Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

Design parameters affecting initial mechanical stability of tapered, splined modular titanium stems (TSMTSs) are not well understood. Furthermore, there is considerable variability in contemporary designs. We asked if spline geometry and stem taper angle could be optimized in TSMTS to improve mechanical stability to resist axial subsidence and increase torsional stability. Initial stability was quantified with stems of varied taper angle and spline geometry implanted in a foam model replicating 2cm diaphyseal engagement. Increased taper angle and a broad spline geometry exhibited significantly greater axial stability (+21%-269%) than other design combinations. Neither taper angle nor spline geometry significantly altered initial torsional stability.

Original publication




Journal article


J arthroplasty

Publication Date





1254 - 1259


basic science, modular stem, revision, subsidence, total hip arthroplasty, Arthroplasty, Replacement, Hip, Diaphyses, Femur, Hip Prosthesis, Humans, Materials Testing, Prosthesis Design, Reoperation, Titanium