A forty millimetre head significantly improves range of motion compared with a twenty eight millimetre head in total hip arthroplasty using a computed tomography-based navigation system

International Orthopaedics
Kosuke TsudaKeiju Fujiwara

Abstract

Larger-diameter (≥40 mm) femoral heads decrease the incidence of post-operative dislocation in total hip arthroplasty (THA). This study was conducted to discover whether larger-diameter femoral heads result in greater range of motion of the hip with the use of a computed tomography (CT)-based navigation system. Thirty-nine primary THAs were performed via a posterolateral approach using a CT-based navigation system. The stem was inserted in the femur in line with the original femoral neck anteversion. Considering the range of motion during various daily activities which could occur without impingement, the cup anteversion was decided at 10 ° increments according to the stem anteversion. While the cup inclination was set at 40 ° in order to avoid a high inclination angle to prevent the edge roading between the HXLPE liner and ceramic head. After implantation, trial liners and femoral heads were used with either 28 or 40 mm diameter. Maximal hip flexion, extension, abduction, external rotation in extension at 0° and internal rotation angles in flexion at 90 ° were measured. The differences between the ranges of motion with the 40-mm and 28-mm heads were tested. The results were assessed with paired Student t-tests. The ranges of m...Continue Reading

References

Jan 26, 1999·Clinical Orthopaedics and Related Research·C F ScifertJ J Callaghan
Oct 8, 1999·The Journal of Arthroplasty·S T Woolson, Z O Rahimtoola
Mar 21, 2000·The Journal of Bone and Joint Surgery. American Volume·D D D'LimaC W Colwell
Sep 27, 2000·The Journal of Bone and Joint Surgery. American Volume·R L BartzH S Tullos
Jan 21, 2003·The Journal of Bone and Joint Surgery. American Volume·Charlotte B PhillipsJeffrey N Katz
Jun 9, 2004·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·K-H Widmer, B Zurfluh
Dec 4, 2004·The Journal of Arthroplasty·John M CucklerRoger Emerson
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Daniel J BerryWilliam S Harmsen
Dec 7, 2005·Clinical Orthopaedics and Related Research·Thomas M SmithThomas H Mallory
May 5, 2006·Clinical Orthopaedics and Related Research·R M D MeekC R Howie
Jun 3, 2006·Clinical Orthopaedics and Related Research·Monti KhatodDonald Fithian
Apr 28, 2007·The Journal of Bone and Joint Surgery. British Volume·N SuganoS Tamura
Oct 11, 2007·The Journal of Arthroplasty·Christopher L PetersJill A Erickson
Jun 7, 2008·The Journal of Arthroplasty·Akinobu MatsushitaYukihide Iwamoto
Jun 7, 2008·The Journal of Arthroplasty·Jonathan L ConroyRoss W Crawford
Aug 9, 2008·The Journal of Bone and Joint Surgery. American Volume·Steven A Stuchin
Sep 10, 2008·Clinical Orthopaedics and Related Research·Olivier GuyenJacques Béjui-Hugues
Oct 19, 2010·Clinical Orthopaedics and Related Research·Adolph V LombardiOrlando J Franchi
Dec 14, 2011·Clinical Orthopaedics and Related Research·Philippe MassinMichel Henry Fessy
May 29, 2012·Clinical Orthopaedics and Related Research·Moussa HamadoucheBertrand Bouxin
Jun 22, 2012·The Journal of Bone and Joint Surgery. American Volume·Donald W HowieUNKNOWN Large Articulation Study Group
Sep 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Donald W HowieDavid M Findlay
Oct 12, 2012·Clinical Orthopaedics and Related Research·Remi PhilippotFrederic Farizon
Nov 23, 2012·The Journal of Bone and Joint Surgery. American Volume·Joshua J Jacobs
Mar 22, 2013·Clinical Orthopaedics and Related Research·Antoine CombesMichel Henri Fessy
Jun 27, 2014·International Orthopaedics·Tsung-Yuan TsaiYoung-Min Kwon

❮ Previous
Next ❯

Citations

Feb 6, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Tomonori TetsunagaToshifumi Ozaki
Jun 29, 2018·EFORT Open Reviews·Georgios TsikandylakisOla Rolfson
Nov 19, 2020·EFORT Open Reviews·Georgios TsikandylakisJohan Kärrholm

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.