• Ismail Hadisoebroto Dilogo A Consultant of Orthopedics and Traumatology Department, Faculty of Medicine Universitas Indonesia
  • Wildan Latief Orthopedics and Traumatology Department, Faculty of Medicine, Univrsitas Indonesia
  • Muh Trimugroho Fahrudhin Orthopedics and Traumatology Department, Faculty of Medicine, Univrsitas Indonesia



Total hip replacement, Prosthesis component orientation, Functional outcome, Attahiyat position, Squatting position


Background : Total hip replacement (THR) failure isinfluenced bythe prosthesis component orientation. The debate is still ongoing to determine the best angles for acetabular or femoral components. Objective :To evaluate the functional outcome and hip range of motion (ROM) post THR associated with Prosthesis orientationangle. Methods : This cross sectional analytical study was conducted at the RSUPN CiptoMangunkusumo HospitalJakartain July-September 2014, and selected 38 subjects among 83 primary THR treated through January 2008 – May 2014.Prosthesis orientationangle(acetabular abduction, acetabular anteversion, femoral anteversion and their combinations)are measured from AP and lateral radiographs. Functional outcomes are obtained from Harris Hip Score (HHS) and hip ROM, including Attahiyat praying position and squatting position. Results :There is no significant differences between prosthesis orientationanglesin safe and non-safe groups when compared with the HHS (p>0.05). There were no significant differences between component orientation angles with theROM, except on internal rotation at the safe zone (p=0.015). As many as 22.6%hip have the ability to perform Attahiyat and squatting with more at the non-safezoneacetabular abduction group (p=0.035). Conclusions :THR with prosthesis fixed in non-safe and safe zones of orientation gave similarly good functional outcomes. Non safe zone of acetabular abduction angle group show more internal rotation range of motion. Patient’s fear, habit, and obesity in performing such tasks were unable to be ruled out as confounders.


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Liang M, Cullen K, Larson M, Thompson M, Schwartz J, Fossel A. Cost effectiveness of total joint arthroplasty in osteoarthritis. Arthritis Rheum.1986;29:937-43. DOI:

Jonsson B, Larsson S. Functional improvements and costs of hip and knee arthroplasty in destructive rheumatoid arthritis. Scand J Rheumatol 1991;20:351-7. DOI:

Rissanen P, Aro S, Slatis P, Sintonen H, Paavolainen P. Health and quality of life before and after hip or knee arthroplasty. J Arthroplasty. 1995;10:169-75. DOI:

Wiklunch I, Romanus B. A comparison of quality of life before and after arthroplasty in Paitents who had arthrosis of the hip joint. J Bone Joint Surg. 1991;73A:765-9. DOI:

Laupacis A, Bourne R, Rorrabeck C, Feeny D,Wong C,Tugwell P, et al. The effect of elective total hip replacement on health related quality of life. J Bone Joint Surg 1993;75A:1619-26. DOI:

Siopack J, Jergesen S. Total hip arthroplasty. West J Med. 1995;162:243-249.

Crawford R, Murray D. Total hip replacement: indications for surgery and risk factors for failure. Ann Rheum Dis. 1997;56:455–7. DOI:

Archbold H, Mockford B, Molloy D, McConway J, Ogonda L, Beverland D. The transverse acetabular ligament: An aid to orientation of the acetabular component during primary total hip replacement. A preliminary study of 1000 cases investigating postoperative stability. J Bone Joint Surg Br 2006;88:883-6. DOI:

Jaramaz B, DiGioia A, Blackwell M, Nikou C. Computer assisted measurement of cup placement in total hip replacement. Clin Orthop Relat Res. 1998;354:70-81. DOI:

Komeno M, Hasegawa M, Sudo A, Uchida A. Computed tomographic evaluation of component position on dislocation after total hip arthroplasty. Orthopedics 2006;29:1104 DOI:

Kennedy JG, Rogers WB, Soffe KE, Sullivan RJ, Griffen DG, Sheehan LJ. Effect of acetabular component orientation on recurrent dislocation, pelvic osteolysis, polyethylene wear, and component migration. J Arthroplasty1998;13:530-4. DOI:

