Gender differences in cementless short stem total hip arthroplasty: significantly higher femoral lengthening in female patients.

Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
11 Jan 2024
Historique:
received: 17 05 2023
accepted: 08 01 2024
medline: 12 1 2024
pubmed: 12 1 2024
entrez: 11 1 2024
Statut: epublish

Résumé

Modern cementless short stems in total hip arthroplasty (THA) enable a precise reconstruction of the native pre-arthritic hip geometry. While gender differences have been reported for older generation straight hip stems, there are hardly reports regarding modern cementless short hip stems. Therefore, we aimed to evaluate the influence of gender differences in hip anatomy in cementless short stem THA. A total of 207 patients (109 females, 98 males) with unilateral THA and absence of contralateral joint space narrowing (Kellgren-Lawrence grade ≤ 2) were included. Acetabular height and offset as well as femoral height and offset were measured on pre- and 3-months-postoperative anteroposterior X-rays of the pelvis and compared to the contralateral hip. Additionally, implant position was evaluated on the postoperative radiograph. In male patients, the loss of acetabular offset was significantly greater than in females (p = 0.012), leading to a compensatory increase in femoral offset (p = 0.041). Femoral height discrepancy was significantly higher in females (p < 0.001), accounting for an increased global hip height discrepancy (p < 0.001). The mean acetabular anteversion was significantly greater in female patients (p < 0.001). Female patients are at higher risk of femoral lengthening in THA with a cementless short stem potentially caused by a further proximally conducted femoral neck osteotomy and show significantly higher cup anteversion angles. Therefore, surgeons should take special care to the level of neck resection and implant positioning in female patients.

Identifiants

DOI: 10.1038/s41598-024-51621-7 PMID: 38212361
pubmed: 38212361
doi: 10.1038/s41598-024-51621-7
pii: 10.1038/s41598-024-51621-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1154

Informations de copyright

© 2024. The Author(s).

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Auteurs

Christian Stadler (C)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria. Christian.Stadler@kepleruniklinikum.at.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria. Christian.Stadler@kepleruniklinikum.at.

Sandra Feldler (S)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria.

Stella Stevoska (S)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria.

Clemens Schopper (C)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria.

Tobias Gotterbarm (T)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria.

Matthias Luger (M)

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Med Campus III, Krankenhausstr. 9, 4020, Linz, Austria.
Johannes Kepler University Linz, Altenberger Str. 96, 4040, Linz, Austria.

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