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Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction

Objective: The aim of the study is to describe the morphology associated with the development of osteoarthritis (OA) in three different age groups. These data will contribute to defining the morphology associated with early and late hip OA. Methods: We studied 400 hips in 377 patients who had underg...

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Autores principales: Lamo-Espinosa, José M., Alfonso, Adrián, Pascual, Elena, García-Ausín, Jorge, Sánchez-Gordoa, Miguel, Blanco, Asier, Gómez-Álvarez, Jorge, San-Julián, Mikel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139807/
https://www.ncbi.nlm.nih.gov/pubmed/35626284
http://dx.doi.org/10.3390/diagnostics12051128
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author Lamo-Espinosa, José M.
Alfonso, Adrián
Pascual, Elena
García-Ausín, Jorge
Sánchez-Gordoa, Miguel
Blanco, Asier
Gómez-Álvarez, Jorge
San-Julián, Mikel
author_facet Lamo-Espinosa, José M.
Alfonso, Adrián
Pascual, Elena
García-Ausín, Jorge
Sánchez-Gordoa, Miguel
Blanco, Asier
Gómez-Álvarez, Jorge
San-Julián, Mikel
author_sort Lamo-Espinosa, José M.
collection PubMed
description Objective: The aim of the study is to describe the morphology associated with the development of osteoarthritis (OA) in three different age groups. These data will contribute to defining the morphology associated with early and late hip OA. Methods: We studied 400 hips in 377 patients who had undergone primary THA due to idiopathic OA. Three groups were compared: group 1 (n = 147), younger patients, aged up to 60 years; group 2 (n = 155), patients aged between 61 and 74 years; and group 3 (n = 98), aged 75 or over. Five independent researchers measured the hip angles and the mean values were used to build a database. Results: No differences between groups in sex distribution and BMI were detected. Less coverage of the head (extrusion index), higher Tönnis angle, lower Wiberg and alpha angles characterized early OA hips. These differences increased with age, being greater between group 2 and group 3 (p < 0.01). However, significant differences were still present in the comparison between group 1 and group 2 (p < 0.01)). No differences were detected between group 2 and group 3. Conclusion: Elevated acetabular angle, head extrusion and decreased Wiberg angle characterize hip osteoarthritis at younger ages and should be the focus of hip preservation surgery in terms of osteoarthritis prevention. Pincer-type FAI (higher Wiberg and lower Tönnis angle) and higher alpha angle (CAM) are correlated with the development of later OA. These results shed doubt on applying the hip preservation surgery concept in terms of osteoarthritis prevention in FAI, especially in Pincer-type FAI patients.
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spelling pubmed-91398072022-05-28 Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction Lamo-Espinosa, José M. Alfonso, Adrián Pascual, Elena García-Ausín, Jorge Sánchez-Gordoa, Miguel Blanco, Asier Gómez-Álvarez, Jorge San-Julián, Mikel Diagnostics (Basel) Article Objective: The aim of the study is to describe the morphology associated with the development of osteoarthritis (OA) in three different age groups. These data will contribute to defining the morphology associated with early and late hip OA. Methods: We studied 400 hips in 377 patients who had undergone primary THA due to idiopathic OA. Three groups were compared: group 1 (n = 147), younger patients, aged up to 60 years; group 2 (n = 155), patients aged between 61 and 74 years; and group 3 (n = 98), aged 75 or over. Five independent researchers measured the hip angles and the mean values were used to build a database. Results: No differences between groups in sex distribution and BMI were detected. Less coverage of the head (extrusion index), higher Tönnis angle, lower Wiberg and alpha angles characterized early OA hips. These differences increased with age, being greater between group 2 and group 3 (p < 0.01). However, significant differences were still present in the comparison between group 1 and group 2 (p < 0.01)). No differences were detected between group 2 and group 3. Conclusion: Elevated acetabular angle, head extrusion and decreased Wiberg angle characterize hip osteoarthritis at younger ages and should be the focus of hip preservation surgery in terms of osteoarthritis prevention. Pincer-type FAI (higher Wiberg and lower Tönnis angle) and higher alpha angle (CAM) are correlated with the development of later OA. These results shed doubt on applying the hip preservation surgery concept in terms of osteoarthritis prevention in FAI, especially in Pincer-type FAI patients. MDPI 2022-05-02 /pmc/articles/PMC9139807/ /pubmed/35626284 http://dx.doi.org/10.3390/diagnostics12051128 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lamo-Espinosa, José M.
Alfonso, Adrián
Pascual, Elena
García-Ausín, Jorge
Sánchez-Gordoa, Miguel
Blanco, Asier
Gómez-Álvarez, Jorge
San-Julián, Mikel
Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title_full Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title_fullStr Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title_full_unstemmed Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title_short Hip Preservation Surgery in Osteoarthritis Prevention: Potential Benefits of the Radiographic Angular Correction
title_sort hip preservation surgery in osteoarthritis prevention: potential benefits of the radiographic angular correction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139807/
https://www.ncbi.nlm.nih.gov/pubmed/35626284
http://dx.doi.org/10.3390/diagnostics12051128
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