Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty
Introduction This study was designed to test whether the number of impacts, the experience of the surgeon or impact force made significant difference in pull off forces. Materials and methods The forces applied by 10 orthopaedic surgeons (five residents and five attending staff) to impact the femora...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2009-06, Vol.129 (6), p.793-796 |
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| container_title | Archives of orthopaedic and trauma surgery |
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| creator | Heiney, Jake P. Battula, Suneel Vrabec, Gregory A. Parikh, Anand Blice, Rebecca Schoenfeld, Andrew J. Njus, Glenn O. |
| description | Introduction
This study was designed to test whether the number of impacts, the experience of the surgeon or impact force made significant difference in pull off forces.
Materials and methods
The forces applied by 10 orthopaedic surgeons (five residents and five attending staff) to impact the femoral head onto the trunnion of a femoral component were recorded. The resultant forces were then divided into four energy levels and compared to determine if the number of impacts would make a difference in pull off strength.
Results
No significant differences existed between the resident versus attending groups in magnitude of force applied. Through ANOVA testing, it was found that at each of the energy levels, multiple blows demonstrated a significant pull off strength difference compared to a single blow. Increased pull off force was also noted when the magnitude of force of the applied blows was increased.
Conclusion
We recommend at least two firm, axially aligned blows to impact the femoral head onto the trunnion intra-operatively. |
| doi_str_mv | 10.1007/s00402-008-0660-4 |
| format | Article |
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This study was designed to test whether the number of impacts, the experience of the surgeon or impact force made significant difference in pull off forces.
Materials and methods
The forces applied by 10 orthopaedic surgeons (five residents and five attending staff) to impact the femoral head onto the trunnion of a femoral component were recorded. The resultant forces were then divided into four energy levels and compared to determine if the number of impacts would make a difference in pull off strength.
Results
No significant differences existed between the resident versus attending groups in magnitude of force applied. Through ANOVA testing, it was found that at each of the energy levels, multiple blows demonstrated a significant pull off strength difference compared to a single blow. Increased pull off force was also noted when the magnitude of force of the applied blows was increased.
Conclusion
We recommend at least two firm, axially aligned blows to impact the femoral head onto the trunnion intra-operatively.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-008-0660-4</identifier><identifier>PMID: 18600337</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Arthroplasty, Replacement, Hip - methods ; Biomechanical Phenomena ; Clinical Competence ; Equipment Failure Analysis - methods ; Femur Head - surgery ; Hip Prosthesis ; Humans ; Internship and Residency ; Joint surgery ; Medicine ; Medicine & Public Health ; Orthopaedic Surgery ; Orthopedics ; Orthopedics - education ; Prosthesis Design ; Risk Factors</subject><ispartof>Archives of orthopaedic and trauma surgery, 2009-06, Vol.129 (6), p.793-796</ispartof><rights>Springer-Verlag 2008</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2008). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-3fa06723fbf648db47c6169c08b711dd6580175d5d54e27613d8f79ecc5fcfe83</citedby><cites>FETCH-LOGICAL-c402t-3fa06723fbf648db47c6169c08b711dd6580175d5d54e27613d8f79ecc5fcfe83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-008-0660-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-008-0660-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18600337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heiney, Jake P.</creatorcontrib><creatorcontrib>Battula, Suneel</creatorcontrib><creatorcontrib>Vrabec, Gregory A.</creatorcontrib><creatorcontrib>Parikh, Anand</creatorcontrib><creatorcontrib>Blice, Rebecca</creatorcontrib><creatorcontrib>Schoenfeld, Andrew J.</creatorcontrib><creatorcontrib>Njus, Glenn O.</creatorcontrib><title>Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
This study was designed to test whether the number of impacts, the experience of the surgeon or impact force made significant difference in pull off forces.
Materials and methods
The forces applied by 10 orthopaedic surgeons (five residents and five attending staff) to impact the femoral head onto the trunnion of a femoral component were recorded. The resultant forces were then divided into four energy levels and compared to determine if the number of impacts would make a difference in pull off strength.
Results
No significant differences existed between the resident versus attending groups in magnitude of force applied. Through ANOVA testing, it was found that at each of the energy levels, multiple blows demonstrated a significant pull off strength difference compared to a single blow. Increased pull off force was also noted when the magnitude of force of the applied blows was increased.
