Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, IBHGC-Institut de Biomécanique Humaine Georges Charpak, HESAM Université, Paris, France
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should be considered in relation to the femoral head: this is even more important as the patient-reported outcomes tend to improve with better radiologic correction of femoral head coverage and acetabular orientation ( 21 ). This also reduces
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Introduction Acetabular component orientation and position are important factors in the short- and long-term outcomes of total hip arthroplasty (THA). Therefore, it is crucial that the surgeon has accurate and precise control over the
South West London Elective Orthopaedic Centre, UK
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secondary to aberrant standing functional acetabular orientation, under-coverage of the femoral head anteriorly and posterior impingement. 17 , 18 With THA, implants would therefore be at a higher risk of failure, notably through complications related
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found in the hip joint as a consequence of these phenomena. First, pelvic sagittal rotation directly affects functional acetabular orientation. Pelvic retroversion (posterior pelvic tilt – increased PT) would increase the functional anteversion and the
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° anteversion (Lewinnek box) relative to the anterior pelvic plane (Lewinnek plane), as this was shown to reduce the risk of prosthetic dislocation. 6 Because the native acetabular orientation varies in the population, 20 , 21 a similar prosthetic
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Introduction Appropriate component orientation is important for success following hip arthroplasty ( 1 ). The significance of appropriate acetabular component (cup) orientation was further highlighted with the use of the third-generation metal
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. References 1 Biedermann R , Tonin A , Krismer M , et al. . Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component . J Bone Joint Surg [Br] 2005 ; 87-B : 762 - 9
Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Portugal
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(acetabular retroversion: AR). 9 Changes in acetabular orientation and failure to recognize them may have implications for the final FAI treatment outcome. 10 Moreover, acetabular orientation anomalies could coexist with other important deformities
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treating early dislocation following hip arthroplasty . Hip Int 2012 ; 22 : 62 - 67 . 4 Kennedy JG , Rogers WB , Soffe KE , et al. . Effect of acetabular component orientation on recurrent dislocation, pelvic
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allograft. A cemented liner is then cemented in the cage or ring in the proper orientation. The Ganz reinforcement ring (Sulzer Medica, Winterthur, Switzerland) was designed to reinforce the anterior and posterior walls, the acetabular dome, and the