Abstract:
BACKGROUND AND PURPOSE:Hip resurfacing arthroplasty is being used more and more frequently. The small ratio in size between the resurfaced femoral head and the relatively thick femoral neck raises the question of whether the range of motion is sufficient, particularly with regard to the high mobility required by younger patients. We analyzed motion in a CAD model. METHODS:Three-dimensional CAD models of the natural hip were created from CT scans and 8 designs of hip resurfacing prostheses (head diameter between 42 mm and 54 mm combined with a hemispherical cup) were implanted in a virtual sense. We simulated 3 different leg positions and the range of motion was evaluated, considering five different implant positions. RESULTS:The range of motion of the hip resurfacing designs analyzed was far below the range of motion of stemmed total hip prostheses. None of the resurfacing prostheses provided flexion movements of 90 degrees without impingement. The average range of motion of hip resurfacing arthroplasty was 31-48 degrees below the range of motion of a stemmed total hip replacement with 32-mm head diameter. INTERPRETATION:The range of motion of the hip resurfacing designs examined was substantially less than that of a conventional total hip prosthesis. Since impingement of the femoral neck on the acetabular component increases the risk of neck fractures, of dislocation and of subsequent implant loosening, the design and position of the implant should be considered before using hip resurfacing arthroplasty as a standard treatment for younger patients.
journal_name
Acta Orthopjournal_title
Acta orthopaedicaauthors
Kluess D,Zietz C,Lindner T,Mittelmeier W,Schmitz KP,Bader Rdoi
10.1080/17453670810016803subject
Has Abstractpub_date
2008-12-01 00:00:00pages
748-54issue
6eissn
1745-3674issn
1745-3682pii
906724745journal_volume
79pub_type
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