Femoral head diameter considerations for primary total hip arthroplasty

Girard, Julien

Type de document :

Article dans une revue scientifique: Article de synthèse/Review paper

DOI :

10.1016/j.otsr.2014.07.026

PMID :

25596984

URL permanente :

http://hdl.handle.net/20.500.12210/11677

Titre :

Femoral head diameter considerations for primary total hip arthroplasty

Auteur(s) :

Girard, Julien [Auteur]

Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]

Titre de la revue :

Orthopaedics & traumatology, surgery & research

Nom court de la revue :

Orthop. Traumatol.-Surg. Res.

Numéro :

101

Pagination :

S25-S29

Date de publication :

2015-02-01

ISSN :

1877-0568

Mot(s)-clé(s) en anglais :

Hip resurfacing
Dislocation
Large-diameter femoral head
Aseptic loosening

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

The configuration of total hip arthroplasty (THA) implants has constantly evolved since they were first introduced. One of the key components of THA design is the diameter of the prosthetic femoral head. It has been well ...
Lire la suite >The configuration of total hip arthroplasty (THA) implants has constantly evolved since they were first introduced. One of the key components of THA design is the diameter of the prosthetic femoral head. It has been well established that the risk of dislocation is lower as the head diameter increases. But head diameter impacts other variables beyond joint stability: wear, cam-type impingement, range of motion, restoration of biomechanics, proprioception and groin pain. The introduction of highly cross-linked polyethylene and hard-on-hard bearings has allowed surgeons to implant large-diameter heads that almost completely eliminate the risk of dislocation. But as a result, cup liners have become thinner. With femoral head diameters up to 36 mm, the improvement in joint range of motion, delay in cam-type impingement and reduction in dislocation risk have been clearly demonstrated. Conversely, large-diameter heads do not provide any additional improvements. If an "ecologically sound" approach to hip replacement is embraced (e.g. keeping the native femoral head diameter), hip resurfacing with a metal-on-metal bearing must be carried out. The reliability of large-diameter femoral heads in the longer term is questionable. Large-diameter ceramic-on-ceramic bearings may be plagued by the same problems as metal-on-metal bearings: groin pain, squeaking, increased stiffness, irregular lubrication, acetabular loosening and notable friction at the Morse taper. These possibilities require us to be extra careful when using femoral heads with a diameter greater than 36 mm.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Univ. Littoral Côte d’Opale
Univ. Artois
Université de Lille

Collections :

Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369

Équipe(s) de recherche :

Activité Physique, Muscle, Santé (APMS)

Date de dépôt :

2019-09-24T07:26:28Z

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