Trauma & Orthopaedics Research Charity

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The relationship of the orientation of the transverse acetabular ligament and acetabular labrum to the suggested safe zones of cup positioning in total hip arthroplasty

Authors: H A P Archbold, M Slomczykowski, M Crone, K Eckman, B Jaramaz, D E Beverland
Pubmed Link: https://pubmed.ncbi.nlm.nih.gov/18645966/

Abstract
Background: There is a need to develop and validate a method for establishing cup orientation that is patient specific and independent of the anterior pelvic plane. It is our hypothesis that the transverse acetabular ligament and acetabular labrum can be used to do this. The objective of this study is to define the orientation of the plane formed by the transverse acetabular ligament and acetabular labrum and to examine whether these local landmarks lie within the limits of acceptance for cup positioning.
Methods: Twenty-five consecutive patients, who were being investigated for labral tears with a MRI arthrogram of the hip, were enrolled in this prospective study. The orientation of the transverse acetabular ligament-labrum plane was determined by manually selecting points on the transverse acetabular ligament and labrum. The best-fit plane through these points was determined and its operative orientation expressed with respect to a constructed pelvic coordinate system.
Results: The operative anteversion of the transverse acetabular ligament-labrum plane ranged from 5.3-36.1 inverted exclamation mark (mean 23.0 inverted exclamation mark + or – 7.4 inverted exclamation mark standard deviation). The inclination ranged from 38.4-50.3 inverted exclamation mark (mean 45.6 inverted exclamation mark + or – 3.2 inverted exclamation mark standard deviation).
Conclusions: The transverse acetabular ligament and acetabular labrum offer a possible solution to the many difficulties involved in cup placement during total hip arthroplasty. This paper highlights the variation in the orientation of these local acetabular landmarks and questions the logic of a set target for cup positioning.

Publications List

TitleAuthorDateLink
Body Mass Index of 45 Is a Safe Cut-Off for Cementless Total Knee ArthroplastyChristopher T. Madden-McKee, Kerry A. Bowsie, Roslyn S. Cassidy, Richard J. Napier, Paul N. Karayiannis, David E. Beverland31/12/2025https://www.arthroplastyjournal.org/article/S0883-5403(25)01611-0/abstract
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Identifying subphenotypes of patients undergoing post?operative delirium assessmentEmily Margaret Louise Bowman, Daniel F McAuley, Bernadette McGuinness, Anthony P Passmore, David Beverland, Henrik Zetterberg, Jonathan M Schott, Jonathan M Schott, Amanda Heslegrave, Elena Veleva, Rhiannon Laban, Aoife Sweeney, Emma L Cunningham 16/07/2025https://pmc.ncbi.nlm.nih.gov/articles/PMC12265012/
Can artificial intelligence generate scientific discussion that passes peer review for publication in a high-impact orthopaedic journal?Gerard A. Sheridan, Lisa C. Howard, Michael E. Neufeld, Tom R. Doyle, Andrew J. Hughes, Peter K. Sculco, David E. Beverland, Donald S. Garbuz & Bassam A. Masri 12/06/2025https://link.springer.com/article/10.1007/s11845-025-03971-y
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Functional outcome and risk of non-union for 5th metatarsal base fractures Toner E, McCaughey P, Peace C, Cassidy R, Bryce L, Diamond O03/04/2024https://pubmed.ncbi.nlm.nih.gov/38570341/
Early surgery improves survival after femoral fractures in the elderly: A retrospective review of 502 fragility fractures Gilmore C, Mayne A, Goodland C, Cassidy R, MacDonnell L , Mogey P, Murphy L, Diamond O01/02/2024https://pubmed.ncbi.nlm.nih.gov/38134490/
Reoperation risk of periprosthetic fracture after primary total hip arthroplasty using a collared cementless or a taper-slip cemented stemWong M, Robinson M, Bryce L, Cassidy R, Lamb J , Diamond O, Beverland D01/02/2024https://pubmed.ncbi.nlm.nih.gov/38425304/
The painful truth of waiting for hip and knee arthroplasty in Northern Ireland.Karayiannis PN, Warnock M, Cassidy R, Jones K, Scott CEH, Beverland D01/07/2023https://pubmed.ncbi.nlm.nih.gov/37399093/
