Surgical implications of the hip-spine relationship in total hip arthroplasty.
Spinopelvic alignment
dislocation
hip-spine
pelvic tilt
total hip arthroplasty
Journal
Orthopedic reviews
ISSN: 2035-8237
Titre abrégé: Orthop Rev (Pavia)
Pays: United States
ID NLM: 101524779
Informations de publication
Date de publication:
29 Jun 2020
29 Jun 2020
Historique:
received:
10
06
2020
accepted:
17
06
2020
entrez:
11
9
2020
pubmed:
12
9
2020
medline:
12
9
2020
Statut:
epublish
Résumé
Total hip arthroplasty (THA) is considered the most successful orthopedic surgical procedure of the last century with excellent survivorship up to 20-years. However, instability remains a major issue representing the most common reason for revision after THA. Hip-spine relationship has gained progressive interest between arthroplasty surgeons and its understanding is crucial in order to identify high-risk patients for postoperative dislocation. Spinal deformity and abnormal spinopelvic mobility have been associated with increased risk for instability, dislocation and revision THA. Preoperative workup begins with standing anteroposterior pelvis x-ray and lateral spinopelvic radiographs in the standing and sitting position. Hip-spine stiffness needs to be addressed before THA in consideration of adapting the preoperative planning to the patient's characteristics. Acetabular component should be implanted with different anteversion and inclination angles according to the pattern of hip-spine motion in order to reduce the risk of impingement and consequent dislocation. Different algorithmic approaches have been proposed in case of concomitant hip-spine disease and in case of altered sagittal balance and pelvic mobility. The aim of this review is to investigate and clarify the hip-spine relationships and evaluate the impact on modern total hip arthroplasty.
Identifiants
pubmed: 32913592
doi: 10.4081/or.2020.8656
pmc: PMC7459374
doi:
Types de publication
Journal Article
Langues
eng
Pagination
8656Informations de copyright
©Copyright: the Author(s).
Déclaration de conflit d'intérêts
Conflict of interests: the authors declare no potential conflict of interests.
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