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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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Thursday, October 7, 2010, 14:50-15:30Session A6: Hip MiscellaneousShort Term Results <strong>of</strong> Primary THA Using RevelationV2: A Lateral FlareFemoral Component*Satona Murakami - Nagoya City University - Nagoya City, JapanNobuyuki Watanabe - Nagoya City University - Nagoya city, JapanHirotaka Iguchi - Nagoya City University - Nagoya, JapanShinichi Hasegawa - Department <strong>of</strong> Orthopedic Surgery,Nagoya city university - Nagoya, JapanKaneaki Tawada - Department <strong>of</strong> Arthroplastic Medicine, Nagoya City University - Nagoya,JapanMasahito Yoshida - Nagoya city university - Nagoya, JapanNobuhiko Tanaka - Nagoya City University - Nagoya, JapanTakanobu Otsuka - Nagoya city university - Nagoya, Japan*Email: satona@med.nagoya-cu.ac.jpDislocation after total hip arthroplasty (THA) is one <strong>of</strong> <strong>the</strong> most serious complications. Werecently modified <strong>the</strong> design <strong>of</strong> Lateral Flare femoral component (RevelationV2) with sixdegrees lower anteversion to reproduce <strong>the</strong> normal hip condition in Japanese. In addition, weadded 10-degree slope on <strong>the</strong> posterior neck to prevent dislocation especially aimed to highanteversion cases. The purpose <strong>of</strong> this study is to verify <strong>the</strong> clinical outcome after this designmodification.Hospital records and database were retrospectively reviewed. We investigated 46 consecutivehips in 43 patients who <strong>under</strong>went primary total hip arthroplasty using RevelationV2 fromSeptember 2007 to August 2009. All patients implicated preoperative planning using CAT scanwith <strong>the</strong>ir informed consents.The mean age and BMI at surgery were 63 years old and 23.1. Preoperative diagnosis wasosteoarthritis (40/46: 87%), rheumatoid arthritis (2/46: 4%) or avascular necrosis <strong>of</strong> femoralhead (4/46: 9%). There were 41 hips (89.2%) <strong>of</strong> Crowe I, 3(6.5%) <strong>of</strong> Crowe II and 2(4.3%) <strong>of</strong>Crowe III. Preoperative femoral neck anteversion averaged 28 degrees, whereas postoperativecombined anteversion (<strong>the</strong> sum <strong>of</strong> femoral neck anteversion and anterior cup inclination)averaged 46 degrees. During follow up, 5 complications, in details, 3 mild peroneal nerve palsy,1 pulmonary embolism and 1 dislocation following deep infection were reported. In conclusion,although no ordinal dislocation was found in this series, longer observation will need to judgeappropriateness <strong>of</strong> this new component.Thursday, October 7, 2010, 15:40-16:00Session A7: Hip 2Improving Cup Positioning Using a Mechanical Navigation InstrumentSimon Steppacher - ctr for computer assisted and recons surg - bern, switzerlandJens H Kowal - ctr for computer assisted and reconst surg - boston, usafile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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