Hip Anatomy and Biomechanics Relevant to Hip Replacement

Galmiche, Romain; Migaud, Henri; BEAULE, P

doi:10.1007/978-3-030-24243-5_2

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…Table (1) shows that, 56.6% of the studied patients were in age group >60 -<65years with mean age 65.20± 11.7 years and 64.5% of patients were females. Also, 70.2% of them were from urban residence and 80.5% of them were married.…”

Section: Resultsmentioning

confidence: 95%

“…The surgical procedure known as a total hip arthroplasty involves replacing the hip joint with a prosthesis in order to restore movement in patients who have primary and secondary articular degenerations of the hip. The surgical goal is to enhance functional status, lessen morbidity linked to immobility, improve quality of life, restore level of physical activity, and relieve pain because diseases restrict the patient's mobility in the social system, thus having a positive clinical outcome as a result of the surgery (1) .…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting the Quality of Life of Patients after Total Hip Replacement

Ragab¹,

Hakeim²,

Salim³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Although total hip replacement (THR) is mostly successful and results in positive clinical outcomes, individuals may find the treatment to be physically and psychologically taxing. Modern hospital procedures such as same-day admissions and shorter hospital stays do not provide patients much opportunity to become accustomed to their circumstances. Many people may not fully recover, and they continue to have pain and functioning issues. Objective: To assess factors affecting quality of life for patients after total hip replacement. Subjects and methods: Design: A descriptive exploratory design was used. Setting: Out-patients' orthopedic clinics at Kasr Al-Ainy Hospital, which affiliated to Cairo University. Subject: A purposive sample composed of (138) adult patients from both sexes after hip replacement have been recruited in this study. Tools: Data were collected through using three tools, I) Patient's interviewing questionnaire, II) Short -Form-36 (SF-36) and III) Factors affecting quality of life questionnaire. Results: More than half of the studied patients had unsatisfactory level of knowledge about total hip replacement, more than two third of them had poor quality of life and more than one quadrant of them had average quality of life. Conclusion:There was a significant statically relationship between total level of quality of life of the studied patients and their gender, residence, and employment. While there was no significant statically relationship between total level of quality of life of the studied patients and their age, marital status, and educational level. Continuous educational programs are recommended to enhance the patient's knowledge and practices regarding factors affecting quality of life for patients after total hip replacement.

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Section: Resultsmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Quality of Life of Patients after Total Hip Replacement

Ragab¹,

Hakeim²,

Salim³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…For example, 125 o exion, 15 o abduction, 29 o external rotation and knee exion are required in order to wear socks or shoes; An average of 70° hip exion is required when climbing up the stairs and 35° hip exion is required when climbing down the stairs. The act of walking is a complex series of events in which hip function also plays an active role, and a healthy hip and healthy bilateral lower extremity functions are required for walking [ 14]. The HHS score is a hip-speci c, multidimensional questionnaire that includes these and similar functions in scoring, and it is one of the most frequently used questionnaires in the literature to evaluate hip functions [ 15,16].…”

Section: Resultsmentioning

confidence: 99%

Hip Functions in Patients with Rotating Hinge Knee Arthroplasty

Yanik

Karatosun

Yüksel

2023

Preprint

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Background Rotating hinged knee prosthesis is frequently used for certain indications. The indications and results for rotating hinge knee prosthesis in primary and revision arthroplasty are controversial. The aim of this study was to investigate the effects on hip function following rotating hinged knee arthroplasty surgery and to compare outcome of primer and revision rotating hinged knee arthroplasty.Methods 46 patients underwent rotating hinged knee prosthesis by a single surgeon; including 21 primary arthroplasty and 38 revision, 59 knees arthroplasty were included. Hospital for Special Surgery (HSS) knee scores, SF-12 quality of life scale, joint range of motion, VAS score, Harris hip scores (HHS) were evaluated before and after surgery.Results A statistically significant increase was found in both hip joint HHS scores in patients with rotating hinged knee replacement. A statistically significant improvement was found in HSS scores, knee joint VAS in patients with rotating hinged knee replacement (p < 0.05). Hip osteoarthritis stage did not progress statistically compared to preoperative values following rotating hinged knee arthroplasty. The hip functions of ipsilateral and contralateral sides improved in terms of limping, assistive device, walking distance, and wearing socks and shoes. A moderate positive correlation was found between knee scores and hip scores.Conclusion A successful knee arthroplasty surgery in patients with advanced biomechanical problems contributes to the improvement in hip function by improving the biomechanics and functions of the knee joint. It is necessary to evaluate all joints and bone structures in both lower extremities to make better preoperative planning.

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“…These atypical acetabula are often wide and shallow and have poor underlying bone quality, 1 , 2 and it is technically challenging to obtain initial acetabular press-fit fixation during total hip arthroplasty (THA). 3 As such, it is standard practice to use additional screw fixation in cases where impaired primary stability is expected. THA is often required at a younger age, when these patients are relatively active, increasing the risk of instability and accelerated wear.…”

mentioning

confidence: 99%

Total hip arthroplasty with monobloc press-fit acetabular components and large-diameter bearings for atypical acetabula is safe: a consecutive case series of 125 hips with mean follow-up of 9 years

Synnott,

Kiss,

Shahin

et al. 2024

cjs

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Background: Large-diameter head (LDH) total hip arthroplasty (THA) with a monobloc acetabular component improves hip stability. However, obtaining initial press-fit stability is quite challenging in atypical acetabula. The purpose of this study was to assess primary and secondary fixation of monobloc cups in atypical acetabula. Methods: In this consecutive case series, the local arthroplasty database was used to retrospectively identify patients with secondary osteoarthritis who underwent primary hip replacement with press-fit only LDH monobloc acetabular components between 2005 and 2018 and who had a minimum of 2 years of follow-up. Radiographic evaluation was performed at last follow-up, and patient-reported outcome measures (PROMs) were assessed with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Forgotten Joint Score (FJS), and the Patient’s Joint Perception (PJP) question. Results: One hundred and six LDH THAs and 19 hip resurfacings were included in the study. Preoperative diagnoses included hip dysplasia (36.8%), Legg–Calve–Perthes disease (32.0%), osteoarthritis with acetabular deficiency (17.6%), periacetabular osteotomy (8.0%), arthrodesis (4.0%), and osteopetrosis (1.6%). After a mean follow-up of 9.2 years, no aseptic loosening of the acetabular component was recorded nor observed on radiologic review. There were 13 (10.4%) revisions unrelated to the acetabular component fixation. The mean WOMAC and FJS scores were 9.2 and 80.9, respectively. In response to the PJP question, 49.4% of the patients perceived their hip as natural, 19.1% as an artificial joint with no restriction, 31.5% as an artificial joint with restriction, and none as a non-functional joint. Conclusion: Primary press-fit fixation of monobloc acetabular components with LDH implanted in atypical acetabula led to secondary fixation in all cases with low revision and complication rates and great functional outcomes. With careful surgical technique and experience, systematic use of supplemental screw fixation is not essential in THA with atypical acetabula.

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Hip Anatomy and Biomechanics Relevant to Hip Replacement

Cited by 6 publications

References 34 publications

Factors Affecting the Quality of Life of Patients after Total Hip Replacement

Factors Affecting the Quality of Life of Patients after Total Hip Replacement

Hip Functions in Patients with Rotating Hinge Knee Arthroplasty

Total hip arthroplasty with monobloc press-fit acetabular components and large-diameter bearings for atypical acetabula is safe: a consecutive case series of 125 hips with mean follow-up of 9 years

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