Soft tissue tension is four times lower in the unstable primary total hip arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-09

AUTHORS

Takeshi Ogawa, Masaki Takao, Hidetoshi Hamada, Takashi Sakai, Nobuhiko Sugano

ABSTRACT

PURPOSE: The aim was to compare patients who suffered recurrent dislocation following total hip arthroplasty (THA) with those who did not to clarify the degree of soft tissue tension in dislocation patients. METHODS: The subjects were 18 hips with recurrent dislocation (unstable THA group) and 37 hips without dislocation (stable THA group). To evaluate soft tissue tension, radiographs were taken while applying distal traction at traction forces of 40, 30, and 20% of the body weight (BW) and femoral head displacement was measured. Acetabular offset, femoral offset, limb offset, and leg length discrepancy were measured in patients with a normal contralateral hip joint. RESULTS: The mean femoral head displacement in the unstable THA group was 5.6 mm at 40% of the BW, 4.6 mm at 30% of the BW, and 3.5 mm at 20% of the BW. In the stable THA group, the mean femoral head displacement was 1.4 mm at 40% of the BW, 1.1 mm at 30% of the BW, and 0.9 mm at 20% of the BW. Significant differences were seen between the groups at all traction forces. Furthermore, on comparing the unstable and stable THA groups, femoral offset was found to significantly be smaller in the affected side than in the healthy side in the unstable THA group. CONCLUSIONS: We found that soft tissue tension is approximately fourfold lower in patients exhibiting recurrent dislocations following THA than in patients exhibiting no dislocations and that femoral offset was related to decreased soft tissue tension. More... »

PAGES

2059-2065

References to SciGraph publications

  • 2014-01. Combined anteversion technique reduced the dislocation in cementless total hip arthroplasty in INTERNATIONAL ORTHOPAEDICS
  • 2009-01. Combined Anteversion Technique for Total Hip Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • Journal

    TITLE

    International Orthopaedics

    ISSUE

    9

    VOLUME

    42

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00264-018-3908-9

    DOI

    http://dx.doi.org/10.1007/s00264-018-3908-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1101776369

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29589084


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