Computerized templating in uncemented total hip arthroplasty to assess component fit and fill

J Arthroplasty. 1992 Sep;7(3):235-9. doi: 10.1016/0883-5403(92)90042-o.

Abstract

The aim of the uncemented femoral component in total hip arthroplasty is to achieve a stable bone-prosthesis interface without the use of polymethyl methacrylate (PMMA). Maximal fill of the femoral canal by the prosthesis promotes initial stability and long-term optimal stress transfer to the bone. The percentage "fit and fill" of the proximal femur by three prostheses, the porous coated anatomic, anatomic medullary locking, and the Harris-Galante, was compared by use of a computerized templating model to assess preoperative radiographs of 20 patients. Results showed that overall percentage fit and fill was similar and satisfactory (greater than 60%) in 17 of 20 patients. If a satisfactory fill was not achieved with one prosthesis, another prosthesis did not significantly improve fill. Lack of bony contact in the proximomedial femur was the most common deficiency noted.

MeSH terms

  • Computer-Aided Design*
  • Femur Head / diagnostic imaging
  • Hip Joint / diagnostic imaging
  • Hip Prosthesis*
  • Humans
  • Prosthesis Design
  • Radiography