Open Access Peer-reviewed Research Article

Main Article Content

Himanshu Bhatt
Tarun Goswami corresponding author

Abstract

Major contributing parameters to hip implant dislocation include preoperative, intra-operative and post-operative factors. Implant geometry are design as well as non-design related. Femoral and acetabular component design features causing dislocation and/or resisting it are elucidated. Twelve implants were designed during this investigation were analyzed for dislocation resistance. A safe zone, establishes combinations of implant dimensions, was analyzed for all the 12 implants where implants were dislocation resistant. Head diameters between 26 mm to 32 mm, neck diameters closer to 14 mm, and neck angle between 25 to 35º were examined to be the safest ranges for hip implant designs.

Keywords
geometrical factors, safe zone, neck diameter, neck angle, dislocation

Article Details

How to Cite
Bhatt, H., & Goswami, T. (2022). Safe zones in hip-implant designs to resist. Research on Intelligent Manufacturing and Assembly, 1(1), 20-27. https://doi.org/10.25082/RIMA.2022.01.003

References

  1. Bhatt H and Goswami T. Implant Wear Mechanisms - Basic Approach. Biomedical Materials, 2008, 3:1-9. https://doi.org/10.1088/1748-6041/3/4/042001
  2. Latham B and Goswami T. Effect of geometric parameters in the design of hip implants paper IV. Materials and Design, 2004, 25: 715-722. https://doi.org/10.1016/j.matdes.2004.01.012
  3. Widmer KH and Zurfluh B. Compliant positioning of total hip components for optimal range of motion. Journal of Orthopaedic Research, 2004, 22: 815-821. https://doi.org/10.1016/j.orthres.2003.11.001
  4. Watson P, Nixon JR and Mollan RAB. A Prosthesis Augmentation Device for the prevention of Recurrent Hip Dislocation. Clinical Orthopaedics and Related Research, 1991, 267: 79-84. https://doi.org/10.1097/00003086-199106000-00010
  5. Cameron HU, Hunter GA and Welsh RP. Dislocation Requiring Revision in Total Hip Arthroplasty. Archives of Orthopaedic and Trauma Surgery, 19791979, 95: 265-266. https://doi.org/10.1007/BF00389696
  6. Coventry MB. Late Dislocations in Patients with Charnley Total Hip Arthroplasty. Journal of Bone and Joint Surgery, 1985, 67(6): 833-841. https://doi.org/10.2106/00004623-198567060-00002
  7. Garcia-Cimbrelo E and Munuera L. Dislocation in Low-friction Arthroplasty. Journal of Arthroplasty, 1992, 7(2): 149-155. https://doi.org/10.1016/0883-5403(92)90008-E
  8. Turner RS. Postoperative Total Hip Prosthetic Femoral Head Dislocations. Clinical Orthopaedics and Related Research, 1994, 301: 196-204. https://doi.org/10.1097/00003086-199404000-00031
  9. Oonishi N, Tsuji E and Kim YY. Retrieved total hip prosthesis: Part I The effects of cup thickness, head sizes and fusion defects on wear. Journal of Materials Science: Materials In Medicine, 19981998, 9: 393-401. https://doi.org/10.1023/A:1013283513509
  10. Korhonen RK, Koistinen A, Konttinen Y, et al. The effect of geometry and abduction angle on the stresses in cemented UHMWPE acetabular cups-finite element simulations and experimental tests. BioMedical Engineering OnLine, 2005, 4(32): 1-14. https://doi.org/10.1186/1475-925X-4-32
  11. Maxian TA, Brown TD, Pedersen DR, et al. Finite element analysis of acetabular wear. Validation, and backing and fixation effects. Clinical Orthopaedics and Related Research, 19971997, 344: 111-117. https://doi.org/10.1097/00003086-199711000-00012
  12. Maxian TA, Brown TD, Pedersen DR, et al. The Frank Stinchfield Award. 3-Dimensional sliding/contact computational simulation of total hip wear. Clinical Orthopaedics and Related Research, 1996, 333: 41-50. https://doi.org/10.1097/00003086-199612000-00005
  13. Ali Khan MA, Brakenbury PH and Reynolds ISR. Dislocation Following Total Hip Replacement. Journal of Bone and Joint Surgery, 1981, 63(2): 214-218. https://doi.org/10.1302/0301-620X.63B2.7217144
  14. Amstutz HC, Lodwig RM, Schurman DJ, et al. Range of Motion Studies For Total Hip Replacements: A Comparative Study With a New Experimental Apparatus. Clinical Orthopaedics and Related Research, 1975, 111: 124-130. https://doi.org/10.1097/00003086-197509000-00016
