Power point

1. Primary THA Procedure

3. THR utilization in USA
• 86 % Cementless
• 10 % Hybrid fixation
• 3 % Resurfasing component
• < 1 % Reverse hybrid fixation
Bozic, JBJS october 2011

4. Evaluation Points
• Sex : Man 0
Woman 1

5. Evaluation Points
Age
< 50 0
50 - 60 1
61 - 70 2
> 70 4

6. Evaluation Points
Singh’s Index
7 0
6 - 5 1
4 - 3 2
2 -1 4

7. Evaluation Points
MCI
• >3 0
• 3-2.7 1
• 2.6-2.3 2
• <2.3 4
-Spotorno Index
-MCI=CD/AB
C D
A B

8. Final Score
Spotorno Score
• 0-4 Uncemented
• 5 Possible
• ≥6 Cemented

9. Fixation Type
1. Cemented
2. Cementless
3. Hybrid
4. Reverse Hybrid

10. Fixation Type
1. Cemented
2. Cementless
3. Hybrid
4. Reverse Hybrid