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  4. Impact of the Femoral Head Position on Moment Arms in Total Hip Arthroplasty: A Parametric Finite Element Study
 
research article

Impact of the Femoral Head Position on Moment Arms in Total Hip Arthroplasty: A Parametric Finite Element Study

Ruediger, Hannes A.
•
Parvex, Valerie
•
Terrier, Alexandre  
2016
Journal Of Arthroplasty

Background: Although the importance of accurate femoral reconstruction to achieve a good functional outcome is well documented, quantitative data on the effects of a displacement of the femoral center of rotation on moment arms are scarce. The purpose of this study was to calculate moment arms after nonanatomical femoral reconstruction. Methods: Finite element models of 15 patients including the pelvis, the femur, and the gluteal muscles were developed. Moment arms were calculated within the native anatomy and compared to distinct displacement of the femoral center of rotation (leg lengthening of 10 mm, loss of femoral offset of 20%, anteversion +/- 10 degrees, and fixed anteversion at 15 degrees). Calculations were performed within the range of motion observed during a normal gait cycle. Results: Although with all evaluated displacements of the femoral center of rotation, the abductor moment arm remained positive, some fibers initially contributing to extension became antagonists (flexors) and vice versa. A loss of 20% of femoral offset led to an average decrease of 15% of abductor moment. Femoral lengthening and changes in femoral anteversion (+/- 10 degrees, fixed at 15 degrees) led to minimal changes in abductor moment arms (maximum change of 5%). Native femoral anteversion correlated with the changes in moment arms induced by the 5 variations of reconstruction. Conclusion: Accurate reconstruction of offset is important to maintaining abductor moment arms, while changes of femoral rotation had minimal effects. Patients with larger native femoral anteversion appear to be more susceptible to femoral head displacements. (C) 2016 Elsevier Inc. All rights reserved.

  • Details
  • Metrics
Type
research article
DOI
10.1016/j.arth.2015.09.044
Web of Science ID

WOS:000370663800029

Author(s)
Ruediger, Hannes A.
Parvex, Valerie
Terrier, Alexandre  
Date Issued

2016

Publisher

Elsevier

Published in
Journal Of Arthroplasty
Volume

31

Issue

3

Start page

715

End page

720

Subjects

hip

•

arthroplasty

•

biomechanics

•

center of rotation

•

muscle

•

moment arm

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LBO  
Available on Infoscience
April 1, 2016
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/125284
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