  15. Williams JF, Gottesman MJ and Mallory TH. Dislocation After Total Hip Arthroplasty: Treatment With an Above the Knee Hip Spica Cast. Clinical Orthopaedics and Related Research, 1982, 171: 53-58. https://doi.org/10.1097/00003086-198211000-00008
  16. Burroughs BR, Hallstrom B, Golladay GJ, et al. Range of Motion and Stability in Total Hip Arthroplasty With 28-,32-,38-, and 44-mm Femoral Head Sizes: An In Vitro Study. The Journal of Arthroplasty, 2005, 20(1): 11-19. https://doi.org/10.1016/j.arth.2004.07.008
  17. O'Brien S, Engela DW, Leonard S, et al. Prosthetic Dislocation in Customized Total Hip Replacement: A Clinical and Radiographic Review. Journal of Orthopaedic Nursing, 1997, 1: 4-10. https://doi.org/10.1016/S1361-3111(97)80048-9
  18. Cuckler JM, Moore D, Lombardi AV, et al. Large Versus Small Femoral Heads in Metal-on-Metal Total Hip Arthroplasty. The Journal of Arthroplasty, 20042004, 19(8): 41-44. https://doi.org/10.1016/j.arth.2004.09.006
  19. Nicholas RM, Orr JF, Mollan RAB, et al. Dislocation of Total Hip Replacements: A Comparative Study of Standard, Long Posterior Wall and Augmented Acetabular Components. Journal of Bone and Joint Surgery, 1990, 72(3): 418-422. https://doi.org/10.1302/0301-620X.72B3.2341440
  20. Chandler DR, Glousman R, Hull D, et al. Prosthetic Hip Range of Motion and Impingement: The Effects of Head and Neck Geometry. Clinical Orthopaedics and Related Research, 1982, 166: 284-291. https://doi.org/10.1097/00003086-198206000-00045
  21. Woo RYG and Morrey BF. Dislocations After Total Hip Arthroplasty. Journal of Bone and Joint Surgery, 1982, 64(9): 1295-1306. https://doi.org/10.2106/00004623-198264090-00004
  22. Volpin G, Grimberg B and Daniel M. Complete Displacement of the Femoral Stem During Dislocation of a THR. Journal of Bone and Joint Surgery, 1997, 79(4): 616-617. https://doi.org/10.1302/0301-620X.79B4.0790616
  23. Andriacchi TP, Galante JO, Belytschko TB, et al. A stress analysis of the femoral stem in total hip prostheses. Journal of Bone and Joint Surgery, 1976, 58(5): 618-24. https://doi.org/10.2106/00004623-197658050-00006
  24. Crowninshield RD, Brand RA, Johnston RC, et al. An analysis of femoral component stem design in total hip arthroplasty. Journal of Bone and Joint Surgery, 1980, 62(1): 68-78. https://doi.org/10.2106/00004623-198062010-00011
  25. Tai CL, Shih CH, Chen WP, et al. Finite element analysis of the cervico-trochanteric stemless femoral prosthesis. Clinical Biomechanics, 2003, 18: 53-58. https://doi.org/10.1016/S0268-0033(03)00085-8
  26. Woolson ST and Pottorff GT. Disassembly of a Modular Femoral Prosthesis After Dislocation of the Femoral Component. Journal of Bone and Joint Surgery, 1990, 72(4): 624-625. https://doi.org/10.2106/00004623-199072040-00022
  27. Pellicci PM and Hass SB. Disassembly of a Modular Femoral Component During Closed Reduction of the Dislocated Femoral Component. Journal of Bone and Joint Surgery, 1990, 72(4): 619-620. https://doi.org/10.2106/00004623-199072040-00020
  28. Star MJ, Colwell CW and Donaldson WFI. Dissociation of Modular Hip Arthroplasty: A Report of Three Cases at Differing Dissociation Levels. Clinical Orthopaedics and Related Research, 1992, 278: 111-115. https://doi.org/10.1097/00003086-199205000-00018
  29. McCollum DE and Gray WJ. Dislocation After Total Hip Arthroplasty: Causes and Prevention. Clinical Orthopaedics and Related Research, 1990, 261: 159-169. https://doi.org/10.1097/00003086-199012000-00019
  30. Scifert CF, Brown TD, Pedersen DR, et al. Finite Element Analysis of Factors Influencing Total Hip Dislocation. Clinical Orthopaedics and Related Research, 1998, 355: 152-162. https://doi.org/10.1097/00003086-199810000-00016
  31. Brien WW, Salvati EA, Wright TM, et al. Dislocation Following THA: Comparison of Two Acetabular Component Designs. Orthopedics, 1993, 16(8): 869-872. https://doi.org/10.3928/0147-7447-19930801-04