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The History of Biomechanics in Total Hip Arthroplasty

  • Symposium - Total Hip Arthroplasty
  • Published:
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Abstract

Biomechanics of the hip joint describes how the complex combination of osseous, ligamentous, and muscular structures transfers the weight of the body from the axial skeleton into the appendicular skeleton of the lower limbs. Throughout history, several biomechanical studies based on theoretical mathematics, in vitro, in vivo as well as in silico models have been successfully performed. The insights gained from these studies have improved our understanding of the development of mechanical hip pathologies such as osteoarthritis, hip fractures, and developmental dysplasia of the hip. The main treatment of end-stage degeneration of the hip is total hip arthroplasty (THA). The increasing number of patients undergoing this surgical procedure, as well as their demand for more than just pain relief and leading an active lifestyle, has challenged surgeons and implant manufacturers to deliver higher function as well as longevity with the prosthesis. The science of biomechanics has played and will continue to play a crucial and integral role in achieving these goals. The aim of this article, therefore, is to present to the readers the key concepts in biomechanics of the hip and their application to THA.

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Authors and Affiliations

  1. Department of Orthopaedics Surgery and Traumatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium

    Jan Van Houcke, Christophe Pattyn & Emmanuel Audenaert

  2. Department of Trauma and Orthopaedics, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, CB2 0QQ, Cambridge, UK

    Vikas Khanduja & Emmanuel Audenaert

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  1. Jan Van Houcke
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  2. Vikas Khanduja
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  3. Christophe Pattyn
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  4. Emmanuel Audenaert
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Correspondence to Jan Van Houcke.

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Van Houcke, J., Khanduja, V., Pattyn, C. et al. The History of Biomechanics in Total Hip Arthroplasty. IJOO 51, 359–367 (2017). https://doi.org/10.4103/ortho.IJOrtho_280_17

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