Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table.
Cup misplacement
Direct anterior approach
Minimally invasive
Total hip arthroplasty
Traction table
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
03 Dec 2020
03 Dec 2020
Historique:
received:
22
05
2020
accepted:
25
11
2020
entrez:
4
12
2020
pubmed:
5
12
2020
medline:
15
5
2021
Statut:
epublish
Résumé
Direct anterior approach total hip arthroplasty may be undertaken on a traction table, but the effects that patient positioning can have on axial pelvic tilt (aPT) are unknown. The aim of this study was to assess the degree of error from patient positioning on the traction table during anterior minimally-invasive surgery (AMIS) THA. Patients were included who underwent direct anterior THA via the AMIS technique at a single institution between 11/2018 and 03/2019. Axial pelvic tilt was measured (a) in the supine position on the operating table, and (b) after positioning on the traction table, by the same consultant surgeon in all cases. In the above-mentioned study period, 50 patients (F: 32; M: 18) with an average age of 60.6 ± 13.6 (range: 26.5 to 88.3) years, and an average BMI of 27.2 ± 5.0 (range: 17.9 to 41.5) kg/m This study raises awareness for the potential risk of aPT during positioning of the patient on the traction table, commonly used during direct anterior THA via the AMIS technique.
Sections du résumé
BACKGROUND
BACKGROUND
Direct anterior approach total hip arthroplasty may be undertaken on a traction table, but the effects that patient positioning can have on axial pelvic tilt (aPT) are unknown. The aim of this study was to assess the degree of error from patient positioning on the traction table during anterior minimally-invasive surgery (AMIS) THA.
METHODS
METHODS
Patients were included who underwent direct anterior THA via the AMIS technique at a single institution between 11/2018 and 03/2019. Axial pelvic tilt was measured (a) in the supine position on the operating table, and (b) after positioning on the traction table, by the same consultant surgeon in all cases.
RESULTS
RESULTS
In the above-mentioned study period, 50 patients (F: 32; M: 18) with an average age of 60.6 ± 13.6 (range: 26.5 to 88.3) years, and an average BMI of 27.2 ± 5.0 (range: 17.9 to 41.5) kg/m
CONCLUSION
CONCLUSIONS
This study raises awareness for the potential risk of aPT during positioning of the patient on the traction table, commonly used during direct anterior THA via the AMIS technique.
Identifiants
pubmed: 33272238
doi: 10.1186/s12891-020-03837-7
pii: 10.1186/s12891-020-03837-7
pmc: PMC7713149
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
803Références
Acta Orthop. 2005 Aug;76(4):517-23
pubmed: 16195068
Arch Orthop Trauma Surg. 2018 Aug;138(8):1045-1052
pubmed: 29651575
J Bone Joint Surg Br. 1950 May;32-B(2):166-73
pubmed: 15422013
Clin Orthop Relat Res. 2005 Dec;441:115-24
pubmed: 16330993
J Bone Joint Surg Am. 2017 May 17;99(10):840-847
pubmed: 28509824
J Bone Joint Surg Am. 2010 May;92(5):1195-205
pubmed: 20439666
J Arthroplasty. 2017 Sep;32(9):2748-2754
pubmed: 28499624
Clin Orthop Relat Res. 2009 Mar;467(3):623-37
pubmed: 19037710
J Arthroplasty. 2009 Jan;24(1):152-7
pubmed: 18977116
Clin Orthop Relat Res. 2004 Sep;(426):164-73
pubmed: 15346069
Bone Joint J. 2019 Jun;101-B(6_Supple_B):45-50
pubmed: 31146568
J Bone Miner Res. 1994 Jul;9(7):1065-70
pubmed: 7942153
Hip Int. 2013 Jan-Feb;23(1):87-92
pubmed: 23397204