Effect of femoral neck modularity upon the prosthetic range of motion in total hip arthroplasty

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• 作者：Glen A. Turley (1)
  Damian R. Griffin (2)
  Mark A. Williams (1)
  
• 关键词：Total hip arthroplasty ; Femoral neck modularity ; Impingement ; Range of motion
• 刊名：Medical and Biological Engineering and Computing
• 出版年：2014
• 出版时间：August 2014
• 年：2014
• 卷：52
• 期：8
• 页码：685-694
• 全文大小：1,187 KB
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• 作者单位：Glen A. Turley (1)
  Damian R. Griffin (2)
  Mark A. Williams (1)
  
  1. WMG, The University of Warwick, Coventry, CV4 7AL, UK
  2. Warwick Medical School, The University of Warwick, Coventry, CV2 2DX, UK
  
• ISSN：1741-0444

文摘

In total hip arthroplasty, aseptic loosening and dislocation are associated with not being able to achieve the correct prosthetic component orientation. Femoral neck modularity has been proposed as a solution to this problem by allowing the surgeon to alter either the neck-shaft or version angle of the prosthetic femoral component intra-operatively. A single replicate full factorial design was used to evaluate how effective a modular femoral neck cementless stem was in restoring a healthy prosthetic range of motion in comparison with a leading fixed-neck cementless stem with the standard modular parameters. It was found that, if altered to a large enough degree, femoral neck modularity can increase the amount of prosthetic motion as well as alter its position to where it is required physiologically. However, there is a functional limit to the amount that can be corrected and there is a risk with regard to the surgeon having to select the optimum modular neck before any benefit is realised.