Influence of thigh muscles on the axial strains in a proximal femur during early stance in gait

This work is focused on the in vitro simulation of the loads occurring in the femur during early stance in gait, for hip prostheses stress shielding test purposes. Ten thigh muscles (the three gluteal muscles, the three vasti, rectus femoris, adductor longus and magnus, biceps femoris), simulated by nylon straps, were tested in order to establish their influence on the strains in the proximal femur. Axial and hoop strains were recorded from 16 strain gauges for the effect of each muscle and compared to the strains recorded as a result of the hip joint reaction force only (i.e. without muscle simulation). It appears that the three glutei are the principal muscles in determining the vertical strains, however the rectus femoris, biceps femoris and the adductors were also seen to significantly affect the strain pattern. The inadequacy of increasing the adduction angle and applying the resultant force at the hip joint to simulate the abductors was also confirmed.