Why does bone remodeling increase around a femoral hip implant after prolonged use, even when initial stress shielding was minimal?

💡 Explanation

Increased bone remodeling around a femoral hip implant occurs because micro-motion induces repetitive mechanical signaling at the bone-implant interface, stimulating bone turnover. The adaptive capacity is eventually exceeded. Therefore, the micro-motion drives remodeling, rather than direct stress shielding effects, which might be more prominent earlier.

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