Is the tip of the greater trochanter a reliable reference for the rotation centre of the femoral head in total hip arthroplasty ?

被引:1
作者
Theivendran, Kanthan [1 ]
Hart, William J. [1 ]
机构
[1] New Cross Hosp, Wolverhampton, W Midlands, England
来源
ACTA ORTHOPAEDICA BELGICA | 2009年 / 75卷 / 04期
关键词
femoral head; greater trochanter; hip arthroplasty; leg length discrepancy; LIMB-LENGTH DISCREPANCY; LEG LENGTH; NERVE PALSY; REPLACEMENT; JOINT; INEQUALITY; MIGRATION;
D O I
暂无
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
A variety of techniques have been used to determine intra-operative leg length during total hip arthroplasty. One method often described is using the tip of greater trochanter as the reference for the rotation centre of the femoral head to align the femoral component. There is little in the literature to support this method of leg length restoration. We analysed standard anterior-posterior pelvic radiographs of 225 patients with osteoarthritis of the hip who were about to undergo total hip arthroplasty. The distance between the tip of the greater trochanter and the rotation centre of the femoral head was measured for the affected hip. The average location of the tip of greater trochanter is 3.4 mm proximal to the centre of the femoral head, with a range from 20 mm proximal to 10 nun distal to the femoral head centre. There is considerable variation in the anatomy of the proximal femur; however, with adequate pre-operative templating, the greater trochanter can be a helpful guide to determine the rotation centre of the femoral head of the femoral component and should be used with other conventional techniques to determine leg length intra-operatively.
引用
收藏
页码:472 / 476
页数:5
相关论文
共 50 条
[41]   Alumina-tantalum composite for femoral head applications in total hip arthroplasty [J].
Huang, T. S. ;
Rahaman, M. N. ;
Bal, B. S. .
MATERIALS SCIENCE & ENGINEERING C-MATERIALS FOR BIOLOGICAL APPLICATIONS, 2009, 29 (06) :1935-1941
[42]   Femoral Shortening in Total Hip Arthroplasty for High Developmental Dysplasia of the Hip [J].
Reikeras, Olav ;
Haaland, Jarl Erik ;
Lereim, Paul .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (07) :1949-1955
[43]   Restoration of femoral offset, rotation centers, limbs length equality of Chinese total hip arthroplasty patients [J].
Liu, Yu-ping ;
Hao, Yue-dong .
PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2014, 30 (01) :116-121
[44]   Using a calliper to restore the centre of the femoral head during total hip replacement [J].
Hill, J. C. ;
Archbold, H. A. P. ;
Diamond, O. J. ;
Orr, J. F. ;
Jaramaz, B. ;
Beverland, D. E. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (11) :1468-1474
[45]   Clinical efficacy of greater trochanter osteotomy with tension wire fixation in total hip arthroplasty for Crowe type IV developmental dysplasia of the hip [J].
Peng, Jinhui ;
Liu, Ziye ;
Ding, Zheru ;
Qian, Qirong ;
Wu, Yuli .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2024, 19 (01)
[46]   Routine Pathologic Examination of the Femoral Head in Total Hip Arthroplasty: A Survey Study of the American Association of Hip and Knee Surgeons [J].
Nandi, Sumon ;
Parvizi, Javad .
ARTHROPLASTY TODAY, 2023, 19
[47]   Restoration of the centre of rotation in primary total hip arthroplasty THE INFLUENCE OF ACETABULAR FLOOR DEPTH AND REAMING TECHNIQUE [J].
Meermans, G. ;
Van Doom, J. ;
Kats, J-J. .
BONE & JOINT JOURNAL, 2016, 98B (12) :1597-1603
[48]   Does Medial Overhang of the Greater Trochanter Influence Femoral Stem Position During Cemented Hip Arthroplasty? A Retrospective Radiological Review [J].
Bayley, Morgan ;
Cnudde, Peter ;
Adds, Phillip J. ;
Jones, Stephen ;
Williams, Rhodri L. .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (10)
[49]   Medial femoral head border is a reliable and reproducible reference for axis determination for femoral component of unicompartmental knee arthroplasty [J].
Hiranaka, T. ;
Pandit, H. ;
Gill, H. S. ;
Hida, Y. ;
Uemoto, H. ;
Doita, M. ;
Tsuji, M. ;
Murray, D. W. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2013, 21 (11) :2442-2446
[50]   Long-term results of short stem total hip arthroplasty in patients with osteonecrosis of the femoral head [J].
Suksathien, Yingyong ;
Suarjui, Jithayut ;
Tippimanchai, Thanut ;
Suksathien, Rachawan ;
Lajuntuk, Bankchart ;
Khamphaeng, Sirawitz .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2024, 145 (01)