head size

Head size

THR Large Head

Issues

 

Wear

Stability

Normal feel of hip

Increased ROM

 

Wear

 

Large head

- increase volumetric wear

- less penetrative / linear  wear

 

Small head

- increased linear wear

- decreased volumetric wear

Dislocation

IncidenceTHR Dislocation

 

2-3% of cases 

- doubles with infrequent operator

- second most common reason for revision after loosening

 

Australian Joint Registry

- dislocation accounts for 14.8% of revisions

 

Positions

 

Posterior dislocation

- hip flexed, adducted, IR