We studied the mechanical effects of anteversion of hip prosthesis, using a geometrical model of the femoral bone derived from computed tomography sections.

Linear elastic mechanical behavior was assumed for both cortical and trabecular bone. The results of finite element modeling were studied qualitatively. Stress distribution was evaluated during one-legged stance loading of models with various degrees of anteversion.

The undeniable impact of anteversion raises questions about the interpretation of bone remodeling. Anteversion modifies mechanical stresses, most notably those through the femoral shaft; they are rotated around the vertical axis in the same direction as the anteversion.

Changes in Von Mises stresses were larger than changes in longitudinal stresses, suggesting that anteversion may have a more significant impact on shear stresses, which may cause failure at the prosthesis-cement interface, particularly toward the middle of the femoral shaft.

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