[Anatomic reconstruction of hip joint biomechanics: conventional vs. short-stem prosthesis].

Abstract:

BACKGROUND:Currently, short cementless femoral stems are alternative implants to treat osteoarthritis in young patients with sufficient bone quality in order to get a more proximal load transfer. The purpose of the present study was to biomechanically compare joint reconstructions resulting from implantations of a short-stemmed and a conventional hip replacement. METHODS:100 patients (50 short-stemmed and 50 conventional) were retrospectively examined. For evaluation of biomechanical parameters standardised pre- and postoperative X-rays (pelvic AP views) were used and digitally analysed. RESULTS:The horizontal femoral off-set increased within both groups (short: 2.0 mm and conventional: 3.3 mm), with a significant increase in the conventional group. The hip centre of rotation was significantly medialised after both procedures (short: 6.0 mm and conventional: 4.2 mm). Limb length was shorter preoperatively at the arthroplasty side, but increased thereafter (short: 2.1 mm and conventional: 2.6 mm). Compared to the native contralateral side the limb length was almost equal after THA (short: 0.7 mm and conventional: 0.8 mm). CONCLUSIONS:Our study shows that an almost anatomic reconstruction of hip joint biomechanics is possible with a short-stemmed prosthesis compared to a conventional stem, regarding limb length, centre of rotation and offset.

journal_name

Z Orthop Unfall

authors

Ries C,Schopf W,Dietrich F,Franke S,Jakubowitz E,Sobau C,Heisel C

doi

10.1055/s-0034-1396230

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

46-50

issue

1

eissn

1864-6697

issn

1864-6743

journal_volume

153

pub_type

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