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
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2018

Open Access 01-12-2018 | Research article

Impact of acetabular reaming depth on reconstruction of rotation center in primary total hip arthroplasty

Authors: Pu Shao, Zhizhou Li, Modi Yang, Yuzhuo Wang, Te Liu, Yuhui Yang, Lian Duan, Jinlan Jiang, Jianlin Zuo

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

Login to get access

Abstract

Purpose

To study the impact of acetabular reaming depth on reconstruction of rotation center (RC) in unilateral primary total hip arthroplasty (UPTHA) and guide individualized preoperative design.

Methods

200 postoperative standard bilateral hip anteroposterior radiographs after UPTHA were included, which were collected from January, 2013 to June, 2017 in our hospital. Osteonecrosis of femoral head was the only diagnosis in this cohort. The parameters were measured on the anteropoterior radiographs by using RadiAnt DICOM viewer.

Results

The average of the thickness of the teardrop is about 6.13 ± 1.42 mm. The parameter a (the difference value of the distance of bilateral RC and midline) was positively correlated with the parameter e (the acetabular reaming depth), and the Pearson correlation coefficient was 0.49 when P = 0.05. Furthermore, the value of parameter (e) was 8.25 mm when a2 (the distance from the center of the prosthesis femoral head to the vertical line across the midpoint of pubic symphysis) equaled a1 (the distance from RC of the healthy femoral head to the vertical line across the midpoint of pubic symphysis).

