Establishing a range of motion boundary for total hip arthroplasty

Range of motion of the hip joint is a major contributor to dislocation post total hip replacement. Impingement is often treated as a surrogate for dislocation and occurs – prosthetically – when the neck of the femoral component contacts with the rim of the pelvic acetabular cup. This impingement is...

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Veröffentlicht in:Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine Journal of engineering in medicine, 2011-08, Vol.225 (8), p.769-782
Hauptverfasser: Turley, G A, Ahmed, S M Y, Williams, M A, Griffin, D R
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container_title Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine
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creator Turley, G A
Ahmed, S M Y
Williams, M A
Griffin, D R
description Range of motion of the hip joint is a major contributor to dislocation post total hip replacement. Impingement is often treated as a surrogate for dislocation and occurs – prosthetically – when the neck of the femoral component contacts with the rim of the pelvic acetabular cup. This impingement is caused by movement of the leg during activities of daily living. This article analyses hip joint range of motion and its implication for impingement. A systematic literature review was undertaken with the purpose of establishing a range of motion benchmark for total hip replacement. This paper proposes a method by which a three-dimensional range of motion boundary established from the literature can be presented. The nominal boundary is also validated experimentally using a number of configurations of a neutral hip joint coordinate frame.
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subjects Acetabular components
Acetabulum
Acetabulum - physiopathology
Activities of daily living
Algorithms
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Benchmarking
Biomechanical Phenomena
Biomedical materials
Boundaries
Dislocations
Femoral components
Femur
Femur Head - physiopathology
Hip dislocation
Hip joint
Hip Joint - physiopathology
Hip Joint - surgery
Hip Prosthesis
Humans
Impingement
Joint Dislocations - etiology
Joint Instability - etiology
Joint Instability - physiopathology
Joint surgery
Leg
Literature reviews
Mechanical engineers
Necks
Orthopaedic implants
Orthopedics
Range of Motion, Articular
Surgical implants
Three dimensional motion
Total hip arthroplasty
title Establishing a range of motion boundary for total hip arthroplasty
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