Summary
A method for improving acetabular cup positioning at arthroplasty is introduced. The anatomic and engineering principles involved are explained. The device used for this method of siting is described. The method was tested in cadaver experiments and resulted in a 380% improvement of anteversion-retroversion position and a 370% improvement in abduction position over conventional siting. The value of this method in conventional and revision arthroplasty is suggested.
Similar content being viewed by others
References
Charnley J (1979) Low-friction arthroplasty of the hip, theory and practice. Springer, Berlin Heidelberg New York, pp 186–289
Coventry MB (1985) Late dislocations in patients with Charnley total hip arthroplasty. J Bone Joint Surg [Am] 67: 832
Eftekhar NS (1976) Dislocation and instability complicating low-friction arthroplasty of the hip joint. Clin Orthop 121: 120
Fraser GA, Wroblenski BM (1981) Revision of the Charnley; low-friction arthroplasty for recurrent or irreducible dislocation. J Bone Joint Surg [Br] 63: 552
Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg [Br] 64: 17
Kristiansen B, Jorgensen L, Holmich P (1985) Dislocation following total hip arthroplasty. Arch Orthop Trauma Surg 103: 375
Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip replacement arthroplasties. J Bone Joint Surg [Am] 60: 217
Lindberg HO, Carlsson AS, Gentz CF, Petterson H (1982) Recurrent and nonrecurrent dislocation following total hip arthroplasty. Acta Orthop Scand 53: 947
Romanes GJ; Cunningham's textbook of anatomy, 11th edn. Oxford University Press, London, p 174
Ritter MA (1976) Dislocation and subluxation of the total hip replacement. Clin Orthop 121: 92
Salvati ED, Im UC, Aglietti P, Wilson PD (1976) Radiology of total hip replacements. Clin Orthop 121: 74
Searadge H, Nagle KR, Miller RJ (1982) Analysis of version in the acetabular cup. Clin Orthop 166: 152
Sutherland CJ, Wilde AH, Borden LS, Marks KE (1982) A ten-year-follow-up of the hundred consecutive Muller curved-stem total hip replacement arthroplasties. J Bone Joint Surg [Am] 64: 970
Woo RYG, Morrey BF (1982) Dislocations after total hip arthroplasty. J Bone Joint Surg Am 64: 1295
Yoder SA, Brand RA, Pedersen DR, O'Gorman TW (1988) Total hip acetabular component positioning affects component loosening rates. Clin Orthop 228: 79
Author information
Authors and Affiliations
Additional information
Supported by a grant from the Arthritis Foundation of Ireland, 1 Sydney Parade Avenue, Dublin 4
Rights and permissions
About this article
Cite this article
Doyle, J., Murray, P., Mahony, P.O. et al. Acetabular cup-siting device for total hip arthroplasty. Arch Orthop Trauma Surg 108, 317–321 (1989). https://doi.org/10.1007/BF00932323
Issue Date:
DOI: https://doi.org/10.1007/BF00932323