Intraoperative periprosthetic acetabular fractures during primary total hip arthroplasty: A case report and review of the literature

Zhou, Xiao xiao; Yang, Yang; Ju, Liu; Gao, Feng; Yuan, Wei; Xu, Zhengfeng; Wang, Minghui; Wang, Xiuhui

doi:10.5430/ijdi.v3n1p19

Cited by 1 publication

(1 citation statement)

References 20 publications

(17 reference statements)

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“…For the most severe tests, a 75% lower wear rate was observed compared to a fixed insert of conventional polyethylene sterilized under gamma rays in an inert atmosphere [ 47 ]. Additionally, with osteopenic bone there is a higher risk of intra-operative periprosthetic fractures with LDH press fit monoblocks [ 48 , 49 ]. Bearing a lower cost and avoiding the potential drawbacks of hard-on-hard bearings (noise, fracture, and trunnionosis), DM should be considered for patients over 65 years.…”

Section: Two Types Of Large Diameter Head Tha Are Reviewed In This Ar...mentioning

confidence: 99%

Personalized Hip Joint Replacement with Large Diameter Head: Current Concepts

Vendittoli

Martinov

Morcos

et al. 2022

JCM

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Hip arthroplasty is a common procedure in elective orthopaedic surgery that has excellent outcomes. Hip replacement surgery aims to create a “forgotten” joint, i.e., a pain-free joint akin to a native articulation. To achieve such goals, hip arthroplasty must be personalised. This is achieved by restoring: the centre of rotation of the native hip; leg length equality; femoral offset; femoral orientation; soft tissue tension; joint stability with an unrestricted hip range of motion; and having appropriate stress transfer to the bone. In addition, the whole pathway should provide an uneventful and swift postoperative recovery and lifetime implant survivorship with unrestricted activities. At our institution, the preferred option is a personalized total hip arthroplasty (THA) with a large diameter head (LDH) using either monobloc or dual-mobility configuration for the acetabular component. LDH THA offers an impingement-free range of motion and a reduced risk of dislocation. The larger head-neck offset allows for a supraphysiologic range of motion (ROM). This can compensate for a patient’s abnormal spinopelvic mobility and surgical imprecision. Additionally, LDH bearing with a small clearance exerts a high suction force, which provides greater hip micro-stability. With appropriate biomechanical reconstruction, LDH THA can restore normal gait parameters. This results in unrestricted activities and higher patient satisfaction scores. We use LDH ceramic on ceramic for our patients with a life expectancy of more than 20 years and use LDH dual mobility bearings for all others.

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Section: Two Types Of Large Diameter Head Tha Are Reviewed In This Ar...mentioning

confidence: 99%