scholarly journals Development of an Instrument to Assess the Stability of Cementless Femoral Implants using Vibration Analysis During Total Hip Arthroplasty

Author(s):  
Steven Leuridan ◽  
Quentin Goossens ◽  
Leonard Cezar Pastrav ◽  
Michiel Mulier ◽  
Wim Desmet ◽  
...  
2016 ◽  
Vol 26 (3) ◽  
pp. 209-214 ◽  
Author(s):  
Dimitrios T. Tsiampas ◽  
Emilios E. Pakos ◽  
Georgios C. Georgiadis ◽  
Theodoros A. Xenakis

2020 ◽  
Vol 44 (12) ◽  
pp. 2577-2585
Author(s):  
Mokrane Ait Mokhtar

Abstract Introduction Evolving surgical techniques in total hip arthroplasty (THA) have sought to make the surgical procedures safer. This requires having highly reproducible incision landmarks and simplifying the procedures. The postero-posterolateral approach, a very posterior incision in the hip, meets those requirements. However, this has not helped to reduce the post-operative dislocation rate. The aim of this study was to assess the relevance of combining the postero-posterolateral approach and next-generation dual mobility cups (DMC) in terms of dislocation risk. Materials and methods One hundred and fifty-eight THA were performed consecutively using the postero-posterolateral approach on 150 patients, by a single surgeon, over a 49-month period (November 2010 to December 2014). All acetabular implants were impacted. Results Average length of the incision was 7 cm (6 to 9 cm). Mean duration of the surgical procedure was 75 minutes (40 to 100). Mean blood loss was estimated at 210 cc (25 to 410 cc). All patients could walk with assistance the day before transferring to a rehabilitation centre. There was one posterior dislocation (0.63%), without recurrence. Conclusion The straightforwardness and reproducibility of the anatomical landmarks used for the postero-posterolateral approach, added to the stability of the dual mobility cup, result in a safe combination in the therapeutic THA arsenal.


2015 ◽  
Vol 30 (12) ◽  
pp. 2242-2247 ◽  
Author(s):  
Emilios E. Pakos ◽  
Kosmas S. Stafilas ◽  
Aristomenis E. Tsovilis ◽  
John N. Vafiadis ◽  
Nikolaos K. Kalos ◽  
...  

2013 ◽  
Vol 472 (4) ◽  
pp. 1240-1245 ◽  
Author(s):  
Paul J. Duwelius ◽  
Bob Burkhart ◽  
Clay Carnahan ◽  
Grant Branam ◽  
Laura Matsen Ko ◽  
...  

2006 ◽  
Vol 88-B (2) ◽  
pp. 168-172 ◽  
Author(s):  
E. Mayr ◽  
J.-L. Moctezuma de la Barrera ◽  
G. Eller ◽  
C. Bach ◽  
M. Nogler

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668429 ◽  
Author(s):  
Tetsuya Jinno ◽  
Daisuke Koga ◽  
Yoshinori Asou ◽  
Sadao Morita ◽  
Atsushi Okawa ◽  
...  

Purpose: To evaluate intraoperatively the effects of femoral offset and head size on stability of the hip joints in total hip arthroplasty (THA) via posterior approach. Methods: Thirty cementless THAs were included in this study. After acetabular shell and femoral broach fixation, trial reduction was repeated using a femoral neck (5- to 8-mm higher or standard offset) and a head (26 mm or 32 mm). To evaluate joint stability, range of internal rotation (IR) in hip flexion prior to posterior subluxation and range of external rotation (ER) in hip extension were measured. Results: The high-offset neck provided significantly (approximately 10°) greater range of IR to subluxation than the standard-offset neck. No hips ended in anterior subluxation by ER. The head size did not have significant effects on the stability. Conclusion: Results suggest that the 5- to 8-mm greater femoral offset might be effective in preventing instability in primary THA.


Sign in / Sign up

Export Citation Format

Share Document