PREDICTING THE CAUSES OF HIP SEPARATION USING MATHEMATICAL MODELLING

BackgroundWhile not common in the native hip, occurrences of femoral head separation from the acetabular cup during gait are well documented after total hip arthroplasty. Although the effects of this phenomenon are not well understood, we hypothesize that these atypical kinematics are due to component misalignments that yield uncharacteristic forces on the hip joint that are not present in the native hip.ObjectiveThe objective of this study was to theoretically predict the causes of hip separation during stance phase using forward solution mathematical modelling.MethodsThe model simulates the quadriceps muscles, hamstring muscles, gluteus muscles, iliopsoas group, tensor fasciae latae, and an adductor muscle group. Other soft tissues include the patellar ligament and the ischiofemoral, iliofemoral, and pubofemoral hip capsular ligaments. The model was previously validated using telemetric implants and fluoroscopic results from existing implant designs.The model is currently being used to analyze the effec...