The Influence of Acetabular Component Position on Wear in Total Hip Arthroplasty
Abstract
Our experience has implicated cup inclination as an important factor in wear, whereas others have suggested that the hip center of rotation (COR) must be closely reestablished to reduce wear. We conducted a retrospective study to determine the relative importance of these 2 factors. One hundred thirty-nine total hip arthroplasties were studied after a mean follow-up of 9.2 years (range, 6-3 years). Forty-nine of 139 operated hips had a contralateral normal hip, which allowed the most accurate measurement of the influence of change in the COR. Wear was related to the inclination of the cup but not to a change in the COR. Secondarily, wear was less with a ceramic-polyethylene polyarticular surface than with metal-polyethylene. The importance of this data is related to cup implantation techniques. The hip COR can be moved superiorly and/or medially to permit cup inclination below 45° with correct cup coverage.
Key words: cup position, THA, acetabulum, wear, center of rotation
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Benefits or funds in partial or total support of the research material described in this article were received from Zimmer, Inc., Warsaw, Indiana.
PII: S0883-5403(07)00361-0
doi:10.1016/j.arth.2007.06.008
© 2008 Published by Elsevier Inc.
