Range of motion after total hip arthroplasty: experimental verification of the analytical simulator

Dislocation following total hip replacement surgery represents a significant cause of early failure, incurring additional medical costs. The causes of dislocation are multifactorial and are related to surgical approach, soft tissue tension, prosthetic design, and most important, orientation of components. This paper describes experimental verification of our analytical approach for predicting implant impingement and dislocation. Once fully developed and tested, this analytical methodology could be used as a preoperative simulation tool that will present surgeons with information about the “safe” range of motion and chance of dislocation based on selected component positions, allowing for the surgical plan to be optimized based on this criterion. Coupled with a computer-assisted clinical system for precise implant positioning, this approach could significantly reduce the postoperative risk of dislocation, maximize “safe” range of motion and minimize impingement.

[1]  B F Morrey,et al.  The Elevated-Rim Acetabular Liner in Total Hip Arthroplasty: Relationship to Postoperative Dislocation* , 1996, The Journal of bone and joint surgery. American volume.

[2]  Johnston Rc,et al.  Hip motion measurements for selected activities of daily living. , 1970 .

[3]  J. Lewis,et al.  Dislocations after total hip-replacement arthroplasties. , 1978, The Journal of bone and joint surgery. American volume.

[4]  W H Harris,et al.  Elevated-rim acetabular components. Effect on range of motion and stability in total hip arthroplasty. , 1991, The Journal of arthroplasty.

[5]  D J Schurman,et al.  Range of motion studies for total hip replacements. A comparative study with a new experimental apparatus. , 1975, Clinical orthopaedics and related research.

[6]  G. Smidt,et al.  Hip motion measurements for selected activities of daily living. , 1970, Clinical orthopaedics and related research.

[7]  J. Orwin,et al.  Use of the uncemented bipolar endoprosthesis for the treatment of steroid-induced osteonecrosis of the hip in renal transplantation patients. , 1991, The Journal of arthroplasty.

[8]  Fred Rutan Measuring and Recording of Joint Motion , 1964 .

[9]  J. Heckman,et al.  The clinical measurement of joint motion , 1994 .

[10]  D. McCollum,et al.  Dislocation after total hip arthroplasty. Causes and prevention. , 1990, Clinical orthopaedics and related research.

[11]  John J. Gerhardt,et al.  Measuring and Recording of Joint Motion: Instrumentation and Techniques , 1989 .

[12]  W H Harris,et al.  Range of motion in contemporary total hip arthroplasty. The impact of modular head-neck components. , 1991, The Journal of arthroplasty.

[13]  J. D. Russell,et al.  Instrumentation and Techniques , 1974 .