Establishing a range of motion boundary for total hip arthroplasty

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Abstract

Range of motion of the hip joint is a major contributor to dislocation post total hip replacement. Impingement is often treated as a surrogate for dislocation and occurs – prosthetically – when the neck of the femoral component contacts with the rim of the pelvic acetabular cup. This impingement is caused by movement of the leg during activities of daily living. This article analyses hip joint range of motion and its implication for impingement.
A systematic literature review was undertaken with the purpose of establishing a range of motion benchmark for total hip replacement. This paper proposes a method by which a three-dimensional range of motion boundary established from the literature can be presented. The nominal boundary is also validated experimentally using a number of configurations of a neutral hip joint coordinate frame.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
T Technology > TA Engineering (General). Civil engineering (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH): Total hip replacement, Joints -- Range of motion, Hip joint -- Dislocation
Journal or Publication Title: Institution of Mechanical Engineers. Proceedings. Part H: Journal of Engineering in Medicine
Publisher: Sage Publications Ltd.
Place of Publication: University of Warwick
ISSN: 2041-3033
Official Date: 16 June 2011
Dates:
Date
Event
16 June 2011
Published
Volume: Vol.225
Number: No.8
Number of Pages: 14
Page Range: pp. 769-782
DOI: 10.1177/0954411911409306
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 16 December 2015
Date of first compliant Open Access: 16 December 2015
Funder: Nikon Metrology (Firm), Engineering and Physical Sciences Research Council (EPSRC), University Hospitals Coventry and Warwickshire NHS Trust
URI: https://wrap.warwick.ac.uk/35498/

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