|
The Journal of Bone and Joint Surgery, Vol 61, Issue 5 639-652, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc
Reconstruction of the hip. A mathematical approach to determine optimum geometric relationships
RC Johnston, RA Brand and RD Crowninshield
The normal mechanical function of the hip is substantially altered by a
variety of disorders. The surgical treatment of such conditions,
particularly total hip replacement, offers the opportunity not only to
replace the articular surfaces of the joint, but also to improve long-term
mechanical function by reducing the loads on the joint. A mathematical
model of the hip was developed to evaluate the effects of such surgically
achievable mechanical alterations as acetabular placement, femoral
shaft-prosthetic neck angle, neck length of the femoral prosthesis, and
transfer of the greater trochanter. The loads on the hip were lowered
significantly by placing the center of the acetabulum as far medially,
inferiorly, and anteriorly as was anatomically feasible. Minimum joint
contact forces occurred when the femoral shaft-prosthetic neck angles were
small, while the minimum moments about the prosthesis stem-neck junction
were found when the angles were 130 to 140 degrees. A neck length of the
femoral prosthesis of thirty-five millimeters resulted in moments that were
lower than those for a neck length of forty-five millimeters. Lateral
transfer of the greater trochanter reduced hip-joint forces and moments but
distal transfer had little mechanical effect.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
A. Malik, A. Maheshwari, and L. D. Dorr
Impingement with Total Hip Replacement
J. Bone Joint Surg. Am.,
August 1, 2007;
89(8):
1832 - 1842.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Girard, M. Lavigne, P.-A. Vendittoli, and A. G. Roy
Biomechanical reconstruction of the hip: A RANDOMISED STUDY COMPARING TOTAL HIP RESURFACING AND TOTAL HIP ARTHROPLASTY.
J Bone Joint Surg Br,
June 1, 2006;
88-B(6):
721 - 726.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. T. de Jong, D. Haverkamp, H. M. van der Vis, and R. K. Marti
Total hip replacement with a superolateral bone graft for osteoarthritis secondary to dysplasia: A LONG-TERM FOLLOW-UP
J Bone Joint Surg Br,
February 1, 2006;
88-B(2):
173 - 178.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Morag, P. Zalzal, B. Liberman, O. Safir, M. Flint, and A. E. Gross
Outcome of revision hip arthroplasty in patients with a previous total hip replacement for developmental dysplasia of the hip
J Bone Joint Surg Br,
August 1, 2005;
87-B(8):
1068 - 1072.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A.S. Klapach, J.J. Callaghan, K.A. Miller, D.D. Goetz, P.M. Sullivan, D.R. Pedersen, and R.C. Johnston
Total Hip Arthroplasty with Cement and without Acetabular Bone Graft for Severe Hip Dysplasia. A Concise Follow-Up, At a Minimum of Twenty Years, of a Previous Report
J. Bone Joint Surg. Am.,
February 1, 2005;
87(2):
280 - 285.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. E. Beaule, J. L. Lee, M. J. Le Duff, H. C. Amstutz, and E. Ebramzadeh
Orientation of the Femoral Component in Surface Arthroplasty of the Hip. A Biomechanical and Clinical Analysis
J. Bone Joint Surg. Am.,
September 1, 2004;
86(9):
2015 - 2021.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. N. Charles, R. B. Bourne, J. R. Davey, A. S. Greenwald, B. F. Morrey, and C. H. Rorabeck
Soft-Tissue Balancing of the Hip. The Role of Femoral Offset Restoration
J. Bone Joint Surg. Am.,
May 1, 2004;
86(5):
1078 - 1088.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Perka, U. Fischer, W. R. Taylor, and G. Matziolis
Developmental Hip Dysplasia Treated with Total Hip Arthroplasty with a Straight Stem and a Threaded Cup
J. Bone Joint Surg. Am.,
February 1, 2004;
86(2):
312 - 319.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Kandemir, M. Yazici, A. M. Alpaslan, and A. Surat
Morphology of the Knee in Adult Patients with Neglected Developmental Dysplasia of the Hip
J. Bone Joint Surg. Am.,
December 9, 2002;
84(12):
2249 - 2257.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. S. HADDAD, B. A. MASRI, D. S. GARBUZ, and C. P. DUNCAN
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Primary Total Replacement of the Dysplastic Hip*{{dagger}}
J. Bone Joint Surg. Am.,
October 1, 1999;
81(10):
1462 - 82.
[Full Text]
|
|
|
|
|
|
|
J. T. DEARBORN and W. H. HARRIS
High Placement of an Acetabular Component Inserted without Cement in a Revision Total Hip Arthroplasty. Results After a Mean of Ten Years
J. Bone Joint Surg. Am.,
April 1, 1999;
81(4):
469 - 80.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
L. D. DORR, S. TAWAKKOL, M. MOORTHY, W. LONG, and Z. WAN
Medial Protrusio Technique for Placement of a Porous-Coated, Hemispherical Acetabular Component without Cement in a Total Hip Arthroplasty in Patients Who Have Acetabular Dysplasia
J. Bone Joint Surg. Am.,
January 1, 1999;
81(1):
83 - 92.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
D. J. Kelsey, G. S. Springer, and S. B. Goodman
Composite Implant for Bone Replacement
Journal of Composite Materials,
August 1, 1997;
31(16):
1593 - 1632.
[Abstract]
|
|
|
|
|
|
|
J. R. Loudon, S. A. Ash, J. J. Callaghan, and R. C. Johnston
Correspondence
J. Bone Joint Surg. Am.,
March 1, 1997;
79(3):
470-a - 470.
[Full Text]
|
|
|
|
|
|
|
M. W. PAGNANO, A. D. HANSSEN, D. G. LEWALLEN, and W. J. SHAUGHNESSY
The Effect of Superior Placement of the Acetabular Component on the Rate of Loosening after Total Hip Arthroplasty. Long-Term Results in Patients Who Have Crowe Type-II Congenital Dysplasia of the Hip
J. Bone Joint Surg. Am.,
July 1, 1996;
78(7):
1004 - 14.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
S. A. ASH, J. J. CALLAGHAN, and R. C. JOHNSTON
Revision Total Hip Arthroplasty with Cement after Cup Arthroplasty. Long-Term Follow-up
J. Bone Joint Surg. Am.,
January 1, 1996;
78(1):
87 - 93.
[Abstract]
[Full Text]
|
|
|
|
