SOFT-TISSUE BALANCING IN TOTAL HIP ARTHROPLASTY

被引:5
|
作者
Boe, Richard A. [1 ]
Selemon, Nicolas A. [2 ]
Eachempati, Krishna Kiran [3 ]
Paprosky, Wayne G. [4 ,5 ]
Sheth, Neil P. [1 ]
机构
[1] Univ Penn, Penn Hosp, Dept Orthopaed Surg, Philadelphia, PA 19104 USA
[2] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[3] Medicover Hosp, Hyderabad, India
[4] Rush Univ, Dept Orthopaed Surg, Chicago, IL 60612 USA
[5] Northwestern Univ, Cent DuPage Hosp, Chicago, IL 60611 USA
关键词
LIMB-LENGTH DISCREPANCY; KNEE ARTHROPLASTY; LEG-LENGTH; REPAIR; RADIOGRAPHS; INSTABILITY; ANTEVERSION; OFFSET; SAFE;
D O I
10.2106/JBJS.RVW.20.00116
中图分类号
R61 [外科手术学];
学科分类号
摘要
Appropriate total hip arthroplasty (THA) reconstruction must simultaneously address component position, restoration of biomechanics, and soft-tissue balance. Preoperative planning for complex THA cases should include radiographic templating, a detailed case plan that contains backup implant options, and a thorough understanding of the patient's preoperative examination. Using a systematic approach to soft-tissue balancing in THA enhances the ability to intraoperatively execute the preoperative plan. In patients with preexisting deformities (e.g., dysplasia or prior surgery), increased attention to abductor function is necessary when assessing acetabular component placement and offset.
引用
收藏
页数:10
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