Clark CR, Huddleston HD, Schoch EP, Thomas BJ. Leg-length discrepancy after total hip arthroplasty. J Am AcadOrthop Surg 2006;14:38-45. DOI:

Sugano N, Nishii T, Miki H, Yoshikawa H, Sato Y, Tamura S. Mid-term results of cementless total hip replacement usinga ceramic-on-ceramic bearing with and without computer navigation. J Bone Joint Surg Br.2007;89:455-60. DOI:

Murphy SB, Ecker TM. Evaluation of anew leg length measurement algorithm inhip arthroplasty. Clin Orthop Relat Res.2007;463:85-9. DOI:

Parratte S, Argenson JN. Validation andusefulness of a computer-assisted cuppositioningsystem in total hiparthroplasty: A prospective, randomized,controlled study. J Bone Joint Surg Am. 2007;89:494-9. DOI:

Callaghan JJ, Cuckler JM, HuddlestonJI, Galante JO. Implant WearSymposium 2007 Clinical Work Group:How have alternative bearings (such asmetal-on-metal, highly cross-linkedpolyethylene, and ceramic-on-ceramic)affected the prevention and treatment ofosteolysis? J Am Acad Orthop Surg. 2008;16(suppl 1):S33-S38. DOI:

Dorr LD, Malik A, Wan Z, Long WT,Harris M. Precision and bias ofimageless computer navigation andsurgeon estimates for acetabular component position. Clin Orthop RelatRes.2007;465:92-9. DOI:

Isbit J. Helath Benefits of the Natural Squatting Position [Internet]. [unknown publication place]:; 2007 [downloaded onOct 6th,2014], provided from:

Al-Alabani MN. Sifat Shalat Nabi. Edisi ke-5. Yogyakarta: Media Hidayah, 2005.

Ethgen O, Bruyere O, Richy F,Dardennes C, Reginter JY. Health-related quality of life in total hip and total knee arthroplasty. J Bone Joint Surg Am. 2004 May;86-A(5):963-74. DOI:

Le Duff MJ, Wisk LE, Amstutz HC. range of motion after stemmed total hip arthroplasty and hip resurfacing. Bull NYU Hosp Jt Dis. 2009;67(2):177-81.

Harris WH. Advances in surgical technique for total hip replacement: without and with osteotomy of the greater trochanter. Clin Orthop. 1980;146: 188-204. DOI:

Seki M, Yuasa N, Ohkuni K. Analysis of optimal range of socket orientations in total hip arthroplasty with use of computer-aided design simulation. J Orthop Res. 1998;16:513-517. DOI:

D’Lima D, Urquhart AG, Buehler KO, Walker RH, Colwell CW. The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg. 2000;82A.315-21. DOI:

Fujishiro T, Hayashi S, Kanzaki N, et al. Computed tomographic measurement of acetabular and femoral component version in total hip arthroplasty. International Orthopaedics. 2014;38(5):941-946 DOI:

Graves SC, Dropkin BM, Keeney BJ, Lurie JD, Tomek IM. Does Surgical Approach Affect Patient-reported Function After Primary THA? Clin Orthop Relat Res. 2016Apr;474(4):971-81. DOI:

Walker RP, Gee M, Wong F, Shah Z, George M, Bankes MJ, Ajuied A. Functionaloutcomes of total hip arthroplasty in patients aged 30 years or less: asystematic review and meta-analysis. Hip Int. 2016 Sep 29;26(5):424-431. DOI:

Clement ND, MacDonald D, Howie CR, Biant LC. The outcome of primary total hip and knee arthroplasty in patient aged 80 years or more. JBJS. 2011 Sep; 93(9):1265-70. DOI:




How to Cite

Hadisoebroto Dilogo I, Latief W, Trimugroho Fahrudhin M. LACK OF SIGNIFICANT ASSOCIATION BETWEEN COMPONENT ALIGNMENT AND FUNCTIONAL OUTCOME IN TOTAL HIP ARTHROPLASTY. J Southeast Asian Med Res [Internet]. 2018 Jun. 27 [cited 2024 Apr. 17];2(1):28-36. Available from:



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