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Effect of placement of acetabular prosthesis on hip joint function after THA

The good recovery of hip function after THA depends on reconstruction of acetabular prosthesis accurately. So we investigated the effect of acetabular prosthesis placement on hip joint function after THA and analyzed the clinical data of 432 patients with unilateral THA retrospectively . The patient...

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Autores principales: Fan, Guang, Xiang, Chuan, Li, Shuaijie, Gao, Zhenzhong, Liu, Xiaohu, He, Dongdong, Sun, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919440/
https://www.ncbi.nlm.nih.gov/pubmed/31804311
http://dx.doi.org/10.1097/MD.0000000000018055
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author Fan, Guang
Xiang, Chuan
Li, Shuaijie
Gao, Zhenzhong
Liu, Xiaohu
He, Dongdong
Sun, Jian
author_facet Fan, Guang
Xiang, Chuan
Li, Shuaijie
Gao, Zhenzhong
Liu, Xiaohu
He, Dongdong
Sun, Jian
author_sort Fan, Guang
collection PubMed
description The good recovery of hip function after THA depends on reconstruction of acetabular prosthesis accurately. So we investigated the effect of acetabular prosthesis placement on hip joint function after THA and analyzed the clinical data of 432 patients with unilateral THA retrospectively . The patients were followed-up to evaluate the Harris score and hip range of motion (ROM). The hip ROM, the Harris score and the good rate of Harris score were compared between different groups. Comparison of the good rate of Harris score showed that 85%∼100% group of the rotation center horizontal position ratio was higher than >100% group; 80%∼120% group of the rotation center vertical position ratio was higher than >160% group; and the 90%∼110% group and 110%∼130% group of femoral offset ratio were higher than 90% and >130% groups. Comparison of Harris score showed that 85%∼100% and 70%∼85% groups of rotation center horizontal position ratio were higher than 70% and >100% groups; 80%∼120% group of rotation center vertical position ratio was the highest; and 90%∼110% group and 110%∼130% group of femoral offset ratio were higher than >130% and 90% groups. Comparison of hip ROM showed that 85%∼100% and 70%∼85% groups of the rotation center horizontal position ratio were higher than 70% and >100% groups; 80%∼120% group of the rotation center vertical position ratio was the highest; and hip ROM from high to low are 90%∼110%, 110%∼130%, >130% and 90% groups of femoral offset ratio. These findings indicated that during the early follow-up period of THA, if the horizontal position of femoral head rotation center was reconstructed in 0.85 to 1 times of healthy side when compared with reconstruction >1 times of the healthy side and if the vertical position of femoral head rotation center was reconstructed in 0.8 to 1.2 times of the healthy side when compared with reconstruction in >1.6 times of the healthy side, better hip function recovery and optimal hip ROM were obtained. The optimal reconstruction range of femoral offset is 0.9 to 1.3 times of the healthy side.
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spelling pubmed-69194402020-01-23 Effect of placement of acetabular prosthesis on hip joint function after THA Fan, Guang Xiang, Chuan Li, Shuaijie Gao, Zhenzhong Liu, Xiaohu He, Dongdong Sun, Jian Medicine (Baltimore) 4900 The good recovery of hip function after THA depends on reconstruction of acetabular prosthesis accurately. So we investigated the effect of acetabular prosthesis placement on hip joint function after THA and analyzed the clinical data of 432 patients with unilateral THA retrospectively . The patients were followed-up to evaluate the Harris score and hip range of motion (ROM). The hip ROM, the Harris score and the good rate of Harris score were compared between different groups. Comparison of the good rate of Harris score showed that 85%∼100% group of the rotation center horizontal position ratio was higher than >100% group; 80%∼120% group of the rotation center vertical position ratio was higher than >160% group; and the 90%∼110% group and 110%∼130% group of femoral offset ratio were higher than 90% and >130% groups. Comparison of Harris score showed that 85%∼100% and 70%∼85% groups of rotation center horizontal position ratio were higher than 70% and >100% groups; 80%∼120% group of rotation center vertical position ratio was the highest; and 90%∼110% group and 110%∼130% group of femoral offset ratio were higher than >130% and 90% groups. Comparison of hip ROM showed that 85%∼100% and 70%∼85% groups of the rotation center horizontal position ratio were higher than 70% and >100% groups; 80%∼120% group of the rotation center vertical position ratio was the highest; and hip ROM from high to low are 90%∼110%, 110%∼130%, >130% and 90% groups of femoral offset ratio. These findings indicated that during the early follow-up period of THA, if the horizontal position of femoral head rotation center was reconstructed in 0.85 to 1 times of healthy side when compared with reconstruction >1 times of the healthy side and if the vertical position of femoral head rotation center was reconstructed in 0.8 to 1.2 times of the healthy side when compared with reconstruction in >1.6 times of the healthy side, better hip function recovery and optimal hip ROM were obtained. The optimal reconstruction range of femoral offset is 0.9 to 1.3 times of the healthy side. Wolters Kluwer Health 2019-12-10 /pmc/articles/PMC6919440/ /pubmed/31804311 http://dx.doi.org/10.1097/MD.0000000000018055 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 4900
Fan, Guang
Xiang, Chuan
Li, Shuaijie
Gao, Zhenzhong
Liu, Xiaohu
He, Dongdong
Sun, Jian
Effect of placement of acetabular prosthesis on hip joint function after THA
title Effect of placement of acetabular prosthesis on hip joint function after THA
title_full Effect of placement of acetabular prosthesis on hip joint function after THA
title_fullStr Effect of placement of acetabular prosthesis on hip joint function after THA
title_full_unstemmed Effect of placement of acetabular prosthesis on hip joint function after THA
title_short Effect of placement of acetabular prosthesis on hip joint function after THA
title_sort effect of placement of acetabular prosthesis on hip joint function after tha
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919440/
https://www.ncbi.nlm.nih.gov/pubmed/31804311
http://dx.doi.org/10.1097/MD.0000000000018055
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