Are Patients With Morbid Obesity at Increased Risk of Pulmonary Embolism or Proximal Deep Vein Thrombosis After Lower Limb Arthroplasty? A Large-database Study.Thompson R, Cassidy R, Hill J, Bryce L, Napier R, Beverland D20/07/2023https://pubmed.ncbi.nlm.nih.gov/37404124/
Survivorship of 500 Cementless Total Knee Arthroplasties in Patients under 55 Years of AgeSheridan GA, Cassidy RS, McKee C, Hughes I, Hill JC, Beverland DE26/10/2022https://pubmed.ncbi.nlm.nih.gov/36309144/
Is Cementless Total Knee Arthroplasty Safe in Women Over 75 Y of Age?Gibbons JP, Cassidy RS, Bryce L, Napier RJ, Bloch BV, Beverland DE19/10/2022https://pubmed.ncbi.nlm.nih.gov/36272510/
The Influence of Orthopedic Surgery on Circulating Metabolite Levels, and their Associations with the Incidence of Postoperative DeliriumJung M, Pan X, Cunningham EL, Passmore AP, McGuinness B, McAuley DF, Beverland D, O’Brien S, Mawhinney T, Schott JM, Zetterberg H, Green BD01/07/2022https://pubmed.ncbi.nlm.nih.gov/35888740/
Using tranexamic acid for an additional 24 hours postoperatively in hip and knee arthroplasty saves money: a cost analysis from the TRAC-24 randomized control trialKarayiannis PN, Agus A, Bryce L, Hill JC, Beverland D03/07/2022https://pubmed.ncbi.nlm.nih.gov/35816170/
Factors influencing resilience to postoperative delirium in adults undergoing elective orthopaedic surgeryBowman EML, Cardwell C, McAuley DF, McGuinness B, Passmore AP, Beverland D, Zetterberg H, Schott JM, Cunningham EL09/09/2022https://pubmed.ncbi.nlm.nih.gov/35707934/
Cup placement in primary total hip arthroplasty: how to get it right without navigation or roboticsMeermans G, Grammatopoulos G, Innmann M, Beverland D31/05/2022https://pubmed.ncbi.nlm.nih.gov/35638598/
Knee Flexion Angle Measurement Using Virtual Assessment Tools: Correct Procedure and Potential PitfallsSheridan GA, Keenan G, Beverland DE.17/01/2022https://pubmed.ncbi.nlm.nih.gov/35510069/
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Risk Factors for Significant Radiolucent Line Development in a Fully Coated Hydroxyapatite StemKarayiannis PN, Cassidy RS, Isaac G, Hughes I, Hill JC, Machenaud A, Beverland DE.08/07/2021https://pubmed.ncbi.nlm.nih.gov/34303582/
Metabolomics and computational analysis of the role of monoamine oxidase activity in delirium and SARS-COV-2 infectionCuperlovic-Culf M, Cunningham EL, Teimoorinia H, Surendra A, Pan X, Bennett SAL, Jung M, McGuiness B, Passmore AP, Beverland D, Green BD.20/05/2021https://pubmed.ncbi.nlm.nih.gov/34017039/
Are patient-reported outcomes the same following second-side surgery in primary hip and knee arthroplasty?Tucker A, Warnock JM, Cassidy R, Napier RJ, Beverland D.08/04/2021https://pubmed.ncbi.nlm.nih.gov/33881349/
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The management of osteoporotic acetabular fractures: Current methods and future developmentsWalls A, McAdam A, McMahon SE, Diamond OJ14/02/2021https://pubmed.ncbi.nlm.nih.gov/33597085/
Influence of preoperative femoral orientation on radiographic measures of femoral head height in total hip replacementO’Connor JD, Hill JC, Beverland DE, Dunne NJ, Lennon AB10/01/2021https://pubmed.ncbi.nlm.nih.gov/33341521/
The Relationship Between Canal Diameter and the Dorr Classification.Karayiannis PN, Cassidy RS, Hill JC, Dorr LD, Beverland DE.10/11/2020https://pubmed.ncbi.nlm.nih.gov/32571592/
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Coned hemipelvis reconstruction for osteoporotic acetabular fractures in frail elderly patientsMcMahon SE, Diamond OJ, Cusick LA01/02/2020https://pubmed.ncbi.nlm.nih.gov/32009440/
Observed effect of femoral component undersizing and a collarless design in the development of radiolucent lines in cementless total hip arthroplasty.Magill P, Hill J, O’Brien S, Stevenson M, Machenaud A, Beverland D.06/01/2020https://www.ncbi.nlm.nih.gov/pubmed/32211484
Are There Gender-Specific Errors in Restoration of Hip Biomechanics That Affect Outcome Following Total Hip Arthroplasty?Warnock JM, Karayiannis PN, Gallagher NE, Hill JC, Beverland DE.19/12/2019https://www.ncbi.nlm.nih.gov/pubmed/31983563
A Prospective Randomized Study Comparing Postoperative Pain, Biological Fixation, and Clinical Outcomes Between Two Uncemented Rotating Platform Tibial Tray Designs.Hegarty P, Walls A, O’Brien S, Gamble B, Cusick L, Beverland DE.11/09/2019https://www.ncbi.nlm.nih.gov/pubmed/31629621
