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Short Stem Navigation and Optimized Range of Motion

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Computer and Template Assisted Orthopedic Surgery
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Abstract

The demand for less invasive procedures and bonesparing hip implants has led to the development of short stem prostheses. Various types of hip prostheses are called short stem, although they are based on different principles. Shortened conventional, short anatomic, double taper type, and neck implants rely on different fixation points in the femur and need to be reviewed individually. Short stem prostheses all have in common that they preserve the greater trochanter and part of the femoral neck, which leads to a curved implantation technique and is well suited for a minimally invasive procedure. The cementless fixed prostheses provide a high primary stability to allow immediate weight bearing (Eingartner 2007).

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References

  • Braun A, Sabah A (2009) Two-year results of a modular short hip stem prosthesis – a prospective study. Z Orthop Unfall 147:700–706

    Article  PubMed  CAS  Google Scholar 

  • Braun A, Lazovic D, Zigan R (2007) Modular short-stem prosthesis in total hip arthroplasty: implant positioning and the influence of navigation. Orthopedics 30:S148–152

    PubMed  Google Scholar 

  • D’Lima DD, Urquhart AG, Buehler KO, Walker RH, Colwell CW Jr (2000) The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg Am 82:315–321

    PubMed  Google Scholar 

  • D’Lima DD, Chen PC, Colwell CW Jr (2001) Optimizing acetabular component position to minimize impingement and reduce contact stress. J Bone Joint Surg Am 83:87–91

    PubMed  Google Scholar 

  • Dorr LD, Malik A, Dastane M, Wan Z (2009) Combined anteversion technique for total hip arthroplasty. Clin Orthop Relat Res 467:119–127

    Article  PubMed  Google Scholar 

  • Eingartner C (2007) Currents trends in total hip arthroplasty. Orthop Traumatol Rehabil 9:8–14

    Google Scholar 

  • Lazovic D, Zigan R (2006/7) Navigation of short-stem implants. Orthopedics 29:S 125–129. Erratum in: Orthopedics 30:327

    Google Scholar 

  • Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip replacement arthroplasties. J Bone Joint Surg Am 60:217–220

    PubMed  CAS  Google Scholar 

  • Matsushita A, Nakashima Y, Fujii M, Sato T, Iwamoto Y (2010) Modular necks improve the range of hip motion in cases with excessively anteverted or retroverted femurs in THA. Clin Orthop Relat Res 468:3342–3347

    Article  PubMed  Google Scholar 

  • Milecki M, Kowalczewski J, Wielopolski A, Obrebski M, OkoÅ  T, Marczak D (2008) Modular short-stem prosthesis in total hip arthroplasty – preliminary report (in Polish). Chir Narzadow Ruchu Ortop Pol 73:244–247

    PubMed  Google Scholar 

  • Morrey BF (1989) Short-stemmed uncemented femoral component for primary hip arthroplasty. Clin Orthop Relat Res 249:169–175

    PubMed  Google Scholar 

  • Morrey BF, Adams RA, Kessler M (2000) A conservative femoral replacement for total hip arthroplasty. A prospective study. J Bone Joint Surg Br 82:952–958

    Article  PubMed  CAS  Google Scholar 

  • Müller M, Crucius D, Perka C, Tohtz S (2011) The association between the sagittal femoral stem alignment and the resulting femoral head centre in total hip arthroplasty. Int Orthop (SICOT) 35:981–987

    Article  Google Scholar 

  • Renkawitz T, Haimerl M, Dohmen L, Gneiting S, Wegner M, Ehret N, Buchele C, Schubert M, Lechler P, Woerner M, Sendtner E, Schuster T, Ulm K, Springorum R, Grifka J (2011) Minimally invasive computer-navigated total hip arthroplasty, following the concept of femur first and combined anteversion: design of a blinded randomized controlled trial. BMC Musculoskelet Disord 12:192

    Article  PubMed  Google Scholar 

  • Renkawitz T, Haimerl M, Dohmen L, Gneiting S, Lechler P, Woerner M, Springorum HR, Weber M, Sussmann P, Sendtner E, Grifka J (2012) The association between femoral tilt and impingement-free range-of-motion in total hip arthroplasty. BMC Musculoskelet Disord 13:65

    Article  PubMed  Google Scholar 

  • Sariali E, Mouttet A, Pasquier G, Durante E (2009a) Three-dimensional hip anatomy in osteoarthritis. Analysis of the femoral offset. J Arthroplasty 24:990–997

    Article  Google Scholar 

  • Sariali E, Mouttet A, Pasquier G, Durante E, Catone Y (2009b) Accuracy of reconstruction of the hip using computerised three-dimensional pre-operative planning and a cementless modular neck. J Bone Joint Surg Br 91:333–340

    Article  CAS  Google Scholar 

  • Seki M, Yuasa N, Ohkuni K (1998) Analysis of optimal range of socket orientations in total hip arthroplasty with use of computer-aided design simulation. J Orthop Res 16:513–517

    Article  PubMed  CAS  Google Scholar 

  • Sendtner E, Tibor S, Winkler R, Wörner M, Grifka J, Renkawitz T (2010) Stem torsion in total hip replacement. Acta Orthop 81:579–582

    Article  PubMed  Google Scholar 

  • Wassilew GI, Perka C, Koenig C, Janz V, Asbach P, Hasart O (2012) 3D CT analysis of combined cup and stem anteversion in cases of cup navigation in hip arthroplasty. Orthopedics 33:48–51

    Article  Google Scholar 

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Lazovic, D. (2013). Short Stem Navigation and Optimized Range of Motion. In: Haaker, R., Konermann, W. (eds) Computer and Template Assisted Orthopedic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29728-1_14

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  • DOI: https://doi.org/10.1007/978-3-642-29728-1_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29727-4

  • Online ISBN: 978-3-642-29728-1

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