Hip abduction can prevent posterior edge loading of hip replacements

Hip Abduction Can Prevent Posterior Edge Loading of Hip Replacements

Edge loading causes clinical problems for hard-on-hard hip replacements, and edge loading wear scars are present on the majority of retrieved components. We asked the question: are the lines of action of hip joint muscles such that edge loading can occur in a well-designed, well-positioned acetabular cup? A musculoskeletal model, based on cadaveric lower limb geometry, was used to calculate for...

Abduction arthrodesis of the hip.

Diagnosing Infection in Hip Replacements

In 78 consecutive patients, we performed fine-needle aspiration of the hip before revision surgery. At the revision operation biopsies were taken from the capsule and joint tissues. The aspirate and the homogenised soft-tissue specimens were cultured using a radiomefric technique. Fifteen hips proved to be infected and 63 sterile on culture of the tissues taken during revision surgery; 94% of t...

Hip Muscle Activity during Isometric Contraction of Hip Abduction

[Purpose] This study aimed to determine the effect of varying hip flexion angle on hip muscle activity during isometric contraction in abduction. [Subjects] Twenty-seven healthy men (mean age=21.5 years, SD=1.2) participated in this study. [Methods] Surface electromyography (EMG) was recorded of the upper portion of the gluteus maximus (UGM), lower portion of the gluteus maximus (LGM), tensor f...

Noise from total hip replacements

OBJECTIVES Our study aimed to examine not only the incidence but also the impact of noise from two types of total hip replacement articulations: ceramic-on-ceramic and ceramic-on-polyethylene. METHODS We performed a case-controlled study comparing subjective and objective questionnaire scores of patients receiving a ceramic-on-ceramic or a ceramic-on-polyethylene total hip replacement by a si...