Twenty-year survivorship of a cemented mobile bearing Total Knee ArthroplastyMilligan DJ, O’Brien S, Doran E, Gallagher NE, Beverland DE14/08/2019https://www.ncbi.nlm.nih.gov/pubmed/31262634
Corrigendum to “Total Knee Arthroplasty in Severe Valgus Deformity Using a Modified Technique-A 10-Year Follow-Up Study” [The Journal of Arthroplasty 34 (2019) 40-46].Tucker A, O’Brien S, Doran E, Gallagher N, Beverland DE.07/08/2019https://www.ncbi.nlm.nih.gov/pubmed/31176562
No difference in gait kinematics or kinetics between limbs in bilateral total hip replacement patients at long-term follow-up.Gallagher NE, Bruce-Brand R, Bennett D, O’Brien S, Beverland DE.10/07/2019https://www.ncbi.nlm.nih.gov/pubmed/31125910
CSF Beta-amyloid 1-42 Concentration Predicts Delirium Following Elective Arthroplasty Surgery in an Observational Cohort Study.Cunningham EL, McGuinness B, McAuley DF, Toombs J, Mawhinney T, O’Brien S, Beverland D, Schott JM, Lunn MP, Zetterberg H, Passmore AP.12/06/2019https://www.ncbi.nlm.nih.gov/pubmed/31082921
Guidelines for the follow-up of total hip arthroplasty: do they need to be revised?.Cassidy RS, O hEireamhoin S, Beverland DE.15/05/2019https://www.ncbi.nlm.nih.gov/pubmed/31038998
Independent restoration of femoral and acetabular height reduces limb length discrepancy and improves reported outcome following total hip arthroplasty.Warnock J, Hill J, Humphreys L, Gallagher N, Napier R, Beverland D.03/05/2019https://www.ncbi.nlm.nih.gov/pubmed/31680736
Foot drop following primary total hip arthroplasty.O’Brien S, Gallagher N, Spence D, Bennett D, Dennison J, Beverland DE.14/03/2019https://www.ncbi.nlm.nih.gov/pubmed/30912466
Cerebrospinal Fluid Spermidine, Glutamine and Putrescine Predict Postoperative Delirium Following Elective Orthopaedic Surgery.Pan X, Cunningham EL, Passmore AP, McGuinness B, McAuley DF, Beverland D, O’Brien S, Mawhinney T, Schott JM, Zetterberg H, Green BD07/03/2019https://www.ncbi.nlm.nih.gov/pubmed/30862889
Operative and radiographic acetabular component orientation in total hip replacement: Influence of pelvic orientation and surgical positioning technique.Rutherford M, O’Connor JD, Gill HS, Hill J, Beverland D, Lennon AB, Dunne NJ.23/01/2019https://www.ncbi.nlm.nih.gov/pubmed/30638787
Seventeen to Twenty Years of Follow-Up of the Low Contact Stress Rotating-Platform Total Knee Arthroplasty With a Cementless Tibia in All CasesMcMahon SE1, Doran E1, O’Brien S1, Cassidy RS1, Boldt JG2, Beverland DE1.19/12/2018https://www.ncbi.nlm.nih.gov/pubmed/30553560
Identifying the period of greatest blood loss after lower limb arthroplasty.Magill P, Cunningham EL, Hill JC, Beverland DE.18/12/2018https://www.ncbi.nlm.nih.gov/pubmed/30569010
Knee manipulation for reduced flexion after Total Knee Arthroplasty. Is timing critical?Pagoti R, O’Brien S, Blaney J, Doran E, Beverland D.13/12/2018https://www.ncbi.nlm.nih.gov/pubmed/30449974
General Assembly, Prevention, Blood Conservation: Proceedings of International Consensus on Orthopedic Infections.Akonjom M, Battenberg A, Beverland D, Choi JH, Fillingham Y, Gallagher N, Han SB, Jang WY, Jiranek W, Manrique J, Mihov K, Molloy R, Mont MA, Nandi S, Parvizi J, Peel TN, Pulido L, Sarungi M, Sodhi N, Alberdi MT, Olivan RT, Wallace D, Weng X, Wynn-Jones H, Yeo SJ.11/10/2018https://www.ncbi.nlm.nih.gov/pubmed/30348569
Long-term hip loading in unilateral total hip replacement patients is no different between limbs or compared to healthy controls at similar walking speeds.O’Connor JD, Rutherford M, Bennett D, Hill JC, Beverland DE, Dunne NJ, Lennon AB.11/10/2018https://www.ncbi.nlm.nih.gov/pubmed/30227951
Total Knee Arthroplasty in Severe Valgus Deformity Using a Modified Technique-A 10-Year Follow-Up Study.Tucker A, O’Brien S, Doran E, Gallagher N, Beverland DE.11/09/2018https://www.ncbi.nlm.nih.gov/pubmed/30318254
A device to make the pelvic sagittal plane horizontal and reduce error in cup inclination during total hip arthroplasty: a validation study.McMahon SE, Magill P, Bopf DP, Beverland DE.11/09/2018https://www.ncbi.nlm.nih.gov/pubmed/30227784
Acute Kidney Injury After Prophylactic Cefuroxime and Gentamicin in Patients Undergoing Primary Hip and Knee Arthroplasty-A Propensity Score-Matched Study.Tucker A, Hegarty P, Magill PJ, Blaney J, Armstrong LV, McCaffrey JE, Beverland DE.11/09/2018https://www.ncbi.nlm.nih.gov/pubmed/29807788