Conclusions

The reaming depth of the acetabulum could influence the reconstruction of RC during UPTHA. When the medial margin of the cup was placed about 2 mm to the lateral border of the ipsilateral teardrop (the bottom of the ovum), the rotation center would be accurately restored.
Literature
1.
Bhaskar D, Rajpura A, Board T. Current concepts in Acetabular positioning in Total hip Arthroplasty. Indian J Orthop. 2017;51(4):386–96.CrossRef
2.
Bouffard V, Begon M, Champagne A, Farhadnia P, Vendittoli PA, Lavigne M, Prince F. Hip joint center localisation: a biomechanical application to hip arthroplasty population. World J Orthop. 2012;3(8):131–6.CrossRef
3.
Kiyama T, Naito M, Shinoda T, Maeyama A. Hip abductor strengths after total hip arthroplasty via the lateral and posterolateral approaches. J Arthroplast. 2010;25(1):76–80.CrossRef
4.
Asayama I, Chamnongkich S, Simpson KJ, Kinsey TL, Mahoney OM. Reconstructed hip joint position and abductor muscle strength after total hip arthroplasty. J Arthroplast. 2005;20(4):414–20.CrossRef
5.
Erceg M. The influence of femoral head shift on hip biomechanics: additional parameters accounted. Int Orthop. 2009;33(1):95–100.CrossRef
6.
Kilicoglu OI, Turker M, Akgul T, Yazicioglu O. Cementless total hip arthroplasty with modified oblique femoral shortening osteotomy in Crowe type IV congenital hip dislocation. J Arthroplast. 2013;28(1):117–25.CrossRef
7.
Erdemli B, Yilmaz C, Atalar H, Guzel B, Cetin I. Total hip arthroplasty in developmental high dislocation of the hip. J Arthroplast. 2005;20(8):1021–8.CrossRef
8.
Muratli KS, Karatosun V, Uzun B, Celik S. Subtrochanteric shortening in total hip arthroplasty: biomechanical comparison of four techniques. J Arthroplast. 2014;29(4):836–42.CrossRef
9.
Meermans G, Doorn JV, Kats JJ. Restoration of the Centre of rotation in primary total hip arthroplasty: the influence of acetabular floor depth and reaming technique. Bone Joint J. 2016;98-B(12):1597–603.CrossRef
10.
Kohnlein W, Ganz R, Impellizzeri FM, Leunig M. Acetabular morphology: implications for joint-preserving surgery. Clin Orthop Relat Res. 2009;467(3):682–91.CrossRef
11.
Delp SL, Maloney W. Effects of hip center location on the moment-generating capacity of the muscles. J Biomech. 1993;26(4–5):485–99.CrossRef
12.
Doehring TC, Rubash HE, Dore DE. Micromotion measurements with hip center and modular neck length alterations. Clin Orthop Relat Res. 1999;(362):230–9.
13.
Doehring TC, Rubash HE, Shelley FJ, Schwendeman LJ, Donaldson TK, Navalgund YA. Effect of superior and superolateral relocations of the hip center on hip joint forces An experimental and analytical analysis. J Arthroplasty. 1996;11(6):693–703.CrossRef
14.
Johnston RC, Brand RA, Crowninshield RD. Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships. J Bone J Surg Am Vol. 1979;61(5):639–52.CrossRef
15.
McGrory BJ, Morrey BF, Cahalan TD, An KN, Cabanela ME. Effect of femoral offset on range of motion and abductor muscle strength after total hip arthroplasty. J Bone Joint Surg British Vol. 1995;77(6):865–9.CrossRef
16.
Kurtz WB, Ecker TM, Reichmann WM, Murphy SB. Factors affecting bony impingement in hip arthroplasty. J Arthroplast. 2010;25(4):624 634 e621–622.CrossRef
17.
Garcia-Rey E, Garcia-Cimbrelo E. Abductor biomechanics clinically impact the Total hip Arthroplasty dislocation rate: a prospective long-term study. J Arthroplast. 2016;31(2):484–90.CrossRef
18.
Sariali E, Klouche S, Mamoudy P. Investigation into three dimensional hip anatomy in anterior dislocation after THA. Influence of the position of the hip rotation Centre. Clin Biomech. 2012;27(6):562–7.CrossRef
19.
Timperley AJ, Biau D, Chew D, Whitehouse SL. Dislocation after total hip replacement - there is no such thing as a safe zone for socket placement with the posterior approach. Hip Int. 2016;26(2):121–7.CrossRef
20.
Callaghan JJ, Salvati EA, Pellicci PM, Wilson PD Jr, Ranawat CS. Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up. J Bone Joint Surg Am Vol. 1985;67(7):1074–85.CrossRef
21.
Karachalios T, Hartofilakidis G, Zacharakis N, Tsekoura M. A 12- to 18-year radiographic follow-up study of Charnley low-friction arthroplasty The role of the center of rotation. Clin Orthop Relat Res. 1993;296:140–7.
22.
Lachiewicz PF, McCaskill B, Inglis A, Ranawat CS, Rosenstein BD. Total hip arthroplasty in juvenile rheumatoid arthritis. Two to eleven-year results. J Bone Joint Surg Am Vol. 1986;68(4):502–8.CrossRef
23.
Yoder SA, Brand RA, Pedersen DR, O'Gorman TW. Total hip acetabular component position affects component loosening rates. Clin Orthop Relat Res. 1988;(228):79–87.
24.
Takamatsu T, Shishido T, Takahashi Y, Masaoka T, Tateiwa T, Kubo K, Endo K, Aoki M, Yamamoto K. Radiographic determination of hip rotation center and femoral offset in Japanese adults: a preliminary investigation toward the preoperative implications in Total hip Arthroplasty. Biomed Res Int. 2015;2015:610763.CrossRef
25.
Bjarnason JA, Reikeras O. Changes of center of rotation and femoral offset in total hip arthroplasty. Ann Trans Med. 2015;3(22):355.
26.
Kluess D, Martin H, Mittelmeier W, Schmitz KP, Bader R. Influence of femoral head size on impingement, dislocation and stress distribution in total hip replacement. Med Eng Phys. 2007;29(4):465–71.CrossRef
Metadata
Title
Impact of acetabular reaming depth on reconstruction of rotation center in primary total hip arthroplasty
Authors
Pu Shao
Zhizhou Li
Modi Yang
Yuzhuo Wang
Te Liu
Yuhui Yang
Lian Duan
Jinlan Jiang
Jianlin Zuo
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-2336-8

Other articles of this Issue 1/2018

BMC Musculoskeletal Disorders 1/2018 Go to the issue

Research article

Dynamic balance in patients with degenerative lumbar spinal stenosis; a cross-sectional study

Research article

Minimally invasive direct lateral interbody fusion in the treatment of the thoracic and lumbar spinal tuberculosisMini-DLIF for the thoracic and lumbar spinal tuberculosis

Research article

Isolated revision meniscal repair – failure rates, clinical outcome, and patient satisfaction

Research article

Periprosthetic infection is the major indication for TKA revision – experiences from a university referral arthroplasty center

Research article

The impact of varus angulation on proximal fractures of the ulna

Study protocol

Efficacy of intra-articular injections of platelet-rich plasma as a symptom- and disease-modifying treatment for knee osteoarthritis - the RESTORE trial protocol