Range of Hip Joint Motion in Developmental Dysplasia of the Hip Patients Following Total Hip Arthroplasty With the Surgical Technique Using the Concept of Combined Anteversion: A Study of Crowe I and II Patients

被引:14
作者
Zhang, Jingwei [1 ]
Wei, Jianhe [2 ,3 ]
Mao, Yuanqing [1 ]
Li, Huiwu [1 ]
Xie, Youzhuan [1 ]
Zhu, Zhenan [1 ]
机构
[1] Shanghai Jiao Tong Univ, Shanghai Key Lab Orthopaed Implants, Dept Orthopaed Surg, Sch Med,Shanghai Peoples Hosp 9, Shanghai 200011, Peoples R China
[2] Shanghai Jiao Tong Univ, Sch Biomed Engn, Shanghai 200011, Peoples R China
[3] Minist Educ, Engn Res Ctr Digital Med & Clin Translat, Shanghai, Peoples R China
关键词
range of motion of the hip; combined anteversion technique; developmental dysplasia of the hip; total hip arthroplasty; optimal range of hip joint motion; CONGENITAL DISLOCATION; ACETABULAR COMPONENT; REPLACEMENT; FEMUR; ORIENTATION; MORPHOLOGY; ANATOMY; ADULTS;
D O I
10.1016/j.arth.2015.06.056
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
The combined anteversion surgical technique has been proposed and used in clinical practice. To more objectively evaluate the feasibility of this surgical technique using combined anteversion concept for DDH patients, we studied 34 DDH patients (40 hips) in this research. Every patient underwent pelvic CT scans before and after surgery and the HHSs were recorded. Optimal range of joint motion was measured using a three-dimensional reconstruction technique and a dynamic measurement technique. The results revealed that joint function met the requirements of daily life and the range of motion was not over-limited by impingement between the prosthesis and the skeleton. Moreover, the combined anteversion was found to be the most critical parameter in this study. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:2248 / 2255
页数:8
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