Postdischarge Unscheduled Care Burden After Lower Limb Arthroplasty.Tucker A, Walls A, Leckey B, Hill JC, Phair G, Bennett DB, O’Brien S, Beverland DE.11/09/2018https://www.ncbi.nlm.nih.gov/pubmed/29805105
Assessment of the effect of addition of 24 hours of oral tranexamic acid post-operatively to a single intraoperative intravenous dose of tranexamic acid on calculated blood loss following primary hip and knee arthroplasty (TRAC-24): a study protocol for a randomised controlled trial.Hill J, Magill P, Dorman A, Hogg R, Eggleton A, Benson G, McFarland M, Murphy L, Gardner E, Bryce L, Martin U, Adams C, Bell J, Campbell C, Agus A, Phair G, Molloy D, Mockford B, O’Hagan S, Beverland D.11/07/2018https://www.ncbi.nlm.nih.gov/pubmed/30064517
CT pulmonary angiography in lower limb arthroplasty.Karayiannis PN, Hill JC, Stevenson C, Finnegan S, Armstrong L, Beverland D.11/07/2018https://www.ncbi.nlm.nih.gov/pubmed/29954210
A prospective evaluation of a largely cementless total knee arthroplasty cohort without patellar resurfacing: 10-year outcomes and survivorship.Napier RJ, O’Neill C, O’Brien S, Doran E, Mockford B, Boldt J, Beverland DE.11/06/2018https://www.ncbi.nlm.nih.gov/pubmed/29945574
Correction of pelvic adduction during total hip arthroplasty reduces variability in radiographic inclination: findings of a randomised controlled trial.O’Neill CKJ, Magill P, Hill JC, Patterson CC, Molloy DO, Gill HS, Beverland DE.11/05/2018https://www.ncbi.nlm.nih.gov/pubmed/30165765
Reducing variability in apparent operative inclination during total hip arthroplasty: findings of a randomised controlled trial.O’Neill CKJ, Hill JC, Patterson CC, Molloy DO, Gill HS, Beverland DE.11/05/2018https://www.ncbi.nlm.nih.gov/pubmed/30165761
Patient positioning and cup orientation during total hip arthroplasty: assessment of current UK practice.Rutherford M, O’Connor JD, Hill JC, Beverland DE, Lennon AB, Dunne NJ.11/05/2018https://www.ncbi.nlm.nih.gov/pubmed/29783888
Effect of Combined Flexion and External Rotation on Measurements of the Proximal Femur from Anteroposterior Pelvic Radiographs.O’Connor J, Rutherford M, Hill J, Beverland D, Dunne N, Lennon A.24/04/2018https://www.ncbi.nlm.nih.gov/pubmed/29653242
Catastrophic ceramic liner failure-The subtle signs of a non-engaged ceramic liner.Walls A, Tucker A, Warnock DS, Beverland D.13/02/2018https://www.ncbi.nlm.nih.gov/pubmed/29881154
Spinout/Dislocation in Mobile-Bearing Total Knee Arthroplasty: A Report of 26 Cases.Diamond OJ, Doran E, Beverland DE.07/02/2018https://www.ncbi.nlm.nih.gov/pubmed/29056307
CSF Beta-amyloid 1-42 Concentration Predicts Delirium Following Elective Arthroplasty Surgery in an Observational Cohort Study.Cunningham EL, McGuinness B, McAuley DF, Toombs J, Mawhinney T, O’Brien S, Beverland D, Schott JM, Lunn MP, Zetterberg H, Passmore AP.07/02/2018https://www.ncbi.nlm.nih.gov/pubmed/29401106
Minimal Incision Total Hip Arthroplasty: A Concise Follow-up Report on Functional and Radiographic Outcomes at 10 Years.Stevenson C, Ogonda L, Blaney J, Dennison J, O’Brien S, Beverland D.18/10/2017https://www.ncbi.nlm.nih.gov/pubmed/29040125
Unconstrained total knee arthroplasty in significant valgus deformity: a modified surgical technique to balance the knee and avoid instability.Pagoti R, O’Brien S, Doran E, Beverland D.12/09/2017https://www.ncbi.nlm.nih.gov/pubmed/26615591
The incidence of dissociated liners in 4,751 consecutive total hip arthroplasties using Pinnacle polyethylene acetabular linersNapier RJ, Diamond O, O’Neill CKJ, O’Brien S, Beverland DE06/06/2017https://www.ncbi.nlm.nih.gov/pubmed/28623650
Venous Thromboembolism Following Hip and Knee Arthroplasty: The Role of AspirinParvizi J, Ceylan HH, Kucukdurmaz F, Merli G, Tuncay I, Beverland D.05/06/2017https://www.ncbi.nlm.nih.gov/pubmed/28590382
Five-year clinical and radiological outcomes in 257 consecutive cementless Oxford medial unicompartmental knee arthroplastiesBlaney J, Harty H, Doran E, O’Brien S, Hill J, Dobie I, Beverland D.18/05/2017https://www.ncbi.nlm.nih.gov/pubmed/28455471
Observational cohort study examining apolipoprotein E status and preoperative neuropsychological performance as predictors of post-operative delirium in an older elective arthroplasty populationCunningham EL, Mawhinney T, Beverland D, O’Brien S, McAuley DF, Cairns R, Passmore P, McGuinness B.13/04/2017https://www.ncbi.nlm.nih.gov/pubmed/28383643
