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International Orthopaedics
Published in: International Orthopaedics 6/2013

01-06-2013 | Original Paper

Double acetabular wall—a misleading point for hip arthroplasty: an anatomical, radiological, clinical study

Authors: Firooz Madadi, Hamed Yazdanshenas, Firoozeh Madadi, Shahrzad Bazargan-Hejazi

Published in: International Orthopaedics | Issue 6/2013

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Abstract

Purpose

Despite the great attention focused on cup positioning in primary total hip arthroplasty (PTHA), it is surprising to find so few studies that have dealt with cup placement. A common thwarting problem for correct cup placement during PTHA is the existence of osteophytes, which obscure the anatomical landmarks. In this study we aimed to evaluate the morphology of acetabular osteophyte formation in patients with osteoarthritis.

Method

We evaluated 276 patients with hip complaints, using plain X-rays and CT scans.

Results

Of these patients, 57 underwent surgery. We developed a staging system for central osteophytes in hip osteoarthritis based on the radiographic and anatomical findings of our patients.

Conclusion

We recommend routine use of CT scans for patients scheduled for PTHA in order to assess the stage of osteophyte before surgery and, thus, reduce the risk of failure resulting from the interrupted acetabular landmarks.
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Metadata
Title
Double acetabular wall—a misleading point for hip arthroplasty: an anatomical, radiological, clinical study
Authors
Firooz Madadi
Hamed Yazdanshenas
Firoozeh Madadi
Shahrzad Bazargan-Hejazi
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2013
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1780-1

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