JBJS, December 1, 2001, Volume 83, Issue 12

Optimizing Acetabular Component Position to Minimize Impingement and Reduce Contact Stress

Darryl D. D'Lima, MD Peter C. Chen, PhD Clifford W. Colwell, Jr., MD
Hip

Component impingement due to poor positioning can limit range of motion after total hip arthroplasty. Contact stresses on ultra-high molecular weight polyethylene are also dependent on the orientation of the acetabular component. In this study, a computer kinematic model was used to determine the effects of component position and variation of head:neck ratios on prosthetic impingement and hip range of motion, and a finite element model was employed to calculate polyethylene stresses at different cup positions.


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