Gait kinetics of total hip replacement patients-A large scale, long-term follow-up studyBennett D, Ryan P, O’Brien S, Beverland DE14/03/2017https://www.ncbi.nlm.nih.gov/pubmed/28171843
The Corail stem as a reverse hybrid – survivorship and x-ray analysis at 10 yearsWangen H, Nordsletten L, Boldt JG, Fenstad AM, Beverland DE07/02/2017https://www.ncbi.nlm.nih.gov/pubmed/28218379
Impact of a learning curve on the survivorship of 4802 cementless total hip arthroplastiesMagill P, Blaney J, Hill JC, Bonnin MP, Beverland DE22/12/2016https://www.ncbi.nlm.nih.gov/pubmed/27909119#
Contralateral ulnar neuropathy following total hip replacement and intraoperative positioning.O’Brien S, Bennett D, Spence DJ, Mawhinney I, Beverland DE.10/05/2016https://www.ncbi.nlm.nih.gov/pubmed/26589446
Pelvic orientation for total hip arthroplasty in lateral decubitus: can it be accurately measured?Sykes AM, Hill JC, Orr JF, Gill HS, Salazar JJ, Humphreys LD, Beverland DE03/05/2016http://www.ncbi.nlm.nih.gov/pubmed/27079286
Aspirin for thromboprophylaxis after primary lower limb arthroplasty: early thromboembolic events and 90 day mortality in 11 459 patientsOgonda L, Hill J, Doran E, Dennison J, Stevenson M, Beverland D.15/03/2016http://www.ncbi.nlm.nih.gov/pubmed/26920959
Placement of the acetabular componentBeverland DE, O’Neill CK, Rutherford M, Molloy D, Hill JC01/01/2016http://www.ncbi.nlm.nih.gov/pubmed/26733639
Acetabular Liner Dissociation following Total Hip Arthroplasty: A Rare but Serious Complication That May Be Easily Misinterpreted in the Emergency DepartmentO’Neill CK, Napier RJ, Diamond OJ, O’Brien S, Beverland DE12/10/2015http://www.ncbi.nlm.nih.gov/pubmed/26543652
Patients’ perception of leg length discrepancy post total hip arthroplastySykes A, Hill J, Orr J, Humphreys P, Rooney A, Morrow E, Beverland D09/09/2015http://www.ncbi.nlm.nih.gov/pubmed/26391265
The influence of area level social deprivation on preoperative disease severity and postoperative outcomes following unicompartmental knee joint replacementBennett D, Hill J, Beverland D, Kee F04/08/2015http://www.ncbi.nlm.nih.gov/pubmed/26249537
Early surveillance of ceramic-on-metal total hip arthroplastyHill JC, Diamond OJ, O’Brien S, Boldt JG, Stevenson M, Beverland DE05/03/2015http://www.ncbi.nlm.nih.gov/pubmed/25737511
Peri-operative visual loss following total knee arthroplasty – A case report: Visual loss following TKASpence DJ, Bennett D, O’Brien S, Milligan KR, Page AB, Beverland DE21/02/2015http://www.ncbi.nlm.nih.gov/pubmed/26566330
The effect of peri-operative blood loss on postoperative pain following total knee arthroplastyHegarty P, O’Brien S, Stevenson M, Beverland D10/02/2015http://www.ncbi.nlm.nih.gov/pubmed/26236118
Metal-carbon fiber composite femoral stems in hip replacements: a randomized controlled parallel-group study with mean ten-year follow-upBennett DB, Hill JC, Dennison J, O’Brien S, Mantel JL, Isaac GH, Beverland DE17/12/2014http://www.ncbi.nlm.nih.gov/pubmed/25520340
Development of a scale to assess performance following primary total knee arthroplastyLewis S, Price M, Dwyer KA, O’Brien S, Heekin RD, Yates PJ, Beverland D, Mordin M01/06/2014http://www.ncbi.nlm.nih.gov/pubmed/24968994
Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patientsNapier RJ, O’Brien S, Bennett D, Doran E, Sykes A, Murray J, Beverland DE01/06/2014http://www.ncbi.nlm.nih.gov/pubmed/24637067
The influence of immediate knee flexion on blood loss and other parameters following total knee replacementNapier RJ, Bennett D, McConway J, Wilson R, Sykes AM, Doran E, O’Brien S, Beverland DE01/02/2014http://www.ncbi.nlm.nih.gov/pubmed/24493185
Early postoperative predictors of satisfaction following total knee arthroplastyWilliams DP, O’Brien S, Doran E, Price AJ, Beard DJ, Murray DW, Beverland DE01/12/2013http://www.ncbi.nlm.nih.gov/pubmed/23777807
Patient evaluation of early discharge after hip arthroplasty: development of a measure and comparison of three centres with differing durations of staySalmon P, Hunt GR, Murthy BV, O’Brien S, Beverland D, Lynch MC, Hall GM01/09/2013http://www.ncbi.nlm.nih.gov/pubmed/23543343
Modifiable factors delaying early discharge following primary joint arthroplastyNapier RJ, Spence D, Diamond O, O’Brien S, Walsh T, Beverland DE01/08/2013http://www.ncbi.nlm.nih.gov/pubmed/23412186
