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Personalized Hip Joint Replacement with Large Diameter Head: Current Concepts.

Pascal-André Vendittoli1,2,3, Sagi Martinov1, Mina Wahba Morcos1

  • 1Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, 5415 Boulevard de l'Assomption, Montreal, QC H1T 2M4, Canada.

Journal of Clinical Medicine
|April 12, 2022
PubMed
Summary

Personalized total hip arthroplasty (THA) with large diameter heads (LDH) aims to restore natural hip function. This approach enhances range of motion, stability, and patient satisfaction for improved outcomes.

Keywords:
anatomicalceramicdual mobilityenhanced recovery after surgeryforgotten jointhiphip resurfacinglarge diameter headleg lengthoffsetpersonalisedpersonalizedtotal hip arthroplasty

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Area of Science:

  • Orthopaedic Surgery
  • Biomedical Engineering
  • Arthroplasty Research

Background:

  • Hip arthroplasty seeks to replicate a natural, pain-free joint.
  • Personalization is key to achieving optimal hip replacement outcomes.
  • Restoring native biomechanics is crucial for function and longevity.

Purpose of the Study:

  • To describe a personalized total hip arthroplasty (THA) technique using large diameter heads (LDH).
  • To highlight the benefits of LDH THA in restoring hip function and stability.
  • To outline patient selection criteria for different LDH bearing options.

Main Methods:

  • Personalized total hip arthroplasty (THA) utilizing large diameter heads (LDH).
  • Acetabular component options include monobloc or dual-mobility configurations.
  • Biomechanical reconstruction focuses on restoring native hip parameters.

Main Results:

  • LDH THA provides an impingement-free range of motion and reduces dislocation risk.
  • The larger head-neck offset enhances range of motion, compensating for anatomical variations.
  • LDH bearings offer improved micro-stability and can restore normal gait parameters.

Conclusions:

  • Personalized LDH THA can achieve excellent functional outcomes, including unrestricted activities and high patient satisfaction.
  • Ceramic on ceramic LDH bearings are suitable for patients with longer life expectancy (>20 years).
  • LDH dual mobility bearings are recommended for other patient groups.