Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 3/2011

01-03-2011 | Original Paper

A cadaveric study of posterior dislocation after total hip replacement—effects of head diameter and acetabular anteversion

Authors: Fu Yuen Ng, Jiang Tao Zhang, Kwong Yuen Chiu, Chun Hoi Yan

Published in: International Orthopaedics | Issue 3/2011

Login to get access

Abstract

The size of the femoral head and acetabular anteversion are crucial for stability in total hip replacements. This study examined the effects of head diameter and acetabular anteversion on the posterior instability after total hip replacement in an in vivo setting. The acetabular shell was inserted at 0–20° of anteversion at five degree intervals. By using different head sizes (28 mm, 32 mm, 36 mm), the degrees of dislocation were recorded by computer navigation. The 36-mm group consistently showed better stability compared with the 32- and 28-mm groups, regardless of the degree of cup anteversion. Within each group of head size, the hip was significantly more stable when the cup anteversion increased from 0° to 10°. The difference became insignificant when it increased from 15° to 20°.
Literature
1.
Soong M, Rubash H, Macaulay W (2004) Dislocation after total hip arthroplasty. J Am Acad Orthop Surg 12:314–321PubMed
2.
Burroughs BR, Hallstrom B, Golladay GJ, Hoeffel D, Harris WH (2005) Range of motion and stability in total hip arthroplasty with 28-, 32-, 38-, and 44-mm femoral head sizes. J Arthroplasty 20:11–19PubMedCrossRef
3.
Woo R, Morrey B (1982) Dislocations after total hip arthroplasty. J Bone Joint Surg Am 64:1295–1306PubMed
4.
Berry DJ, von Knoch M, Schleck CD, Harmsen WS (2005) Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 87:2456–2463PubMedCrossRef
5.
Geller JA, Malchau H, Bragdon C, Greene M, Harris WH, Freiberg AA (2006) Large diameter femoral heads on highly cross-linked polyethylene. Clin Orthop Relat Res 447:53–59PubMedCrossRef
6.
Beaule PE, Schmalzried TP, Udomkiat P, Amstutz HC (2002) Jumbo femoral head for the treatment of recurrent dislocation following total hip replacement. J Bone Joint Surg Am 84:256–263PubMed
7.
Bosker BH, Ettemma HB, Verheyen CCPM, Castelein RM (2009) Acetabular augmentation ring for recurrent dislocation of total hip arthroplasty: 60% stability rate after an average follow-up of 74 months. Int Orthop 33:49–52PubMedCrossRef
8.
Etienne A, Cupic Z, Charnley J (1978) Postoperative dislocation after Charnley low friction arthroplasty. Clin Orthop Relat Res 132:19–23PubMed
9.
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip replacement arthroplasty. J Bone Joint Surg Am 60:217–220PubMed
10.
Paterno SA, Lachiewicz PF, Kelley SS (1997) The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J Bone Joint Surg Am 79:1202–1210PubMed
11.
Pierchon F, Pasquier G, Cotton A, Fontaine C, Clarisse J, Duquennoy A (1994) Causes of dislocation of total hip arthroplasty: CT study of component alignment. J Bone Joint Surg Br 76:45–48PubMed
12.
Masaoka T, Yamamoto K, Shishido T, Katori Y, Mizoue T, Shirasu H, Nunoda D (2006) Study of hip joint dislocation after total hip arthroplasty. Int Orthop 30:26–30PubMedCrossRef
13.
Livermore J, Ilstrup D, Morrey B (1990) Effect of femoral head size on wear of polyethylene of the polyethylene acetabular component. J Bone Joint Surg Am 72:518–528PubMed
14.
Bartz RL, Noble PC, Kadakia NR, Tullos HS (2000) The effect of femoral component head size on posterior dislocation of the artificial hip joint. J Bone Joint Surg Am 82:1300–1307PubMed
15.
Sariali E, Lazennec JY, Khiami F, Catonne Y (2009) Mathematical evaluation of jumping distance in total hip arthroplasty: influence of abduction angle, femoral head offset, and head diameter. Acta Ortho 80:277–282CrossRef
16.
Crowninshield RD, Maloney WJ, Wentz DH, Humphrey SM, Blanchard CR (2004) Biomechanics of large femoral heads. Clin Orthop 429:102–107PubMedCrossRef
17.
Prietzel T, Richter KW, von Salis-Soglio G (2007) The stabilizing effect of atmospheric pressure (AP) on hip joint subject to traction force—an experimental study. Z Orthop Unfall 145:468–475PubMedCrossRef
18.
Kung PL, Ries MD (2007) Effect of femoral head size and abductors on dislocation after revision THA. Clin Orthop Rel Res 465:170–174
19.
Chiu KY, Tang WM, Ng TP (2001) Cementless total hip arthroplasty in young Chinese patients. J Arthroplasty 16:863–870PubMedCrossRef
20.
Ng TP, Yau WP, Tang WM, Chiu KY (2003) Anterior dislocation following primary total hip replacement by posterior approach—aetiology and treatment. Hong Kong J Orthop Surg 7:14–18
Metadata
Title
A cadaveric study of posterior dislocation after total hip replacement—effects of head diameter and acetabular anteversion
Authors
Fu Yuen Ng
Jiang Tao Zhang
Kwong Yuen Chiu
Chun Hoi Yan
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-0977-9

Other articles of this Issue 3/2011

International Orthopaedics 3/2011 Go to the issue

Original Paper

Do large femoral heads reduce the risks of impingement in total hip arthroplasty with optimal and non-optimal cup positioning?

Letter to the Editor

Reply to: Comments on Memisoglu et al.: Does the technique of lateral cross-wiring (Dorgan’s technique) reduce iatrogenic ulnar nerve injury?

Original Paper

Complications of definitive open reduction and internal fixation of pilon fractures of the distal tibia

Original Paper

Does the technique of lateral cross-wiring (Dorgan’s technique) reduce iatrogenic ulnar nerve injury?

Original Paper

Imageless computer assisted versus conventional total knee replacement. A Bayesian meta-analysis of 23 comparative studies

Original Paper

Surgical treatment of syndesmotic diastasis: emphasis on effect of syndesmotic screw on ankle function