Anatomic and physiologic rationale for various technologies for primary total hip arthroplasty.

Journal Article (Journal Article;Review)

A number of patients have anatomic or physiologic variations that may adversely affect the performance of a primary total hip arthroplasty. Various technologies have been utilized in an attempt to improve the outcomes for these patients; however, some of these potential solutions are controversial. The authors examined the complete body of literature for scientific evidence regarding the use of these new technologies. The anatomic and physiologic anomalies that were studied include extra-articular deformities, developmental dysplasia, Perthes disease, Type C femoral bone, acetabular bone deficiency, femoral rotational abnormalities, variations that increase the risk of hip dislocation, sickle cell anemia, and extremely small or large bone sizes. This article presents the current scientific evidence and imparts an unbiased view of the use of various technologies to provide individualized solutions for patients who have anatomic or physiologic variations.

Full Text

Duke Authors

Cited Authors

  • Mont, MA; McGrath, MS; Bonutti, PM; Ulrich, SD; Marker, DR; Seyler, TM; Suda, AJ

Published Date

  • March 2009

Published In

Volume / Issue

  • 6 / 2

Start / End Page

  • 169 - 186

PubMed ID

  • 19298164

Electronic International Standard Serial Number (EISSN)

  • 1745-2422

Digital Object Identifier (DOI)

  • 10.1586/17434440.6.2.169


  • eng

Conference Location

  • England