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Weber, Tim ; Dendorfer, Sebastian ; Dullien, Silvia ; Grifka, Joachim ; Verkerke, G. J. ; Renkawitz, Tobias

Measuring functional outcome after total hip replacement with subject-specific hip joint loading

Weber, Tim , Dendorfer, Sebastian , Dullien, Silvia, Grifka, Joachim, Verkerke, G. J. und Renkawitz, Tobias (2012) Measuring functional outcome after total hip replacement with subject-specific hip joint loading. Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine 226, S. 939-946.

Veröffentlichungsdatum dieses Volltextes: 19 Aug 2016 13:40
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.34340


Zusammenfassung

Total hip replacement is an often-performed orthopedic surgical procedure; the amount of procedures undertaken will increase since our life expectancy is growing. In order to optimize function, hip biomechanics should be restored to as near normal as possible. The goal of this pilot study was to determine whether or not it is feasible to compute the vectorial hip reaction force pathways on the ...

Total hip replacement is an often-performed orthopedic surgical procedure; the amount of procedures undertaken will increase since our life expectancy is growing. In order to optimize function, hip biomechanics should be restored to as near normal as possible. The goal of this pilot study was to determine whether or not it is feasible to compute the vectorial hip reaction force pathways on the head of the prosthesis and the force angles relative to the cup of the prosthesis that occur during gait in total hip replacement patients, serving as an objective measurement of the functional outcome following hip replacement. A three-dimensional gait analysis, measuring ground reaction forces and kinematics, was performed. The data retrieved from the gait analysis was used as the input for the musculoskeletal model to compute vectorial joint reaction forces for data processing. To evaluate the position and orientation of the joint reaction forces, the force path, as well as the force angles for the operated and non-operated joint, has been calculated during the stance phase of the specific leg. The force path for subject 2 on the non-operated side is only located in the posterior-lateral quarter, as is the force path for subject 1. In contrast to this subject, the force path for subject 2 at the operated hip joint can be found only within the anterior quarter of the head of the implant, where it is nearly equally distributed in the medio-lateral half of the prosthesis head. The force-inclination angles on the cup of subject 1, with respect to the plane of the socket face, indicates that the force vector is mainly positioned in the same quadrant when compared with subject 2 (in a cup-fixed coordinate system). The force-anteversion angle behaves similarly to the force-inclination angle, even when the effects are not as pronounced. The proposed methods in this article are aiming to define two functional outcomes of total hip replacement that are related to wear and rim loading. It is accepted that wear is not only a function of time, but a function of use. Owing to the methods listed in this article, we are able to determine a) the applied force and b) the sliding distance (force pathway) in a subject-specific manner. The computed hip-reaction force angles and the distance to the rim cup are a measurement for cup or rim loading, and occurs in the so-called safe-zones. This method may well give us insight into the biomechanical situation during gait, after receiving total hip replacement, that we need to fully understand the mechanisms acting on a hip joint and to prove a possible increase of functional outcome after receiving total hip replacement.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftProceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Verlag:SAGE PUBLICATIONS LTD
Ort der Veröffentlichung:LONDON
Band:226
Seitenbereich:S. 939-946
Datum2012
InstitutionenMedizin > Lehrstuhl für Orthopädie
Identifikationsnummer
WertTyp
10.1177/0954411912447728DOI
Stichwörter / KeywordsFINITE-ELEMENT-ANALYSIS; SLIDE TRACK ANALYSIS; MUSCULOSKELETAL MODEL; POLYETHYLENE WEAR; CONTACT FORCES; GAIT PATTERNS; FOLLOW-UP; ARTHROPLASTY; WALKING; DISLOCATION; Total hip replacement; subject-specific musculoskeletal modeling; functional outcome; force pathways; force angles; critical hip joint loading; rim loading; cup loading
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-343401
Dokumenten-ID34340

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