Range of motion after total hip arthroplasty: Experimental verification of the analytical simulator

  • B. Jaramaz
  • C. Nikou
  • D. A. Simon
  • A. M. DiGioiaIII
Basic Tools and Applications in Hip and Pelvis Surgery
Part of the Lecture Notes in Computer Science book series (LNCS, volume 1205)


Dislocation following total hip replacement surgery represents a significant cause of early failure, incurring additional medical costs. The causes of dislocation are multifactorial and are related to surgical approach, soft tissue tension, prosthetic design, and most important, orientation of components. This paper describes experimental verification of our analytical approach for predicting implant impingement and dislocation. Once fully developed and tested, this analytical methodology could be used as a preoperative simulation tool that will present surgeons with information about the “safe” range of motion and chance of dislocation based on selected component positions, allowing for the surgical plan to be optimized based on this criterion. Coupled with a computer-assisted clinical system for precise implant positioning, this approach could significantly reduce the postoperative risk of dislocation, maximize “safe” range of motion and minimize impingement.


range of motion analysis total hip replacement computer simulation experimental validation 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    Amstutz H.C., et al.: Range of Motion Studies for Total Hip Replacements. Clinical Orthopaedics and Related Research (111), September 1975, 124–130.PubMedGoogle Scholar
  2. [2]
    Amstutz, H.C. and Markolf, K.L.: Design features in total hip replacement. In Harris W.H. (ed.): Proceeding s of the Second Open Scientific Meeting of the Hip Society, New York, C.V.Mosby, 1974.Google Scholar
  3. [3]
    Cobb T.K., Morrey B.F., Ilstrup D.M.: The elevated-rim acetabular liner in total hip arthroplasty: Relationship to postoperative dislocation. JBJS, Vol 78-A, N0. 1, January 1996, 80–86.Google Scholar
  4. [4]
    DiGioia A.M., et al.: HipNav: Preoperative planning and intraoperative navigational guidance for acetabular implant placement in total hip replacement surgery. 2nd CAOS, Univ. of Bern, Switzerland, 1996.Google Scholar
  5. [5]
    Gerhardt J.J. and Ripstein J.: Measuring and Recording of Joint Motion, Instrumentation and Techniques. Hogrefe & Huber Publishers, Toronto, 1990.Google Scholar
  6. [6]
    Greene W.B. and Hecknman J.D.: The clinical measurement of joint motion. American Academy of Orthopaedic Surgeons, Rosemont, Illinois, 97–114, 1994.Google Scholar
  7. [7]
    Jaramaz B., et al.: Simulation of implant impingement and dislocation in total hip replacement. CAR '96, 10th international symposium and exhibition, Paris, June 26–29, 1996.Google Scholar
  8. [8]
    Johnston, R.C. and Smidt, G.L.: Hip motion measurement for selected activities of daily living. Clin. Orthop. Sept–Oct 1970; (72): 205–215.PubMedGoogle Scholar
  9. [9]
    Krushell, R.J., Burke D.W., and Harris W.H.: Range of motion in contemporary total hip arthroplasty (the impact of modular head-neck components). The Journal of Arthroplasty Vol. 6 (2 1991): 97–101.PubMedGoogle Scholar
  10. [10]
    Krushell, R.J., Burke D.W., and Harris W.H.: Elevated-rim acetabular components: Effect on range of motion and stability in total hip arthroplasty. The Journal of Arthroplasty 6, Suppl. October 1991: 1–6.PubMedGoogle Scholar
  11. [11]
    Lewinnek G.E., et al.: Dislocation after total hip-replacement arthroplasties. JBJS: 217–220, Vol. 60-A, No.2, March 1978.Google Scholar
  12. [12]
    Maxian T.A., et al.: Femoral head containment in total hip arthroplasty: Standard vs. extended lip liners. 42nd Annual meeting, Orthopaedic Research society, February 19–22, 1966, Atlanta, Georgia, 421.Google Scholar
  13. [13]
    Maxian T.A., et al.: Finite element modeling of dislocation propensity in total hip arthroplasty. 42nd Annual meeting, Orthopaedic Research society, February 19–22, 1966, Atlanta, Georgia, 259–44.Google Scholar
  14. [14]
    McCollum, D.E. and W.J. Gray. Dislocation after total hip arthroplasty (causes and prevention). Clinical Orthopaedics and Related Research 261 (1990): 159–170.PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • B. Jaramaz
    • 1
    • 2
  • C. Nikou
    • 2
  • D. A. Simon
    • 1
    • 2
  • A. M. DiGioiaIII
    • 1
    • 2
  1. 1.Center for Orthopaedic ResearchShadyside HospitalPittsburgh
  2. 2.Robotics InstituteCarnegie Mellon UniversityPittsburgh

Personalised recommendations