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The femoral components were set to eliminate leg length differences with a +\u20090\u00a0mm head, and variations for +\u20094-, +\u20097-, and +\u20098-mm heads were analyzed. Offset and ROM were assessed when longer heads were used, with the leg length adjusted to be similar to that of the contralateral side. While internal rotation at flexion and external rotation at extension increased with +\u20094-mm longer heads, the +\u20097- and +\u20098-mm heads did not increase dislocation resistance. When adjusting for leg length, the longer heads showed no significant differences in offset and ROM. Enhancing dislocation resistance by solely increasing the offset with a longer head, while simultaneously adjusting the depth of stem insertion, may be a beneficial intraoperative technique. Although a +\u20094-mm longer head possibly increases ROM without impingement, heads extended by +\u20097 or +\u20098\u00a0mm may not exhibit the same advantage. Therefore, surgeons should consider this technique based on the implant design.<\/jats:p>","DOI":"10.1038\/s41598-024-52264-4","type":"journal-article","created":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T13:01:37Z","timestamp":1705842097000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of longer femoral head on leg length, offset, and range of motion in total hip arthroplasty: a simulation study"],"prefix":"10.1038","volume":"14","author":[{"given":"Tomohiro","family":"Shimizu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuji","family":"Miyazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunichi","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hotaka","family":"Ishizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norimasa","family":"Iwasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,21]]},"reference":[{"key":"52264_CR1","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.arth.2006.02.100","volume":"21","author":"KB Fricka","year":"2006","unstructured":"Fricka, K. 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