Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2004-6-23
pubmed:abstractText
Dislocation of the artificial joint is a serious complication of total hip replacement. Various factors with an influence on dislocation stability were determined clinically. Our goal was to develop a method for evaluating experimentally the parameters implant design, position and the load situation for their influence on joint stability. With the newly developed testing device the range of motion to impingement and to dislocation can be determined at different implant positions. In addition, the rotational moments on subluxation, i.e. the "levering out" of the femoral head, can be determined. By way of example several hip implants were examined during movements associated with dislocation, e.g. (internal-)rotation in 90 degrees flexion and 0 degrees adduction as well as with (external-)rotation in combination with 10 degrees extension and 15 degrees adduction. Irrespective of implant design and position, the following movement phases can be differentiated: undisturbed motion, impingement, subluxation and, finally, complete dislocation of the head. On the basis of the range of motion of the specific phases, the moments occurring and the direction of dislocation, different implant systems can be compared. In this study the influence of the head diameter on the dislocation stability of the hip endoprosthesis is shown. With the aid of the model presented herein, a data set showing the most favourable and/or most dislocation stable implant position can be acquired for different combinations of the implant components. Additionally, useful information for implant design can be deduced and applied to new developments and/or modifications of existing implant components.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0013-5585
pubmed:author
pubmed:issnType
Print
pubmed:volume
49
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
137-44
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
2004
pubmed:articleTitle
[Method for the evaluation of factors influencing the dislocation stability of total hip endoprotheses].
pubmed:affiliation
Klinik für Orthopädie und Sportorthopädie, Technische Universität München. rainer.bader@lrz.tum.de
pubmed:publicationType
Journal Article, Comparative Study, English Abstract, Research Support, Non-U.S. Gov't, Evaluation Studies, Validation Studies