A low-cost solution for the restoration of femoral head centre during total hip arthroplastyHill JC, Salazar-Torres JJ, Orr JF, Archbold HA, Beverland DE01/06/2013http://www.ncbi.nlm.nih.gov/pubmed/23636755
The effects of age and gender on the diameter of the femoral canal in patients who undergo total hip replacementMilligan DJ, O’Brien S, Bennett D, Hill JC, Beverland DE01/03/2013http://www.ncbi.nlm.nih.gov/pubmed/23450017
Cementless fixation in Oxford unicompartmental knee replacement: a multicentre study of 1000 kneesLiddle AD, Pandit H, O’Brien S, Doran E, Penny ID, Hooper GJ, Burn PJ, Dodd CA, Beverland DE, Maxwell AR, Murray DW01/02/2013http://www.ncbi.nlm.nih.gov/pubmed/23365026
A novel device to measure acetabular inclination with patients in lateral decubitusSykes AM, Hill JC, Beverland DE, Orr JF01/11/2012http://www.ncbi.nlm.nih.gov/pubmed/23233171
Using a calliper to restore the centre of the femoral head during total hip replacementHill JC, Archbold HA, Diamond OJ, Orr JF, Jaramaz B, Beverland DE01/11/2012http://www.ncbi.nlm.nih.gov/pubmed/23109624
LCS mobile bearing total knee arthroplasty without patellar resurfacing. Does the unresurfaced patella affect outcome? Survivorship at a minimum 10-year follow-upO’Brien S, Spence DJ, Ogonda LO, Beverland DE12/08/2012http://www.ncbi.nlm.nih.gov/pubmed/21856160
Do we medialise the hip centre of rotation in total hip arthroplasty? Influence of acetabular offset and surgical techniqueBonnin MP, Archbold PH, Basiglini L, Fessy MH, Beverland DE12/07/2012http://www.ncbi.nlm.nih.gov/pubmed/22865253
Periarticular local anesthesia does not improve pain or mobility after THADobie I, Bennett D, Spence DJ, Murray JM, Beverland DE12/07/2012http://www.ncbi.nlm.nih.gov/pubmed/22270468
Femoral nerve compression after migration of bone cement to the groin after hip arthroplastyO’Brien S, Bennett D, Blair PH, Beverland DE01/12/2011http://www.ncbi.nlm.nih.gov/pubmed/21802249
The role of the transverse acetabular ligament for acetabular component orientation in total hip replacement: an analysis of acetabular component position and range of movement using navigation softwareKalteis T, Sendtner E, Beverland D, Archbold PA, Hube R, Schuster T, Renkawitz T, Grifka J01/08/2011http://www.ncbi.nlm.nih.gov/pubmed/21768623
Should the acetabular cup be medialised in total hip arthroplastyBonnin MP, Archbold PH, Basiglini L, Selmi TA, Beverland DE12/07/2011http://www.ncbi.nlm.nih.gov/pubmed/21818743
Hip resurfacing and metal-on-metal total hip arthroplastyBeverland DE, Spencer RF02/05/2011http://www.ncbi.nlm.nih.gov/pubmed/21698573
Proximal femoral fracture in Northern Ireland between 1985 – 1997 – – trends and future projectionsBeringer TR, Wilson RA, Swain D, Patterson CC, Beverland D01/11/2010http://www.ncbi.nlm.nih.gov/pubmed/11196721
Perception of imposed leg length inequality in normal subjectsO’Brien S, Kernohan G, Fitzpatrick C, Hill J, Beverland D01/10/2010http://www.ncbi.nlm.nih.gov/pubmed/21157756
The transverse acetabular ligament: optimizing versionBeverland D01/09/2010http://www.ncbi.nlm.nih.gov/pubmed/20839699
Patient satisfaction following TKA: Bless them all!Beverland D01/09/2010http://www.ncbi.nlm.nih.gov/pubmed/20839698
Photographic measurement of the inclination of the acetabular component in total hip replacement using the posterior approachHill JC, Gibson DP, Pagoti R, Beverland DE01/09/2010http://www.ncbi.nlm.nih.gov/pubmed/20798436
Hip arthroplasty in morbidly obese patients – intra-operative and short term outcomesBennett D, Gibson D, O’Brien S, Beverland DE01/01/2010http://www.ncbi.nlm.nih.gov/pubmed/20235066
Measurement of knee joint motion using digital imagingBennett D, Hanratty B, Thompson N, Beverland D12/12/2009http://www.ncbi.nlm.nih.gov/pubmed/19037641
The consequences of early discharge after hip arthroplasty for patient outcomes and health care costs: comparison of three centres with differing durations of stayHunt GR, Crealey G, Murthy BV, Hall GM, Constantine P, O’Brien S, Dennison J, Keane P, Beverland D, Lynch MC, Salmon P01/12/2009http://www.ncbi.nlm.nih.gov/pubmed/19864466
Temporospatial parameters of hip replacement patients ten years post-operativelyBennett D, Humphreys L, O’Brien S, Orr J, Beverland DE01/10/2009http://www.ncbi.nlm.nih.gov/pubmed/18696063
