The Stability of Acetabular Cup under Screw Fixation

نویسندگان

  • Jui-Ting Hsu
  • Chih-Han Chang
  • Heng-Li Huang
  • Guan-Liang Chang
  • Kuo-An Lai
  • Weng-Pin Chen
چکیده

INTRODUCTION The total hip replacement is a common surgical procedure in orthopaedics. However, the acetabular cup loosening is one of the major failure modes of cementless acetabular cup. Many researches point out that an unstable cup would induce a large micromotion under dynamic loading. This large micromotion would reduce the bone ongrowth on the cementless cup surface and prohibit the osseous integration [1, 2]. Besides the press fit fixation, the screw-fixation is a widely employed approach. However, how to achieve a better fixation effect with screw is still unclear. The objective of this study was to evaluate the effects of screw numbers and position on the initial stability of acetabular cup.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Clinical Results of Percutaneous Fixation of Pelvic and Acetabular Fractures: A Minimally Invasive Internal Fixation Technique

Background: The pelvic ring fractures (PRF) and acetabular fractures (AF) are among the major orthopedic injuriesassociated with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for themajority of these complications. Percutaneous minimally invasive surgical stabilization of the fractures has become anaccepted treatment method for th...

متن کامل

Migration pattern of cementless press fit cups in the presence of stabilizing screws in total hip arthroplasty

The aim of this study was to evaluate the initial acetabular implant stability and late acetabular implant migration in press fit cups combined with screw fixation of the acetabular component in order to answer the question whether screws are necessary for the fixation of the acetabular component in cementless primary total hip arthroplasty. One hundred and seven hips were available for follow-...

متن کامل

Safe zone for transacetabular screw fixation in prosthetic acetabular reconstruction of high developmental dysplasia of the hip.

BACKGROUND Prosthetic reconstruction of hips with Crowe type-IV developmental dysplasia (a high complete dislocation) is technically demanding. Insufficient osseous coverage and osteopenic bone stock frequently necessitate transacetabular screw fixation to augment primary stability of the metal acetabular shell. We sought to determine whether a previously reported quadrant system for screw fixa...

متن کامل

Isolated Buttress Plating of Posterior Wall Acetabular Fractures: Is it Sufficient?

Background: Conventional fixation methods of posterior wall acetabular fractures feature the use of plating and lagscrews. However, fixation of posterior wall fractures with buttress plating alone offers potential advantages by avoidingthe hardware complications related to hardware placement through the wall fragment. The purpose of this study wasto examine if buttress plating...

متن کامل

Comparative in vitro assessment of the primary stability of cementless press-fit acetabular cups.

Long-term stable osseointegration of porous-coated acetabular cups depends on bony ingrowth within their porous surface. For ingrowth to take place, one must ensure rigid initial fixation of the implant, by means of screws or by impaction or using a threaded ring. Primary stability is a prerequisite for long term stability through bony ingrowth. We tested several cups commonly used in our depar...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2005