Loading…
Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study
Background Since femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced a...
Saved in:
| Published in: | International orthopaedics 2022-12, Vol.46 (12), p.2765-2774 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43 |
| container_end_page | 2774 |
| container_issue | 12 |
| container_start_page | 2765 |
| container_title | International orthopaedics |
| container_volume | 46 |
| creator | Moharrami, Alireza Mirghaderi, Seyed Peyman Hoseini-Zare, Nima Kaseb, Mohammad Hasan Moazen-Jamshidi, Seyed Mir Mansour Mansour, Ahmed Kareem Mortazavi, Seyed Mohammad Javad |
| description | Background
Since femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced and contralateral natural joints.
Methods
A cross-sectional study was performed on adult patients who underwent unilateral THA between 2017 and 2020. An expert orthopaedic resident measured PO angles and offset parameters. “Delta medial offset” is considered medial offset of the replaced hip minus the medial offset of the contralateral side. “Absolute delta medial offset” is considered the absolute value of the “Delta medial offset.”
Results
Finally, 133 patients were included in the study with a mean (SD) age of 45.3 ± 14.8 years and 57.9% female. The PO values (median, IQR) changed from 3.2 (1.7–5.7) before THA to 3.0 (1.50–5.6) after THA, not significantly decreased (
P
= 0.31). The PO after THA is significantly correlated with PO before THA (correlation coefficient of 0.457,
P
|
| doi_str_mv | 10.1007/s00264-022-05506-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2692757085</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2692757085</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43</originalsourceid><addsrcrecordid>eNp9kDFvFDEQRi1ERI7AH6BALilYMmOvd9cligJBioQUQW35vLPEke-8sb1JruG3x8cdlFTTvPdJ8xh7h_AJAfrzDCC6tgEhGlAKuubpBVthK0WjUKuXbAWyxUZ0Wp2y1znfAWDfDfiKnUo1KC2wXbHfN5RLTH77i0-0ickGvqHR1xOnKVPhLi5h5InGxRGfKTx4x-M6-PvFlx2fYgjxcW_PyW9s2vESS5Vv_cxtKrcpzsHmsvvI7bZqmdKDLT5uK5LLMu7esJPJhkxvj_eM_fxy-ePiqrn-_vXbxefrxsm2Lw0qdJ3G1slhwgGBdIuDVoAEo9WjdeO611aMegBFQBZJ41r3aCXJTtlWnrEPh905xfulvmw2PjsKwW4pLtnUSKJXPQyqouKAuhRzTjSZ42sGwey7m0N3U7ubP93NU5XeH_eXde33T_kbugLyAOR5H5uSuYtLqh3y_2afAfoMkYY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2692757085</pqid></control><display><type>article</type><title>Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study</title><source>Springer Link</source><creator>Moharrami, Alireza ; Mirghaderi, Seyed Peyman ; Hoseini-Zare, Nima ; Kaseb, Mohammad Hasan ; Moazen-Jamshidi, Seyed Mir Mansour ; Mansour, Ahmed Kareem ; Mortazavi, Seyed Mohammad Javad</creator><creatorcontrib>Moharrami, Alireza ; Mirghaderi, Seyed Peyman ; Hoseini-Zare, Nima ; Kaseb, Mohammad Hasan ; Moazen-Jamshidi, Seyed Mir Mansour ; Mansour, Ahmed Kareem ; Mortazavi, Seyed Mohammad Javad</creatorcontrib><description>Background
Since femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced and contralateral natural joints.
Methods
A cross-sectional study was performed on adult patients who underwent unilateral THA between 2017 and 2020. An expert orthopaedic resident measured PO angles and offset parameters. “Delta medial offset” is considered medial offset of the replaced hip minus the medial offset of the contralateral side. “Absolute delta medial offset” is considered the absolute value of the “Delta medial offset.”
Results
Finally, 133 patients were included in the study with a mean (SD) age of 45.3 ± 14.8 years and 57.9% female. The PO values (median, IQR) changed from 3.2 (1.7–5.7) before THA to 3.0 (1.50–5.6) after THA, not significantly decreased (
P
= 0.31). The PO after THA is significantly correlated with PO before THA (correlation coefficient of 0.457,
P
< 0.001), the delta medial offset after THA (correlation coefficient of − 0.24,
P
= 0.006), and the absolute delta medial offset after THA (correlation coefficient of 0.284,
P
= 0.001). The amount of changes of delta medial offset, before and after surgery, was not significantly correlated to PO or PO changes after surgery.
