Offset restoration in total hip arthroplasty: Important: A current review

被引:0
|
作者
Oommen, Anil Thomas [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Orthoped, Scudder Rd, Vellore 632004, India
来源
WORLD JOURNAL OF ORTHOPEDICS | 2024年 / 15卷 / 08期
关键词
Offset; Vertical; Horizontal; Total hip arthroplasty; Templating; Restoration;
D O I
10.5312/wjo.v15.i8.696
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Normal vertical and horizontal offset is essential for hip biomechanics, muscle functioning and gait pattern. Total hip arthroplasty (THA) should aim to restore normal offset with implantation of femoral and acetabular components. This would be possible with proper preoperative planning, templating and ensuring implant options are available for offset restoration. Templating is essential for understanding the vertical and horizontal offset change, especially in hip arthritis presenting late with significant limb length discrepancy at THA. Planning should include appropriate soft tissue releases and the use of ideal implants to achieve restoration of horizontal and vertical offset. Under correction of horizontal offset at THA for fracture neck of femur could result in abductor fatigue, limp and increased wear. Restoration of horizontal offset is imperative at THA for a fractured neck of the femur to achieve optimal abductor function. Horizontal offset is necessary for optimal abductor muscle tension and function. Revision THA for acetabular bone loss would require hip center restoration with the acetabular and femoral offset correction to achieve limb length correction and abductor length. The inability to achieve vertical and horizontal offset correction could lead to dislocation or signs of abductor fatigue. Careful vertical and horizontal femur offset restoration is required for normal hip biomechanics, decreased wear and increased longevity.
引用
收藏
页数:9
相关论文
共 50 条
  • [1] Is there a role for femoral offset restoration during total hip arthroplasty? A systematic review
    De Fine, M.
    Romagnoli, M.
    Toscano, A.
    Bondi, A.
    Nanni, M.
    Zaffagnini, S.
    [J]. ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2017, 103 (03) : 349 - 355
  • [2] Total hip arthroplasty for sequelae of childhood hip disorders: Current review of management to achieve hip centre restoration
    Oommen, Anil Thomas
    [J]. WORLD JOURNAL OF ORTHOPEDICS, 2024, 15 (08):
  • [3] Inaccurate offset restoration in total hip arthroplasty results in reduced range of motion
    Markus Weber
    Christian Merle
    Danyal H. Nawabi
    Sebastian Dendorfer
    Joachim Grifka
    Tobias Renkawitz
    [J]. Scientific Reports, 10
  • [4] Inaccurate offset restoration in total hip arthroplasty results in reduced range of motion
    Weber, Markus
    Merle, Christian
    Nawabi, Danyal H.
    Dendorfer, Sebastian
    Grifka, Joachim
    Renkawitz, Tobias
    [J]. SCIENTIFIC REPORTS, 2020, 10 (01)
  • [5] Restoration of leg length and offset correlates with trochanteric pain syndrome in total hip arthroplasty
    Michael Worlicek
    Benedikt Messmer
    Joachim Grifka
    Tobias Renkawitz
    Markus Weber
    [J]. Scientific Reports, 10
  • [6] Restoration of leg length and offset correlates with trochanteric pain syndrome in total hip arthroplasty
    Worlicek, Michael
    Messmer, Benedikt
    Grifka, Joachim
    Renkawitz, Tobias
    Weber, Markus
    [J]. SCIENTIFIC REPORTS, 2020, 10 (01)
  • [7] Hip Offset in Total Hip Arthroplasty Quantitative Measurement with Navigation
    Dastane, Manish
    Dorr, Lawrence D.
    Tarwala, Rupesh
    Wan, Zhinian
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (02) : 429 - 436
  • [8] Restoring femoral offset is the most important technical factor in preventing total hip arthroplasty dislocation
    Forde, Braxton
    Engeln, Kathleen
    Bedair, Hany
    Bene, Nicholas
    Talmo, Carl
    Nandi, Sumon
    [J]. JOURNAL OF ORTHOPAEDICS, 2018, 15 (01) : 131 - 133
  • [9] Metrics of Clinically Important Changes in Total Hip Arthroplasty: A Systematic Review
    Tanghe, Kira K.
    Beiene, Zodina A.
    McLawhorn, Alexander S.
    MacLean, Catherine H.
    Gausden, Elizabeth B.
    [J]. JOURNAL OF ARTHROPLASTY, 2023, 38 (02): : 383 - 388
  • [10] Comprehensive Review of Current Constraining Devices in Total Hip Arthroplasty
    Van der Merwe, Johannes Michiel
    [J]. JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2018, 26 (14) : 479 - 488