Early discharge following hip arthroplasty: patients’ acceptance masks doubts and concernsHunt GR, Hall GM, Murthy BV, O’Brien S, Beverland D, Lynch MC, Salmon P01/06/2009http://www.ncbi.nlm.nih.gov/pubmed/19320753
The incidence of fatal pulmonary embolism after primary hip and knee replacement in a consecutive series of 4253 patientsCusick LA, Beverland DE01/05/2009http://www.ncbi.nlm.nih.gov/pubmed/19407300
The influence of pain on knee motion in patients with osteoarthritis undergoing total knee arthroplastyBennett D, Hanratty B, Thompson N, Beverland DE01/04/2009http://www.ncbi.nlm.nih.gov/pubmed/19388620
Comparison of hip and knee arthroplasty outcomes at early and intermediate follow-upO’Brien S, Bennett D, Doran E, Beverland DE01/03/2009http://www.ncbi.nlm.nih.gov/pubmed/19309063
Does a standard outpatient physiotherapy regime improve the range of knee motion after primary total knee arthroplasty?Mockford BJ, Thompson NW, Humphreys P, Beverland DE01/12/2008http://www.ncbi.nlm.nih.gov/pubmed/18534481
The influence of wear paths produced by hip replacement patients during normal walking on wear ratesBennett D, Humphreys L, O’Brien S, Kelly C, Orr J, Beverland DE01/09/2008http://www.ncbi.nlm.nih.gov/pubmed/18404653
Wear paths produced by individual hip-replacement patients- -a large-scale, long-term follow-up studyBennett D, Humphreys L, O’Brien S, Kelly C, Orr JF, Beverland DE01/08/2008http://www.ncbi.nlm.nih.gov/pubmed/18614171
Gait kinematics of age-stratified hip replacement patients- -a large scale, long-term follow-up studyBennett D, Humphreys L, O’Brien S, Kelly C, Orr JF, Beverland DE01/08/2008http://www.ncbi.nlm.nih.gov/pubmed/18242996
Activity levels and polyethylene wear of patients 10 years post hip replacementBennett D, Humphreys L, O’Brien S, Kelly C, Orr J, Beverland DE01/06/2008http://www.ncbi.nlm.nih.gov/pubmed/18255208
The relationship of the orientation of the transverse acetabular ligament and acetabular labrum to the suggested safe zones of cup positioning in total hip arthroplastyArchbold HA, Slomczykowski M, Crone M, Eckman K, Jaramaz B, Beverland DE01/01/2008http://www.ncbi.nlm.nih.gov/pubmed/18645966
The use of a posterior lip augmentation device for a revision of recurrent dislocation after primary cemented Charnley/Charnley Elite total hip replacement: results at a mean follow-up of six years and nine monthsMcConway J, O’Brien S, Doran E, Archbold P, Beverland D01/12/2007http://www.ncbi.nlm.nih.gov/pubmed/18057356
The cemented custom femoral stem- -a 10 year reviewO’Brien S, Wilson RK, Hanratty BM, Thompson NW, Wallace ME, Nixon JR, Engela DW, Orr JF, Isaac GH, Beverland DE01/10/2007http://www.ncbi.nlm.nih.gov/pubmed/19197868
The influence of posterior condylar offset on knee flexion after total knee replacement using a cruciate-sacrificing mobile-bearing implantHanratty BM, Thompson NW, Wilson RK, Beverland DE12/07/2007http://www.ncbi.nlm.nih.gov/pubmed/17673585
Comparison of immediate postoperative walking ability in patients receiving minimally invasive and standard-incision hip arthroplasty: a prospective blinded studyBennett D, Ogonda L, Elliott D, Humphreys L, Lawlor M, Beverland D01/06/2007http://www.ncbi.nlm.nih.gov/pubmed/17562403
Comparison of topical fibrin spray and tranexamic acid on blood loss after total knee replacement: a prospective, randomised controlled trialMolloy DO, Archbold HA, Ogonda L, McConway J, Wilson RK, Beverland DE01/03/2007http://www.ncbi.nlm.nih.gov/pubmed/17356139
Management of the severe varus and valgus knee using the low contact stress rotating platformBeverland D01/09/2006http://www.ncbi.nlm.nih.gov/pubmed/17002152
Intraoperative knee anthropometrics: correlation with cartilage wearRooney N, Fitzpatrick DP, Beverland DE01/08/2006http://www.ncbi.nlm.nih.gov/pubmed/16961186
Femoral component rotation in mobile-bearing total knee arthroplastyBoldt JG, Stiehl JB, Munzinger U, Beverland D, Keblish PA01/08/2006http://www.ncbi.nlm.nih.gov/pubmed/16632363
Comparison of early postoperative functional levels following total hip replacement using minimally invasive versus standard incisions. A prospective randomized blinded trialLawlor M, Humphreys P, Morrow E, Ogonda L, Bennett D, Elliott D, Beverland D01/08/2006http://www.ncbi.nlm.nih.gov/pubmed/16119401
