The Stability of the Femoral Component of a Minimal Invasive Total Hip Replacement System

Author(s):  
M M M Willems ◽  
J Kooloos ◽  
P Gibbons ◽  
N Minderhoud ◽  
T Weernink ◽  
...  
2012 ◽  
Vol 11 (1) ◽  
pp. 26-34
Author(s):  
Sophia N. Sangiorgio ◽  
Edward Ebramzadeh ◽  
Sean L. Borkowski ◽  
Daniel A. Oakes ◽  
Jeremy J. Reid ◽  
...  

Author(s):  
Samuel P. Franklin ◽  
Nathan A. Miller ◽  
Todd Riecks

Abstract Objective The aim of this study was to quantify the complications using the Zurich total hip replacement system in an initial series of cases performed by a single surgeon who had experience with other total hip replacement systems. Materials and Methods This was a retrospective study in which complications were classified as major if any treatment was needed or if the outcome was less than near-normal function. Complications that did not warrant treatment and that did not result in function that was inferior to near-normal were considered minor. Outcomes were assessed by radiographic review, physical examination, subjective gait evaluation or, in one case, by objective gait analysis. Bilateral total hip replacements were considered separate procedures. Results The first 21 procedures in 19 dogs performed by a single surgeon were included. The mean time to follow-up was 48 weeks (range: 8–120 weeks; standard deviation: 36 weeks). Two cases (of 21) experienced major complications including one dog with excess internal femoral rotation during weight bearing and one dog having luxation. One case (of 21) had a minor complication; femoral fracture in the presence of an intact bone plate that maintained alignment and healed without treatment. Clinical Significance A high rate of successful outcomes with few major complications can be obtained in the initial cases treated using the Zurich total hip replacement system for surgeons with prior experience with other total hip replacement systems.


2019 ◽  
Vol 957 ◽  
pp. 417-426
Author(s):  
Corneliu Nicolae Druga ◽  
Ileana Constanta Rosca ◽  
Radu Necula

The UHMWPE acetabular cups are the most popular joints for joint prostheses after Charnley introduced UHMWPE for the acetabular component in 1962. It has been demonstrated that polyethylene wear remains the main source of particles in the THR and therefore requires particular attention. The paper presents a series of theoretical and practical aspects regarding the wear of acetabular cups (made of UHMWPE) from the total hip prosthesis component. At the same time, the other tribological phenomena that occur in these MoP (metal on polyethylene) combinations are treated, such as lubrication and friction. Total Hip Replacement & Hip Resurfacing A hip replacement involves replacing the hip joint with a mechanical bearing system which is comprised of a femoral component and an acetabular component. During a hip replacement the acetabulum is reamed and the acetabular component is fitted into the cavity and the femoral component can either be placed over a reamed femoral head, in a procedure referred to as hip resurfacing, or positioned inside the femoral shaft during a total hip replacement [1]. Fig. 1. Total Hip Replacement (a) and Hip Resurfacing Replacement (b) [2].


1993 ◽  
Vol 3 (2) ◽  
pp. 33-38
Author(s):  
G. Krakovits ◽  
L. Sass

The correct implacement of the femoral component is decisive in the longevity of the total hip replacement (THR). The stem has to be placed along the anatomical axis of the femur and accomodated to the internal wall of the femoral canal to prevent tilting, subsidence, torsion movement and its clinical disadvantages. The author discusses the biomechanical consideration as well as the operative method.


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