Impingement with Total Hip Replacement

Malik, Aamer; Maheshwari, Aditya; Dorr, Lawrence D.
August 2007
Journal of Bone & Joint Surgery, American Volume;Aug2007, Vol. 89-A Issue 8, p1832
Academic Journal
The article discusses the clinical consequences and new developments to better understand the mechanisms of impingement in total hip replacement. Impingement is a dynamic process which is influenced by prosthetic design with component position, biomechanical factors, and patient variables. Operative techniques in preventing impingement were identified which include medialization of the cup to avoid component impingement and restoration of hip offset and length to avoid osseous impingement.


Related Articles

  • New Approach to Hip Replacement.  // USA Today Magazine;Feb2002, Vol. 130 Issue 2681, p15 

    Describes a modified approach to hip replacement surgery. Use of cementless prosthesis that grows on the bone; Reduction of hospital stay; Use of slender portals versus large incisions; Duration of operating time.

  • How to read a postoperative total hip replacement radiograph. Tim J McBride // Postgraduate Medical Journal;Feb2011, Vol. 87 Issue 1024, p101 

    In 2006 over 55 000 primary total hip replacements were implanted in the UK. A crucial aspect of follow-up for these patients is the assessment of the postoperative radiograph. Information gained from the initial radiograph includes assessment of the quality of implantation and hence the...

  • 21-Year Results of the Uncemented Fully Textured Lord Hip Prosthesis. Javier de Aragón // Clinical Orthopaedics & Related Research;Jan2007, Vol. 454 Issue 1, p133 

    We report the updated results for a previously evaluated patient cohort who had uncemented total hip arthroplasties using the Lord femoral component. The original cohort consisted of 114 total hip arthroplasties (110 patients) performed from 1979 to 1984. The patients were followed up for an...

  • The utility and precision of analogue and digital preoperative planning for total hip arthroplasty. Alejandro González Della Valle; Fernando Comba; Nicole Taveras; Eduardo Salvati // International Orthopaedics;Jun2008, Vol. 32 Issue 3, p289 

    Abstract  We prospectively compared the utility and precision of preoperative templating performed in printed films (analogue) with that performed on digital radiographs (digital) in 69 patients undergoing primary total hip replacement. Five patients were excluded when misplacement of the...

  • The management and treatment of peri-prosthetic fractures around both total hip and hemiarthroplasty. Higgins, G. A.; Davis, E. T.; Revell, M.; Porter, K. // Trauma;Jan2009, Vol. 11 Issue 1, p49 

    Peri-prosthetic fractures are an increasingly common phenomenon. They are associated with a high mortality, morbidity and economic burden. We reviewed the literature and look at historical aspects, risk factors, clinical assessment, classification and management of peri-prosthetic fractures...

  • Design aspects and clinical performance of the thrust plate hip prosthesis. Jacob, H. A. C.; Bereiter, H. H.; Buergi, M. L. // Proceedings of the Institution of Mechanical Engineers -- Part H;Jan2007, Vol. 221 Issue 1, p29 

    The thrust plate hip prosthesis (TPP) was conceived to maintain the physiological stress distribution in the proximal femur so as to prevent bone atrophy in this region, often encountered after implantation of conventional stem-type prostheses. A thrust plate of TiAlNb is firmly fixed to the...

  • Comparison of periprosthetic bone remodelling after implantation of anatomic and straight stem prostheses in total hip arthroplasty. Grochola, L. F.; Habermann, B.; Mastrodomenico, N.; Kurth, A. // Archives of Orthopaedic & Trauma Surgery;Apr2008, Vol. 128 Issue 4, p383 

    Total hip arthroplasty changes bone loading conditions in the proximal femur and induces adaptive remodelling of the periprosthetic bone. These remodelling processes depend on many implant-specific qualities, e.g. material and elasticity of the stem. The objective of this study was to...

  • MRI as a problem-solving tool in unexplained failed total hip replacement following conventional assessment. Ciaran Johnston; Jennifer Kerr; Stephanie Ford; John O’Byrne; Stephen Eustace // Skeletal Radiology;Oct2007, Vol. 36 Issue 10, p955 

    Abstract Objective  To evaluate MRI as a problem-solving tool for patients with an unexplained failed total hip replacement following conventional radiological assessment. Methods and materials  Patients’ informed consent was obtained in all cases. Institutional review...

  • Aseptic lymphocyte-dominated vasculitis-associated lesion: a clinicopathologic review of an underrecognized cause of prosthetic failure. Watters, Tyler Steven; Cardona, Diana M.; Menon, K. Sunil; Vinson, Emily N.; Bolognesi, Michael P.; Dodd, Leslie G. // American Journal of Clinical Pathology;Dec2010, Vol. 134 Issue 6, p886 

    It is estimated that 35% of total hip arthroplasties (THAs) involve a second-generation metal-on-metal (MOM) prosthesis. A novel complication has appeared in a subset of patients with MOM THAs that is described as an aseptic, lymphocyte-dominated vasculitis-associated lesion (ALVAL). The...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics