, and a qualitative comparison between the present values and those given by previous workers who used three-dimensional models. Comments are made regarding the clinical implications of the results.