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 stabilityArchbold HA, Mockford B, Molloy D, McConway J, Ogonda L, Beverland D01/07/2006http://www.ncbi.nlm.nih.gov/pubmed/16798989
Limb length restoration during total hip arthroplasty: use of a caliper to control femoral component insertion and accurate acetabular placement relative to the transverse acetabular ligamentPooler Archbold HA, Mohammed M, O’Brien S, Molloy D, McConway J, Beverland DE01/01/2006http://www.ncbi.nlm.nih.gov/pubmed/19219775
Secondary resurfacing of the patella in mobile-bearing total knee arthroplastyMockford BJ, Beverland DE01/10/2005http://www.ncbi.nlm.nih.gov/pubmed/16230242
A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. A prospective, randomized, controlled trialOgonda L, Wilson R, Archbold P, Lawlor M, Humphreys P, O’Brien S, Beverland D01/04/2005http://www.ncbi.nlm.nih.gov/pubmed/15805196
Dislocation of the rotating platform after low contact stress total knee arthroplastyThompson NW, Wilson DS, Cran GW, Beverland DE, Stiehl JB01/08/2004http://www.ncbi.nlm.nih.gov/pubmed/15292809
Assessment of cement introduction and pressurization techniquesDunne NJ, Orr JF, Beverland DE01/06/2004http://www.ncbi.nlm.nih.gov/pubmed/14982342
Hip arthroplasty complicated by coloarticular sinus formation- -a case report.Thompson NW, Swinson BD, Wilson DS, Gardiner K, Beverland DE01/10/2002http://www.ncbi.nlm.nih.gov/pubmed/12440509
Recurrent hip arthroplasty dislocation: good outcome after cup augmentation in 20 patients followed for 2 yearsCharlwood AP, Thompson NW, Thompson NS, Beverland DE, Nixon JR01/10/2002http://www.ncbi.nlm.nih.gov/pubmed/12440491
The influence of shape and sliding distance of femoral head movement loci on the wear of acetabular cups in total hip arthroplastyBennett D, Orr JF, Beverland DE, Baker R01/06/2002http://www.ncbi.nlm.nih.gov/pubmed/12502003
Migration of intrapelvic cement after total hip arthroplastyThompson NW, Colleary G, Wilson DS, Crone MD, Beverland DE01/04/2002http://www.ncbi.nlm.nih.gov/pubmed/11938519
Advanced mobile-bearing surgical techniqueBeverland D01/02/2002http://www.ncbi.nlm.nih.gov/pubmed/11866164
Reduction of a dislocated low contact stress rotating platform using a single AO screwThompson NW, Wilson DS, Beverland DE12/01/2002http://www.ncbi.nlm.nih.gov/pubmed/11890630
Periprosthetic tibial fractures after cementless low contact stress total knee arthroplastyThompson NW, McAlinden MG, Breslin E, Crone MD, Kernohan WG, Beverland DE01/12/2001http://www.ncbi.nlm.nih.gov/pubmed/11740752
Total knee arthroplasty without patellar resurfacing in isolated patellofemoral osteoarthritisThompson NW, Ruiz AL, Breslin E, Beverland DE01/08/2001http://www.ncbi.nlm.nih.gov/pubmed/11503120
Urban-rural differences in total hip replacements: the next stageWillis CE, Kee F, Beverland D, Watson JD01/09/2000http://www.ncbi.nlm.nih.gov/pubmed/11077921
Modelling medical devices: the application of bioengineering in surgeryPrendergast PJ, Beverland DE, Blayney AW, Dunne NJ, Gorey TF, Grace PA, McCormack BA, McGloughlin T, O’Connell PR, Orr JF01/01/1999http://www.ncbi.nlm.nih.gov/pubmed/10098333
A study of the factors in hip replacement dislocation. Part 2O’Brien S, Engela D, Leonard S, Beverland D, Kernohan G01/11/1996http://www.ncbi.nlm.nih.gov/pubmed/9000909
A study of the factors in hip replacement dislocation. Part 1O’Brien S, Engela D, Leonard S, Beverland D, Kernohan G01/11/1996http://www.ncbi.nlm.nih.gov/pubmed/8945320
Assessing the accuracy of femoral component placement in custom cemented hip replacementO’Brien S, Engela DW, Trainor P, Beverland DE01/07/1996http://www.ncbi.nlm.nih.gov/pubmed/8868788
Total hip replacement: a study of customized prosthesesO’ Brien S, James P, Engela D, Beverland D, Kernohan G01/03/1996http://www.ncbi.nlm.nih.gov/pubmed/8703740
Pressurization of bone cement under standard, flanged and custom acetabular components for total hip replacementBeverland DE, Kernohan WG, Nixon JR, Orr JF, Watson P12/06/1993http://www.ncbi.nlm.nih.gov/pubmed/8363694
Unnecessary arthroscopiesTait GR, Maginn P, Macey AC, Beverland DE, Mollan RA01/06/1992http://www.ncbi.nlm.nih.gov/pubmed/1286912
Total joint replacement: implication of cancelled operations for hospital costs and waiting list managementMangan JL, Walsh C, Kernohan WG, Murphy JS, Mollan RA, McMillen R, Beverland DE01/03/1992http://www.ncbi.nlm.nih.gov/pubmed/10136828