Patient-specific hip geometry has greater effect on THA wear than femoral head size
Abstract In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28 mm and 32 mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended...
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| Published in: | Journal of biomechanics Vol. 49; no. 16; pp. 3996 - 4001 |
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| Main Authors: | , , , , , |
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| Abstract | Abstract In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28 mm and 32 mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended to test the effect of patient׳s individual geometry of musculoskeletal system, acetabular cup orientation, and radius of femoral head on wear. Variation in patient׳s musculoskeletal geometry and acetabular cup placement is evaluated in two groups of patients implanted with 28 mm and 32 mm THA heads. Linear wear rate estimated by mathematical model is 0.165–0.185 mm/year and 0.157–0.205 mm/year for 28 and 32 mm THA heads, respectively. Simulations show little influence femoral head size has on the estimated annual wear rate. Predicted annual linear wear depends mostly on the abduction angle of the acetabular cup and individual geometry of the musculoskeletal system of the hip, with the latter having the greatest affect on variation in linear wear rate. |
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| AbstractList | In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28mm and 32mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended to test the effect of patient's individual geometry of musculoskeletal system, acetabular cup orientation, and radius of femoral head on wear. Variation in patient's musculoskeletal geometry and acetabular cup placement is evaluated in two groups of patients implanted with 28mm and 32mm THA heads. Linear wear rate estimated by mathematical model is 0.165-0.185mm/year and 0.157-0.205mm/year for 28 and 32mm THA heads, respectively. Simulations show little influence femoral head size has on the estimated annual wear rate. Predicted annual linear wear depends mostly on the abduction angle of the acetabular cup and individual geometry of the musculoskeletal system of the hip, with the latter having the greatest affect on variation in linear wear rate. In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28mm and 32mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended to test the effect of patient׳s individual geometry of musculoskeletal system, acetabular cup orientation, and radius of femoral head on wear. Variation in patient׳s musculoskeletal geometry and acetabular cup placement is evaluated in two groups of patients implanted with 28mm and 32mm THA heads. Linear wear rate estimated by mathematical model is 0.165-0.185mm/year and 0.157-0.205mm/year for 28 and 32mm THA heads, respectively. Simulations show little influence femoral head size has on the estimated annual wear rate. Predicted annual linear wear depends mostly on the abduction angle of the acetabular cup and individual geometry of the musculoskeletal system of the hip, with the latter having the greatest affect on variation in linear wear rate. Abstract In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28 mm and 32 mm femoral head diameter with considerable variations between and within the studies. It indicates factors other than femoral head diameter influence polyethylene wear. This study is intended to test the effect of patient׳s individual geometry of musculoskeletal system, acetabular cup orientation, and radius of femoral head on wear. Variation in patient׳s musculoskeletal geometry and acetabular cup placement is evaluated in two groups of patients implanted with 28 mm and 32 mm THA heads. Linear wear rate estimated by mathematical model is 0.165–0.185 mm/year and 0.157–0.205 mm/year for 28 and 32 mm THA heads, respectively. Simulations show little influence femoral head size has on the estimated annual wear rate. Predicted annual linear wear depends mostly on the abduction angle of the acetabular cup and individual geometry of the musculoskeletal system of the hip, with the latter having the greatest affect on variation in linear wear rate. |
| Author | Kralj-Iglič, Veronika Daniel, Matej Dolinar, Drago Iglič, Aleš Rijavec, Boris Pokorný, David |
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| Keywords | Design Contact pressure UHMWPE Linear penetration |
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| Snippet | Abstract In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28 mm and 32 mm femoral head diameter with considerable... In vivo linear penetration in total hip arthroplasty (THA) exhibits similar values for 28mm and 32mm femoral head diameter with considerable variations between... |
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| SubjectTerms | Acetabulum - anatomy & histology Acetabulum - physiology Aged Angles (geometry) Arthroplasty, Replacement, Hip Biomedical materials Contact pressure Design Female Femur Head - anatomy & histology Femur Head - physiology Geometry Hip joint Hip Prosthesis Humans Hypotheses In vivo methods and tests Joint surgery Kinematics Linear penetration Male Mathematical models Middle Aged Muscle, Skeletal - anatomy & histology Muscle, Skeletal - physiology Musculoskeletal system Patient-Specific Modeling Patients Physical Medicine and Rehabilitation Polyethylene Purchasing groups Studies Surgical implants UHMWPE Wear Wear rate |
| Title | Patient-specific hip geometry has greater effect on THA wear than femoral head size |
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