Flexion following hip resurfacing and factors that influence it

G. Grammatopoulos, A. Philpott, K. Reilly, H. Pandit, K. Barker, D. W. Murray, H. S. Gill

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Flexion following arthroplasty of the hip is important for activities of daily living. Studies have highlighted a possible reduction in flexion following Metal-on-Metal Hip Resurfacing Arthroplasty (MoMHRA) but failed to account for inter-subject variability and the possible etiology for this reduction. This in vivo study aims to determine whether flexion is restored following MoMHRA and identify factors that influence it. Charnley Class A patients (n=112) that underwent MoMHRA were reviewed in a dedicated clinic assessing flexion (resurfaced and contra-lateral hips) and outcome. The difference in flexion between both hips was defined as flexion deficit (deltaflexion). Various patient (age, gender, BMI) and surgical (component orientation, size, head-neck-ratio, offset) factors were examined in terms of their effect on deltaflexion. MoMHRA-hips had significantly reduced flexion as compared to the native hips. This flexion-deficit correlated with contra-lateral maximum flexion, component size, head-neck-ratio and component orientation. The findings demonstrate that flexion following MoMHRA is strongly correlated to but is reduced in comparison to the native, disease-free, hip flexion. Surgical practice can minimise flexion-deficit and optimise function.
Original languageEnglish
Pages (from-to)266-273
JournalHip International
Issue number3
Publication statusPublished - 2012


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