Thr ss 2
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The document discusses factors used to determine the optimal fixation type for a total hip arthroplasty (THA) procedure. It notes that the majority of THAs in the US use cementless fixation. Evaluation points include patient sex and age, Singh's index of femoral bone quality, and the Martell hip classification index. The final Spotorno score is used to determine whether cementless, possible, or cemented fixation is recommended, with higher scores indicating cemented fixation may be preferable. Cemented, cementless, hybrid, and reverse hybrid are listed as fixation type options.
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Thr ss 2
- 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