Conclusion
PO before the THA and medial offset discrepancy after THA are two important contributing factors for post-operative PO. Restoring the medial offset of the affected side and lowering the delta medial offset between the two sides can significantly decrease post-operative PO.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-022-05506-x</identifier><identifier>PMID: 35859214</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arthroplasty, Replacement, Hip - adverse effects ; Bone Diseases - surgery ; Cross-Sectional Studies ; Female ; Femur - surgery ; Hip Joint - surgery ; Hip Prosthesis - adverse effects ; Humans ; Lower Extremity - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Pelvis - surgery</subject><ispartof>International orthopaedics, 2022-12, Vol.46 (12), p.2765-2774</ispartof><rights>The Author(s) under exclusive licence to SICOT aisbl 2022</rights><rights>2022. The Author(s) under exclusive licence to SICOT aisbl.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43</citedby><cites>FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43</cites><orcidid>0000-0002-8457-8197 ; 0000-0002-3522-8772 ; 0000-0002-1612-6877 ; 0000-0003-4189-7777</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35859214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moharrami, Alireza</creatorcontrib><creatorcontrib>Mirghaderi, Seyed Peyman</creatorcontrib><creatorcontrib>Hoseini-Zare, Nima</creatorcontrib><creatorcontrib>Kaseb, Mohammad Hasan</creatorcontrib><creatorcontrib>Moazen-Jamshidi, Seyed Mir Mansour</creatorcontrib><creatorcontrib>Mansour, Ahmed Kareem</creatorcontrib><creatorcontrib>Mortazavi, Seyed Mohammad Javad</creatorcontrib><title>Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Background
Since femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced and contralateral natural joints.
Methods
A cross-sectional study was performed on adult patients who underwent unilateral THA between 2017 and 2020. An expert orthopaedic resident measured PO angles and offset parameters. “Delta medial offset” is considered medial offset of the replaced hip minus the medial offset of the contralateral side. “Absolute delta medial offset” is considered the absolute value of the “Delta medial offset.”
Results
Finally, 133 patients were included in the study with a mean (SD) age of 45.3 ± 14.8 years and 57.9% female. The PO values (median, IQR) changed from 3.2 (1.7–5.7) before THA to 3.0 (1.50–5.6) after THA, not significantly decreased (
P
= 0.31). The PO after THA is significantly correlated with PO before THA (correlation coefficient of 0.457,
P
< 0.001), the delta medial offset after THA (correlation coefficient of − 0.24,
P
= 0.006), and the absolute delta medial offset after THA (correlation coefficient of 0.284,
P
= 0.001). The amount of changes of delta medial offset, before and after surgery, was not significantly correlated to PO or PO changes after surgery.
Conclusion
PO before the THA and medial offset discrepancy after THA are two important contributing factors for post-operative PO. Restoring the medial offset of the affected side and lowering the delta medial offset between the two sides can significantly decrease post-operative PO.</description><subject>Adult</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Bone Diseases - surgery</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Lower Extremity - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Pelvis - surgery</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kDFvFDEQRi1ERI7AH6BALilYMmOvd9cligJBioQUQW35vLPEke-8sb1JruG3x8cdlFTTvPdJ8xh7h_AJAfrzDCC6tgEhGlAKuubpBVthK0WjUKuXbAWyxUZ0Wp2y1znfAWDfDfiKnUo1KC2wXbHfN5RLTH77i0-0ickGvqHR1xOnKVPhLi5h5InGxRGfKTx4x-M6-PvFlx2fYgjxcW_PyW9s2vESS5Vv_cxtKrcpzsHmsvvI7bZqmdKDLT5uK5LLMu7esJPJhkxvj_eM_fxy-ePiqrn-_vXbxefrxsm2Lw0qdJ3G1slhwgGBdIuDVoAEo9WjdeO611aMegBFQBZJ41r3aCXJTtlWnrEPh905xfulvmw2PjsKwW4pLtnUSKJXPQyqouKAuhRzTjSZ42sGwey7m0N3U7ubP93NU5XeH_eXde33T_kbugLyAOR5H5uSuYtLqh3y_2afAfoMkYY</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Moharrami, Alireza</creator><creator>Mirghaderi, Seyed Peyman</creator><creator>Hoseini-Zare, Nima</creator><creator>Kaseb, Mohammad Hasan</creator><creator>Moazen-Jamshidi, Seyed Mir Mansour</creator><creator>Mansour, Ahmed Kareem</creator><creator>Mortazavi, Seyed Mohammad Javad</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8457-8197</orcidid><orcidid>https://orcid.org/0000-0002-3522-8772</orcidid><orcidid>https://orcid.org/0000-0002-1612-6877</orcidid><orcidid>https://orcid.org/0000-0003-4189-7777</orcidid></search><sort><creationdate>20221201</creationdate><title>Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study</title><author>Moharrami, Alireza ; Mirghaderi, Seyed Peyman ; Hoseini-Zare, Nima ; Kaseb, Mohammad Hasan ; Moazen-Jamshidi, Seyed Mir Mansour ; Mansour, Ahmed Kareem ; Mortazavi, Seyed Mohammad Javad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Bone Diseases - surgery</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Lower Extremity - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Pelvis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moharrami, Alireza</creatorcontrib><creatorcontrib>Mirghaderi, Seyed Peyman</creatorcontrib><creatorcontrib>Hoseini-Zare, Nima</creatorcontrib><creatorcontrib>Kaseb, Mohammad Hasan</creatorcontrib><creatorcontrib>Moazen-Jamshidi, Seyed Mir Mansour</creatorcontrib><creatorcontrib>Mansour, Ahmed Kareem</creatorcontrib><creatorcontrib>Mortazavi, Seyed Mohammad Javad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moharrami, Alireza</au><au>Mirghaderi, Seyed Peyman</au><au>Hoseini-Zare, Nima</au><au>Kaseb, Mohammad Hasan</au><au>Moazen-Jamshidi, Seyed Mir Mansour</au><au>Mansour, Ahmed Kareem</au><au>Mortazavi, Seyed Mohammad Javad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>46</volume><issue>12</issue><spage>2765</spage><epage>2774</epage><pages>2765-2774</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>ObjectType-Undefined-3</notes><abstract>Background
Since femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced and contralateral natural joints.
Methods
A cross-sectional study was performed on adult patients who underwent unilateral THA between 2017 and 2020. An expert orthopaedic resident measured PO angles and offset parameters. “Delta medial offset” is considered medial offset of the replaced hip minus the medial offset of the contralateral side. “Absolute delta medial offset” is considered the absolute value of the “Delta medial offset.”
Results
Finally, 133 patients were included in the study with a mean (SD) age of 45.3 ± 14.8 years and 57.9% female. The PO values (median, IQR) changed from 3.2 (1.7–5.7) before THA to 3.0 (1.50–5.6) after THA, not significantly decreased (
P
= 0.31). The PO after THA is significantly correlated with PO before THA (correlation coefficient of 0.457,
P
< 0.001), the delta medial offset after THA (correlation coefficient of − 0.24,
P
= 0.006), and the absolute delta medial offset after THA (correlation coefficient of 0.284,
P
= 0.001). The amount of changes of delta medial offset, before and after surgery, was not significantly correlated to PO or PO changes after surgery.
Conclusion
PO before the THA and medial offset discrepancy after THA are two important contributing factors for post-operative PO. Restoring the medial offset of the affected side and lowering the delta medial offset between the two sides can significantly decrease post-operative PO.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35859214</pmid><doi>10.1007/s00264-022-05506-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8457-8197</orcidid><orcidid>https://orcid.org/0000-0002-3522-8772</orcidid><orcidid>https://orcid.org/0000-0002-1612-6877</orcidid><orcidid>https://orcid.org/0000-0003-4189-7777</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0341-2695 |
| ispartof | International orthopaedics, 2022-12, Vol.46 (12), p.2765-2774 |
| issn | 0341-2695 1432-5195 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2692757085 |
| source | Springer Link |
| subjects | Adult Arthroplasty, Replacement, Hip - adverse effects Bone Diseases - surgery Cross-Sectional Studies Female Femur - surgery Hip Joint - surgery Hip Prosthesis - adverse effects Humans Lower Extremity - surgery Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Pelvis - surgery |
| title | Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T04%3A55%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Restoring%20femoral%20medial%20offset%20could%20reduce%20pelvic%20obliquity%20following%20primary%20total%20hip%20arthroplasty,%20an%20observational%20study&rft.jtitle=International%20orthopaedics&rft.au=Moharrami,%20Alireza&rft.date=2022-12-01&rft.volume=46&rft.issue=12&rft.spage=2765&rft.epage=2774&rft.pages=2765-2774&rft.issn=0341-2695&rft.eissn=1432-5195&rft_id=info:doi/10.1007/s00264-022-05506-x&rft_dat=%3Cproquest_cross%3E2692757085%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c347t-151c6914c38f1810e94189501e0da9dacdb79a2d9805e0ea1e91b971a3e365a43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2692757085&rft_id=info:pmid/35859214&rfr_iscdi=true |