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

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Abstract

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.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
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
Journal or Publication Title: Medical & Biological Engineering & Computing
Publisher: Springer
ISSN: 0140-0118
Official Date: 1 August 2014
Dates:
Date
Event
1 August 2014
Published
27 June 2014
Available
17 June 2014
Accepted
6 November 2013
Submitted
Volume: Volume 52
Number: Number 8
Page Range: pp. 685-694
DOI: 10.1007/s11517-014-1171-9
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 27 December 2015
Date of first compliant Open Access: 27 December 2015
Funder: Wright Medical Group, Inc., Engineering and Physical Sciences Research Council (EPSRC), Nikon Metrology (Firm)
URI: https://wrap.warwick.ac.uk/61906/

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