Academic Journal
Spinopelvic characteristics normalize 1 year after total hip arthroplasty : a prospective, longitudinal, case-controlled study
| العنوان: | Spinopelvic characteristics normalize 1 year after total hip arthroplasty : a prospective, longitudinal, case-controlled study |
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| المؤلفون: | Innmann, Moritz M., Verhaegen, Jeroen, Reichel, Franz, Schaper, Bibiane, Merle, Christian, Grammatopoulos, George |
| المصدر: | 0021-9355 ; The journal of bone and joint surgery : American volume |
| سنة النشر: | 2022 |
| المجموعة: | IRUA - Institutional Repository van de Universiteit Antwerpen |
| مصطلحات موضوعية: | Human medicine |
| الوصف: | Background: The presence of hip osteoarthritis is associated with abnormal spinopelvic characteristics. This study aimed to determine whether the preoperative, pathological spinopelvic characteristics normalize at 1 year after total hip arthroplasty (THA). Methods: This was a prospective, longitudinal, case-control, matched cohort study. Forty-seven patients undergoing THA underwent preoperative and 1-year postoperative assessments. This group was matched with regard to age, sex, and body mass index with 47 controls (volunteers) with well-functioning hips. All participants underwent clinical and radiographic assessments including lateral radiographs in standing, relaxed-seated, and deep-flexed-seated positions. Spinopelvic characteristics included change in lumbar lordosis (Delta LL), change in pelvic tilt (Delta PT), and hip flexion (change in pelvic-femoral angle, Delta PFA) when moving from a standing position to either of the seated positions. Spinopelvic hypermobility was defined as Delta PT > 30 degrees between the standing and upright-seated positions. Results: Patients who underwent THA, compared with the control group, preoperatively demonstrated less mean change in hip flexion (Delta PFA, -54.8 degrees +/- 17.1 degrees compared with -68.5 degrees +/- 9.5 degrees; p < 0.001), greater mean change in pelvic tilt (Delta PT, 22.0 degrees +/- 13.5 degrees compared with 12.7 degrees +/- 8.1 degrees; p < 0.001), and greater mean lumbar movement (Delta LL, -22.7 degrees +/- 15.5 degrees compared with -15.4 degrees +/- 10.9 degrees; p = 0.015) transitioning from a standing position to an upright-seated position. After THA, these differences were no longer present between the THA group and the control group: the mean postoperative changes were -65.8 degrees +/- 12.5 degrees (p = 0.256) for Delta PFA, 14.3 degrees +/- 9.5 degrees (p = 0.429) for Delta PT, and -15.3 degrees +/- 10.6 degrees (p = 0.966) for Delta LL. The higher prevalence of spinopelvic hypermobility in the THA group compared with ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/isi/000783891900008 |
| الاتاحة: | https://hdl.handle.net/10067/1879850151162165141 https://repository.uantwerpen.be/docstore/d:irua:20920 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.89B604CD |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |