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Orthopaedic Proceedings
Vol. 102-B, Issue SUPP_5 | Pages 32 - 32
1 Jul 2020
Horga L Henckel J Fotiadou A Laura AD Hirschmann A Hart A
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Background

Over 30 million people run marathons annually. The impact of marathon running on hips is unclear with existing literature being extremely limited (only one study of 8 runners).

Aim and Objectives

We aimed to better understand the effect of marathon running on the pelvis and hip joints by designing the largest MRI study of asymptomatic volunteers. The objectives were to evaluate the pelvis and both hip joints before and after a marathon.


The Bone & Joint Journal
Vol. 99-B, Issue 3 | Pages 310 - 316
1 Mar 2017
Hothi H Henckel J Shearing P Holme T Cerquiglini A Laura AD Atrey A Skinner J Hart A

Aims

The aim of this study was to compare the design of the generic OptiStem XTR femoral stem with the established Exeter femoral stem.

Materials and Methods

We obtained five boxed, as manufactured, implants of both designs at random (ten in total). Two examiners were blinded to the implant design and independently measured the mass, volume, trunnion surface topography, trunnion roughness, trunnion cone angle, Caput-Collum-Diaphyseal (CCD) angle, femoral offset, stem length, neck length, and the width and roughness of the polished stem shaft using peer-reviewed methods. We then compared the stems using these parameters.


Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_11 | Pages 3 - 3
1 Jun 2016
Laura AD Whittaker R Hothi H Kwon Y Skinner J Hart A
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Introduction

Dual-mobility bearings increase the stable range of motion of total hip arthroplasty (THA) but are limited by the mechanical effects of a large diameter metal on polyethylene bearing which may cause high rates of wear from the surfaces of the polyethylene bearing and the head-stem taper. Improved polyethylene (PE) has reduced concern over bearing wear but the effects on the taper junction are unknown.

We aimed to better understand the effect of dual mobility bearings on fretting-corrosion damage to the taper junction by comparison to standard bearings.

Materials and Methods

We collected and analysed retrieved hips of one design with either dual mobility (n= 39) or standard bearings (n=30). The bearing size in the dual mobility group was 42mm whereas in the standard bearing group it had a median of 36mm. Stem trunnions had V40 tapers. Time of implantation and body mass index were comparable between the two groups.

Fretting and corrosion at the stem trunnions was quantified by: 1) visual scoring and 2) surface profilometry.