Cargando…

Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table

BACKGROUND: Direct anterior approach total hip arthroplasty may be undertaken on a traction table, but the effects that patient positioning can have on axial pelvic tilt (aPT) are unknown. The aim of this study was to assess the degree of error from patient positioning on the traction table during a...

Descripción completa

Detalles Bibliográficos
Autores principales: Aichmair, A., Dominkus, M., Hofstaetter, J. G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7713149/
https://www.ncbi.nlm.nih.gov/pubmed/33272238
http://dx.doi.org/10.1186/s12891-020-03837-7
_version_ 1783618523308752896
author Aichmair, A.
Dominkus, M.
Hofstaetter, J. G.
author_facet Aichmair, A.
Dominkus, M.
Hofstaetter, J. G.
author_sort Aichmair, A.
collection PubMed
description BACKGROUND: Direct anterior approach total hip arthroplasty may be undertaken on a traction table, but the effects that patient positioning can have on axial pelvic tilt (aPT) are unknown. The aim of this study was to assess the degree of error from patient positioning on the traction table during anterior minimally-invasive surgery (AMIS) THA. METHODS: Patients were included who underwent direct anterior THA via the AMIS technique at a single institution between 11/2018 and 03/2019. Axial pelvic tilt was measured (a) in the supine position on the operating table, and (b) after positioning on the traction table, by the same consultant surgeon in all cases. RESULTS: In the above-mentioned study period, 50 patients (F: 32; M: 18) with an average age of 60.6 ± 13.6 (range: 26.5 to 88.3) years, and an average BMI of 27.2 ± 5.0 (range: 17.9 to 41.5) kg/m(2) met the inclusion criteria. When measured in supine position, the average aPT was − 0.2 ± 1.7 (range: − 5.6 to 3.8) degrees. After positioning on the traction table, the average aPT was − 3.5 ± 2.1 (− 8.5 to 1.6) degrees (p < 0.001). In patients with an aPT of more than 5 degrees, the caput-collum-diaphyseal (CCD) angle was significantly lower (125 ± 11° vs. 134 ± 8°, p = 0.007). CONCLUSION: This study raises awareness for the potential risk of aPT during positioning of the patient on the traction table, commonly used during direct anterior THA via the AMIS technique.
format Online
Article
Text
id pubmed-7713149
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-77131492020-12-03 Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table Aichmair, A. Dominkus, M. Hofstaetter, J. G. BMC Musculoskelet Disord Research Article BACKGROUND: Direct anterior approach total hip arthroplasty may be undertaken on a traction table, but the effects that patient positioning can have on axial pelvic tilt (aPT) are unknown. The aim of this study was to assess the degree of error from patient positioning on the traction table during anterior minimally-invasive surgery (AMIS) THA. METHODS: Patients were included who underwent direct anterior THA via the AMIS technique at a single institution between 11/2018 and 03/2019. Axial pelvic tilt was measured (a) in the supine position on the operating table, and (b) after positioning on the traction table, by the same consultant surgeon in all cases. RESULTS: In the above-mentioned study period, 50 patients (F: 32; M: 18) with an average age of 60.6 ± 13.6 (range: 26.5 to 88.3) years, and an average BMI of 27.2 ± 5.0 (range: 17.9 to 41.5) kg/m(2) met the inclusion criteria. When measured in supine position, the average aPT was − 0.2 ± 1.7 (range: − 5.6 to 3.8) degrees. After positioning on the traction table, the average aPT was − 3.5 ± 2.1 (− 8.5 to 1.6) degrees (p < 0.001). In patients with an aPT of more than 5 degrees, the caput-collum-diaphyseal (CCD) angle was significantly lower (125 ± 11° vs. 134 ± 8°, p = 0.007). CONCLUSION: This study raises awareness for the potential risk of aPT during positioning of the patient on the traction table, commonly used during direct anterior THA via the AMIS technique. BioMed Central 2020-12-03 /pmc/articles/PMC7713149/ /pubmed/33272238 http://dx.doi.org/10.1186/s12891-020-03837-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Aichmair, A.
Dominkus, M.
Hofstaetter, J. G.
Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title_full Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title_fullStr Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title_full_unstemmed Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title_short Axial pelvic tilt in direct anterior Total hip Arthroplasty using a traction table
title_sort axial pelvic tilt in direct anterior total hip arthroplasty using a traction table
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7713149/
https://www.ncbi.nlm.nih.gov/pubmed/33272238
http://dx.doi.org/10.1186/s12891-020-03837-7
work_keys_str_mv AT aichmaira axialpelvictiltindirectanteriortotalhiparthroplastyusingatractiontable
AT dominkusm axialpelvictiltindirectanteriortotalhiparthroplastyusingatractiontable
AT hofstaetterjg axialpelvictiltindirectanteriortotalhiparthroplastyusingatractiontable