Abstract
In revision total hip replacement, biomechanical challenges confront the surgeon in restoring the normal mechanics of the hip joint while achieving stable, long-term fixation of the prosthetic components in host bone. In this chapter, we will briefly review the biomechanics of the hip joint and the effect of variables describing the design of the femoral component on load-sharing and fixation within the revision femur. Because the fundamental goal of joint replacement is to restore the physiologic motion of the hip joint, we will also discuss challenges confronting the revision surgeon in recreating the normal anatomic relationship between the pelvis and femur.
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References
Bergmann G, Graichen F, Rohlmann A. Load directions at hip prostheses measured in-vivo. J Biomech. 1989;22:986.
Bergmann G, Graichen F, Rohlmann A. Hip joint loading during walking and running, measured in two patients. J Biomech. 1993;26:969–990.
Davy DT, Kotzar GM, Brown RH, Heiple KG, Goldberg VM, Heiple KG Jr, et al. Telemetric force measurements across the hip after total arthroplasty. J Bone Joint Surg Am. 1988;70:45–50.
English TA, Kilvington M. In vivo records of hip loads using a femoral implant with telemetric output. J Biomed Eng. 1979;1:111–115.
Rydell NW. Forces acting on the femoral head prosthesis. Acta Orthop Scand Suppl. 1966;88:139–145.
Noble P, Scheller A Jr, Tullos H, Levy RN, Turner RH. Design and selection of prosthetic components in total hip replacement. In: Stillwell W, ed. The Art of Total Hip Arthroplasty. New York, NY: Grune & Stratton; 1986:51–67.
Capello W. Technical aspects of cementless total hip arthroplasty. Clin Orthop. 1990;261:102–106.
Noble P. Biomechanical advances in total hip replacement. In: Niwa S, Perren SM, Hattori T, eds. Biomechanics in Orthopedics. Tokyo, Japan: Springer-Verlag; 1992:46–75.
Poss R, Walker P, Spector M, Reilly DT, Robertson DD, Sledge CB. Strategies for improving fixation of femoral components in total hip arthroplasty. Clin Orthop. 1988; 235:181–194.
Kendrick J, Noble P, Tullos H. Distal stem design and the torsional stability of cementless femoral stems. J Arthroplasty. 1995;10:463–469.
Huiskes R. Some fundamental aspects of human joint replacements: analysis of stresses and heat conduction in bone-prosthesis structures. Acta Orthop Scand. 1980;185: 109–200.
Dujovne A, Bobyn J, Krygier J, Miller JE, Brooks CE. Mechanical compatibility of noncemented hip prostheses with the human femur. J Arthroplasty. 1993;8:7–22.
Engh C, Bobyn J. The influence of stem size and extent of porous coating on femoral bone resorption after primary cementless hip arthroplasty. Clin Orthop. 1988;231:7–28.
Bobyn J, Glassman A, Goto H, Krygier JJ, Miller JE, Brooks CE. The effect of stem stiffness on femoral bone resorption after canine porous-coated total hip arthroplasty. Clin Orthop. 1990;261:196–213.
Glassman A. Cementless primary total hip replacement. In: Callaghan J, Dennis D, Paprosky W, Rosenberg AG, eds. Orthopaedic Knowledge Update: Hip and Knee Reconstruction. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 1995;23:191–206.
Pohlemann T, Steinmetz M, Ehrenheim C, Hundeshagen H, Tscherne H. The importance of roentgenological and scinitigraphic studies in patients with and without thigh pain following cementless PCA hip endoprosthesis. Z Orthop Ihre Grenzgeb. 1995;133:25–33.
Campbell A, Rorabeck C, Bourme R, Chess D, Nott L. Thigh pain after cementless hip arthroplasty: annoyance or ill omen. J Bone Joint Surg Br. 1992;74:63–66.
Moreland J, Bernstein M. Femoral revision hip arthroplasty with uncemented, porous-coated stems. Clin Orthop. 1995;319:141–150.
Delp SL, Maloney W. Effects of hip center location on the moment-generating capacity of the muscles. J Biomech. 1993;26(4–5):485–499.
Noble P. Contributions of basic applied sciences to hip replacement in older persons. In: Schafer M, ed. Instr Course Lect. Chicago, Ill: American Academy of Orthopaedic Surgeons; 1994;43:382–392.
Noble P, Alexander J, Lindahl L, et al. The anatomic basis of femoral component design. Clin Orthop. 1988;235: 145–165.
Noble PC, Lucas MJ. Femoral anteversion following cement-less total hip replacement. Orthop Trans. 1989;13:391–392.
Daly P, Morrey B. Operative correction of an unstable total hip arthroplasty. J Bone Joint Surg Am. 1992;74:1334–1343.
Walker PS. Human joints and their artificial replacements. Springfield, Ill: Charles C Thomas Publisher; 1977.
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Noble, P.C. (1999). Biomechanics of Revision Hip Replacement. In: Bono, J.V., McCarthy, J.C., Thornhill, T.S., Bierbaum, B.E., Turner, R.H. (eds) Revision Total Hip Arthroplasty. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1406-9_15
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DOI: https://doi.org/10.1007/978-1-4612-1406-9_15
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-7131-4
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