Conclusion
We recommend at least two firm, axially aligned blows to impact the femoral head onto the trunnion intra-operatively.</description><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Biomechanical Phenomena</subject><subject>Clinical Competence</subject><subject>Equipment Failure Analysis - methods</subject><subject>Femur Head - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Joint surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopaedic Surgery</subject><subject>Orthopedics</subject><subject>Orthopedics - education</subject><subject>Prosthesis Design</subject><subject>Risk Factors</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU2LFDEQhoMo7rj6A7xIQHBPrZWPTtJHWXRdWPGi55DJx0wv3UmbpJH5Cf5rMzsDC4KSQ6DqqbcoHoReE3hPAOSHAsCBdgCqAyGg40_QhnDGOzYQ8RRtYGCiU9CTC_SilHsAQtUAz9EFUQKAMblBv2_nxdiKZ7OLY12dL9gsyzR6h7cHXNa88ym2WnS47v2Y8TgvKVcTrce_9j4-0Icx7o5tHPycspnw3huHU6zpofo15eJxNYvPOKSMa6pHZlywyXWf0zKZUg8v0bNgpuJfnf9L9OPzp-_XX7q7bze31x_vOtturR0LBoSkLGyD4MptubSCiMGC2kpCnBO9AiJ71x73VArCnApy8Nb2wQav2CW6OuUuOf1cfal6Hov102SiT2vRA3AuoQfayHf_JYUknCsqGvj2L_A-rTm2KzSlggxKUcIaRU6UzamU7INe8jibfNAE9NGnPvnUzac--tS8zbw5J6_b2bvHibPABtATUFor7nx-XP3v1D8B_KxX</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Heiney, Jake P.</creator><creator>Battula, Suneel</creator><creator>Vrabec, Gregory A.</creator><creator>Parikh, Anand</creator><creator>Blice, Rebecca</creator><creator>Schoenfeld, Andrew J.</creator><creator>Njus, Glenn O.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20090601</creationdate><title>Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty</title><author>Heiney, Jake P. ; Battula, Suneel ; Vrabec, Gregory A. ; Parikh, Anand ; Blice, Rebecca ; Schoenfeld, Andrew J. ; Njus, Glenn O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-3fa06723fbf648db47c6169c08b711dd6580175d5d54e27613d8f79ecc5fcfe83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Biomechanical Phenomena</topic><topic>Clinical Competence</topic><topic>Equipment Failure Analysis - methods</topic><topic>Femur Head - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Joint surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopaedic Surgery</topic><topic>Orthopedics</topic><topic>Orthopedics - education</topic><topic>Prosthesis Design</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heiney, Jake P.</creatorcontrib><creatorcontrib>Battula, Suneel</creatorcontrib><creatorcontrib>Vrabec, Gregory A.</creatorcontrib><creatorcontrib>Parikh, Anand</creatorcontrib><creatorcontrib>Blice, Rebecca</creatorcontrib><creatorcontrib>Schoenfeld, Andrew J.</creatorcontrib><creatorcontrib>Njus, Glenn O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heiney, Jake P.</au><au>Battula, Suneel</au><au>Vrabec, Gregory A.</au><au>Parikh, Anand</au><au>Blice, Rebecca</au><au>Schoenfeld, Andrew J.</au><au>Njus, Glenn O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>129</volume><issue>6</issue><spage>793</spage><epage>796</epage><pages>793-796</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
This study was designed to test whether the number of impacts, the experience of the surgeon or impact force made significant difference in pull off forces.
Materials and methods
The forces applied by 10 orthopaedic surgeons (five residents and five attending staff) to impact the femoral head onto the trunnion of a femoral component were recorded. The resultant forces were then divided into four energy levels and compared to determine if the number of impacts would make a difference in pull off strength.
Results
No significant differences existed between the resident versus attending groups in magnitude of force applied. Through ANOVA testing, it was found that at each of the energy levels, multiple blows demonstrated a significant pull off strength difference compared to a single blow. Increased pull off force was also noted when the magnitude of force of the applied blows was increased.
Conclusion
We recommend at least two firm, axially aligned blows to impact the femoral head onto the trunnion intra-operatively.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18600337</pmid><doi>10.1007/s00402-008-0660-4</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2009-06, Vol.129 (6), p.793-796 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Arthroplasty, Replacement, Hip - methods Biomechanical Phenomena Clinical Competence Equipment Failure Analysis - methods Femur Head - surgery Hip Prosthesis Humans Internship and Residency Joint surgery Medicine Medicine & Public Health Orthopaedic Surgery Orthopedics Orthopedics - education Prosthesis Design Risk Factors |
| title | Impact magnitudes applied by surgeons and their importance when applying the femoral head onto the Morse taper for total hip arthroplasty |
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