Document Detail


The Use of Modularity in Total Hip Arthroplasty.
MedLine Citation:
PMID:  22504998     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Modularity is defined as separation of a system into independent parts or modules that can be treated as logical and may be separated and recombined. Historically, the modularity represents the evolution of the concept of "low friction arthroplasty" developed by Sir J. Charnely in 1960. The disadvantage of a one-piece stem is the difficulty of restoring the biomechanical feature of the hip. Thus, the natural evolution was the introduction of modularity on both sides, the acetabulum and the femur. Modularity allows the surgeon to accurately match the anatomic characteristics of each patient to obtain improved range of motion, joint stability, abductor strength, and leg length equality. Disadvantages are related to the introduction of different interfaces, which could be sites of wear and corrosion. In accordance with the most recent literature, in primary total hip arthroplasty (THA) the modularity can be reduced to the head and the acetabular component, while a one-piece stem can manage the majority of cases. On the other hand, we believe that during revision surgery, a complete modularity is necessary.
Authors:
Paolo Cherubino; Michele F Surace
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-01
Journal Detail:
Title:  Surgical technology international     Volume:  XXI     ISSN:  1090-3941     ISO Abbreviation:  -     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-4-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604509     Medline TA:  Surg Technol Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  248-254     Citation Subset:  -    
Affiliation:
Professor and Chief, Orthopedics and Trauma Clinic, Department of Biology and Life Sciences, University of Insubria , Varese, Italy.
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