| 摘要 |
A joint prosthesis has a first part, including a body formed of metal or the lik e which constitutes a permanent overall shape and structural component of the prosthesis , such as a shell, plate or stem, and a plurality of negative surface features in the body, such as through-slots, deep grooves, tunnels or pits, or valleys defined between projecting fingers or flutes. A second part attaches to and extends the body to provide both a fit and change the initi al stiffness. The second part provides a time-evolving structural coupling, such that the prosthes is initially fits the patient's remnant bone to provide rigid fixation, while the mechanical prope rties shift with time in vivo to change its contact or loading characteristics. In one embodiment a femoral stem joint prosthesis is modular and the first, or structural component accommodates bio-absorbable second components of varying geometries and dimensions which fit a range of bore sizes, and achieve different stiffnesses or strengths affecting load or strain distribution .
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