The Influence of Hip Rotation on Femoral Offset Following Short Stem Total Hip Arthroplasty

被引：12

作者：

Boese, Christoph K. ^{[1
]}

Bredow, Jan ^{[1
]}

Ettinger, Max ^{[2
]}

Eysel, Peer ^{[1
]}

Thorey, Fritz ^{[3
]}

Lechler, Philipp ^{[4
]}

Budde, Stefan ^{[2
]}

机构：

[1] Univ Hosp Cologne, Dept Orthopaed & Trauma Surg, D-50924 Cologne, Germany

[2] Hannover Med Sch, Dept Orthopaed Surg, Hannover, Germany

[3] ATOS Hosp, Ctr Hip Knee & Foot Surg, Sports Traumatol, Heidelberg, Germany

[4] Univ Giessen & Marburg, Ctr Orthoped & Trauma Surg, Marburg, Germany

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 01期

关键词：

femoral offset; total hip arthroplasty; short stem; neck-shaft angle; hip biomechanics; hip anatomy; NANOS SHORT STEM; ANTEROPOSTERIOR RADIOGRAPHS; PLAIN RADIOGRAPHS;

D O I：

10.1016/j.arth.2015.07.027

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：

Short stem total hip arthroplasty (THA) is thought to be an advantageous surgical option for young patients. Femoral offset has been identified as an important factor for clinical outcome of THA. However, little is known on functional implications of femoral offset after short stem THA. Importantly, hip rotation influences the projected femoral offset and may lead to significant underestimation. Therefore, a novel method to identify and account for hip rotation was applied to a prospectively enrolled series of 37 patients (48 radiographs) undergoing short stem THA. Repeated measurements were performed and intraobserver and interobserver reliability was assessed and femoral offset was corrected for rotation. Based on this study, rotation-correction of femoral offset is of highest relevance for the correct interpretation in future studies. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：312 / 316

页数：5

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