scholarly journals A comparison of leg length and femoral offset discrepancies in hip resurfacing, large head metal-on- metal and conventional total hip replacement: a case series

2011 ◽  
Vol 6 (1) ◽  
pp. 65 ◽  
Author(s):  
Katie A Herman ◽  
Alan J Highcock ◽  
John D Moorehead ◽  
Simon J Scott
2009 ◽  
Vol 19 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Curtis Robb ◽  
Richard Harris ◽  
Kevin O'dwyer ◽  
Nadim Aslam

Resurfacing hip arthroplasty and total hip replacement both aim to restore anatomical parameters. Leg length and offset discrepancy can result in altered joint reaction forces, and are associated with increased wear, dislocation, and decreased patient satisfaction. This study assesses the accuracy of leg length and offset restoration after either a Birmingham Hip Resurfacing (BHR) or a cemented total hip replacement (THR). Standardised antero-posterior radiography was performed on two groups of 30 patients with unilateral primary osteoarthritis undergoing either a cemented total hip or resurfacing. The normal contra-lateral hip was used as the control. Leg length and offset were measured pre-operatively with no significant difference between the two groups. Cup offset, femoral offset, total offset and leg length of the prosthesis and normal side were measured by two observers and mean measurements were analysed by a paired t test. Leg lengths in each group did not differ significantly from the normal side, THR 0.53 mm (95% CI -2.4 to 3.4 mm) but BHR implantation did result in mean leg shortening of -1.9 mm (95% CI -4.5 mm to 0.6 mm). Cup offset differed significantly from normal anatomy in both groups, as did femoral and total offset for the total hip replacement group. However, femoral offset was restored in the Birmingham resurfacing group. When the THR group was compared against the BHR group we found no difference between restoration of leg lengths (p = 0.21) and cup offset (p = 0.30) but femoral (p = 0.0063) and total offset (p = 0.03) were restored more accurately with a BHR.


2020 ◽  
Vol 102 (Suppl 2) ◽  
pp. 80-90
Author(s):  
Pascal-André Vendittoli ◽  
Maged Shahin ◽  
Charles Rivière ◽  
Alain Guy Roy ◽  
Janie Barry ◽  
...  

2013 ◽  
Vol 95-B (11) ◽  
pp. 1464-1473 ◽  
Author(s):  
P-A. Vendittoli ◽  
C. Rivière ◽  
A. G. Roy ◽  
J. Barry ◽  
D. Lusignan ◽  
...  

2013 ◽  
Vol 16 (6) ◽  
pp. 942-952 ◽  
Author(s):  
Sanne Heintzbergen ◽  
Nathalie A. Kulin ◽  
Maarten J. IJzerman ◽  
Lotte M.G. Steuten ◽  
Jason Werle ◽  
...  

2010 ◽  
Vol 92-B (1) ◽  
pp. 38-46 ◽  
Author(s):  
D. J. Langton ◽  
S. S. Jameson ◽  
T. J. Joyce ◽  
N. J. Hallab ◽  
S. Natu ◽  
...  

2016 ◽  
Vol 50 (3) ◽  
pp. 187-187 ◽  
Author(s):  
Adrian R Kendal ◽  
Daniel Prieto-Alhambra ◽  
Nigel K Arden ◽  
Andrew Carr ◽  
Andrew Judge

2013 ◽  
Vol 95 (3) ◽  
pp. 88-91
Author(s):  
J Lloyd ◽  
I Starks ◽  
T Wainwright ◽  
R Middleton

Metal-on-metal (MoM) hip resurfacings (HRs) and large head total hip replacements (LHTHRs) were perceived by many as a surgical revolution, with clear advantages over the traditional metal-on-polyethylene total hip replacement (THR). This is especially the case for younger, active individuals in whom conventional THR has been associated with higher rates of aseptic loosening. In addition to less bearing surface wear, frequently cited advantages for HR include the preservation of femoral bone stock, lower dislocation rates, and superior function and activity scores.


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