The Association of Sacro-Femoro-Pubic Angle and Postoperative Dislocation Following Total Hip Arthroplasty

被引:0
|
作者
Roy, Adam E. [1 ,5 ]
Carrier, Charles S. [1 ]
Schwab, Pierre-Emmanuel [2 ]
Thornhill, Thomas S. [2 ]
Losina, Elena [2 ,3 ,4 ]
Chen, Antonia F. [2 ,3 ]
Katz, Jeffrey N. [2 ,3 ,4 ]
Lange, Jeffrey K. [2 ,3 ]
机构
[1] Harvard Combined Orthopaed Residency Program, Boston, MA USA
[2] Brigham & Womens Hosp, Dept Orthopaed Surg, Boston, MA USA
[3] Harvard Med Sch, Boston, MA USA
[4] Brigham & Womens Hosp, Orthopaed & Arthrit Ctr Outcomes Res, Dept Orthopaed Surg, Boston, MA USA
[5] New England Baptist Hosp, 125 Parker Hill Ave, Boston, MA 02120 USA
来源
JOURNAL OF ARTHROPLASTY | 2023年 / 38卷 / 12期
关键词
total hip arthroplasty; spino-pelvic relationship; dislocation; pelvic tilt; radiographic analysis; UNITED-STATES; REVISION; SPINE; EPIDEMIOLOGY; RISK;
D O I
10.1016/j.arth.2023.05.074
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Spino-pelvic orientation may affect dislocation risk following total hip arthroplasty (THA). It can be measured on lateral lumbo-pelvic radiographs. The sacro-femoro-pubic (SFP) angle, measured on an antero-posterior (AP) pelvis radiograph, is a reliable proxy for pelvic tilt, a measurement of spino-pelvic orientation measured on a lateral lumbo-pelvic radiograph. The purpose of this study was to investigate the relationship between SFP angle and dislocation following THA. Methods: An Institutional Review Board-approved retrospective case-control study was conducted at a single academic center. We matched 71 dislocators (cases) to 71 nondislocators (controls) following THA performed by 1 of 10 surgeons between September 2001 and December 2010. Two authors (readers) independently calculated SFP angle from single preoperative AP pelvis radiographs. Readers were blin-ded to cases and controls. Conditional logistic regressions were used to identify factors differentiating cases and controls. Results: The data did not show a clinically relevant or statistically significant difference in SFP angles after adjusting for gender, American Society of Anesthesiologists classification, prosthetic head size, age at time of THA, measurement laterality, and surgeon. Conclusion: We did not find an association between preoperative SFP angle and dislocation following THA in our cohort. Based on our data, SFP angle as measured on a single AP pelvis radiograph should not be used to assess dislocation risk prior to THA.(c) 2023 Elsevier Inc. All rights reserved.
引用
收藏
页码:2630 / 2633
页数:4
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