Comparing the effect of cup placement between true and false acetabula in total hip arthroplasty in patients with Crowe type 3 dysplastic hip: A randomized clinical trial.
Acetabulum
general surgery
hip dislocation
Journal
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
ISSN: 1735-1995
Titre abrégé: J Res Med Sci
Pays: India
ID NLM: 101235599
Informations de publication
Date de publication:
2022
2022
Historique:
received:
31
08
2021
revised:
16
05
2022
accepted:
04
07
2022
entrez:
10
11
2022
pubmed:
11
11
2022
medline:
11
11
2022
Statut:
epublish
Résumé
Hip dysplasia is one of the most widespread hip disorders. Total hip arthroplasty (THA) is the preferred treatment in patients with cup placement choices in true or false acetabulum. The objective of this research was to compare the effectiveness of the two mentioned procedures. This study was a randomized, open-label, parallel-group clinical trial, in which 46 patients/51 hips with Crowe type 3 dysplastic hip having THA were assigned to two groups: Group 1 - patients who had cup placement in the true acetabulum and Group 2 - patients who underwent cup placement in the false acetabulum. The variables that were evaluated and analyzed included severity of pain using the visual analog scale (VAS), range of motion (ROM), gait ability, the need for repeated joint replacement, and the Harris Hip Score (HHS). Forty-six patients/51 hips were included in the present study. The patients who were evaluated included 30 (65.2%) males and 16 (34.8%) females. The mean age in the population under study was 71.0 ± 10.22, and the mean body mass index of participants was 26.34 ± 2.22 kg/m The effectiveness of cup placements both in the true and false acetabula was similar in all of the evaluated variables in terms of clinical outcomes except for HHS which was higher in the true acetabulum group. To further support the results of this research, it is recommended that more research be done on a greater population.
Sections du résumé
Background
UNASSIGNED
Hip dysplasia is one of the most widespread hip disorders. Total hip arthroplasty (THA) is the preferred treatment in patients with cup placement choices in true or false acetabulum. The objective of this research was to compare the effectiveness of the two mentioned procedures.
Materials and Methods
UNASSIGNED
This study was a randomized, open-label, parallel-group clinical trial, in which 46 patients/51 hips with Crowe type 3 dysplastic hip having THA were assigned to two groups: Group 1 - patients who had cup placement in the true acetabulum and Group 2 - patients who underwent cup placement in the false acetabulum. The variables that were evaluated and analyzed included severity of pain using the visual analog scale (VAS), range of motion (ROM), gait ability, the need for repeated joint replacement, and the Harris Hip Score (HHS).
Results
UNASSIGNED
Forty-six patients/51 hips were included in the present study. The patients who were evaluated included 30 (65.2%) males and 16 (34.8%) females. The mean age in the population under study was 71.0 ± 10.22, and the mean body mass index of participants was 26.34 ± 2.22 kg/m
Conclusion
UNASSIGNED
The effectiveness of cup placements both in the true and false acetabula was similar in all of the evaluated variables in terms of clinical outcomes except for HHS which was higher in the true acetabulum group. To further support the results of this research, it is recommended that more research be done on a greater population.
Identifiants
pubmed: 36353351
doi: 10.4103/jrms.jrms_766_21
pii: JRMS-27-72
pmc: PMC9639713
doi:
Types de publication
Journal Article
Langues
eng
Pagination
72Informations de copyright
Copyright: © 2022 Journal of Research in Medical Sciences.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Bone Joint Surg Am. 2004 Feb;86(2):312-9
pubmed: 14960676
Int Orthop. 2019 Sep;43(9):2057-2063
pubmed: 30251192
J Hip Preserv Surg. 2019 Nov 28;6(4):316-325
pubmed: 32015888
J Arthroplasty. 2008 Oct;23(7):960-3
pubmed: 18534506
Arch Bone Jt Surg. 2014 Sep;2(3):130-6
pubmed: 25386570
J Arthroplasty. 2001 Aug;16(5):575-80
pubmed: 11503116
Chin Med J (Engl). 2019 Dec 5;132(23):2820-2826
pubmed: 31856053
J Arthroplasty. 2002 Jan;17(1):41-8
pubmed: 11805923
Int J Burns Trauma. 2021 Dec 15;11(6):486-493
pubmed: 35111384
J Arthroplasty. 2018 Sep;33(9):2899-2905
pubmed: 29803578
J Bone Joint Surg Br. 2009 Jul;91(7):870-6
pubmed: 19567849
Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):9-23
pubmed: 28120020
J Bone Joint Surg Br. 1972 Feb;54(1):61-76
pubmed: 5011747
Adv Biomed Res. 2022 Apr 29;11:36
pubmed: 35720216
Clin Orthop Relat Res. 2017 Apr;475(4):1154-1168
pubmed: 27905061
J Pediatr Orthop. 2019 Apr;39(4):e272-e277
pubmed: 30451811
Zhongguo Gu Shang. 2016 Feb;29(2):119-24
pubmed: 27141778
Am J Sports Med. 2018 Feb;46(2):305-313
pubmed: 29268026
Acta Orthop. 2017 Feb;88(1):10-17
pubmed: 27879150
Int J Burns Trauma. 2022 Apr 15;12(2):59-65
pubmed: 35620738
J Pediatr. 2017 Feb;181:202-207
pubmed: 27866823
Orthopedics. 2012 Mar 07;35(3):e313-8
pubmed: 22385439
J Bone Joint Surg Am. 2016 Jan 6;98(1):63-73
pubmed: 26738905
Orthop Surg. 2020 Apr;12(2):589-600
pubmed: 32227469