Intraoperative measurement of rotational stability of femoral components of total hip arthroplasty

High out-of-plane forces acting on the hip joint can produce important rotational micromotion of the femoral component. This micromotion at the prosthesis interface may be detrimental to the stability of the implant. In cementless femoral implants this could prevent bone ingrowth, and in the cemente...

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Veröffentlicht in:Clinical orthopaedics and related research 1991-05, Vol.266 (266), p.119-126
Hauptverfasser: HARRIS, W. H, MULROY, R. D, MALONEY, W. J, BURKE, D. W, CHANDLER, H. P, ZALENSKI, E. B
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container_end_page 126
container_issue 266
container_start_page 119
container_title Clinical orthopaedics and related research
container_volume 266
creator HARRIS, W. H
MULROY, R. D
MALONEY, W. J
BURKE, D. W
CHANDLER, H. P
ZALENSKI, E. B
description High out-of-plane forces acting on the hip joint can produce important rotational micromotion of the femoral component. This micromotion at the prosthesis interface may be detrimental to the stability of the implant. In cementless femoral implants this could prevent bone ingrowth, and in the cemented component this could cause generation of particulate debris, lysis, and loosening. The introduction of the torque wrench micrometer for assessment of intraoperative femoral component stability can quantify the initial stability of primary cementless femoral components and critically evaluate the stability (at either the initial or revision arthroplasty) of both cemented and cementless femoral components. It allows the surgeon to produce a known torque in the direction and magnitude of the out-of-plane forces that load the hip in vivo.
doi_str_mv 10.1097/00003086-199105000-00019
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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Arthrography
Biological and medical sciences
Biomechanical Phenomena
Female
Hip Joint - diagnostic imaging
Hip Joint - physiology
Hip Prosthesis
Humans
Joint Instability - physiopathology
Male
Medical sciences
Middle Aged
Orthopedic Equipment
Orthopedic surgery
Osteoarthritis, Hip - surgery
Rotation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Intraoperative measurement of rotational stability of femoral components of total hip arthroplasty
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