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European Journal of Orthopaedic Surgery & Traumatology

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Open Access 01-07-2016 | Original Article • HIP - ARTHROPLASTY

Preoperative planning and postoperative evaluation of total hip arthroplasty that takes combined anteversion

Authors: Hiroshi Imai, Joji Miyawaki, Tomomi Kamada, Jun Takeba, Naohiko Mashima, Hiromasa Miura

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2016

Abstract

The purpose of this study was to investigate whether postoperative combined anteversion (CA) can be kept within the safe zone while using cementless total hip arthroplasty (THA) using the operative technique which prepares the socket first for developmental dysplasia of the hip (DDH), by estimating the anteversion of the metaphyseal fit stem using preoperative three-dimensional (3D) computerized planning and by adjusting the anteversion of the socket using a navigation system that considers CA. Our subjects were 65 patients (65 hips) that had undergone cementless THA for DDH that could be observed for 1 year or more. Clinical assessments were made using the Japanese Orthopaedic Association’s (JOA) hip score. For a radiological evaluation, we investigated 3D-planned stem versions, postoperative stem versions, preoperative and postoperative CA, and the relationship between CA and dislocation tendencies with temporary intraoperative reductions. JOA hip scores improved from 52.3 ± 11.4 points to 88.9 ± 8.6 points. CT evaluations revealed that 3D-planned stem versions were strongly correlated with postoperative stem versions (r = 0.80; p < 0.01). Preoperative CA was 50.5° ± 7.2°, and postoperative CA was 41.3° ± 8.6°. Postoperative CA was kept within the safe zone in 61 hips. No intraoperative dislocation tendencies were observed in any hips. By estimating the anteversion of the cementless metaphyseal fit stem using 3D planning preoperatively and adjusting the angle of anteversion of the socket using a navigation system that considers CA intraoperatively, postoperative CA can very frequently be kept within the safe zone, even with cementless THA using the operative technique which prepares the socket first for DDH.

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Title: Preoperative planning and postoperative evaluation of total hip arthroplasty that takes combined anteversion
Authors: Hiroshi Imai
Joji Miyawaki
Tomomi Kamada
Jun Takeba
Naohiko Mashima
Hiromasa Miura
Publication date: 01-07-2016
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2016
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-016-1777-8

ACC 2024 Congress

Springer Medicine

Preoperative planning and postoperative evaluation of total hip arthroplasty that takes combined anteversion

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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