دورية أكاديمية
A Comparison of Radiographic Outcomes after Total Hip Arthroplasty between the Direct Lateral Approach and Posterior Lateral Approach with EOS 2D/3D X‐Ray Imaging System
| العنوان: | A Comparison of Radiographic Outcomes after Total Hip Arthroplasty between the Direct Lateral Approach and Posterior Lateral Approach with EOS 2D/3D X‐Ray Imaging System |
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| المؤلفون: | Rui Xie, Jun Huang, Qian Wu, Yu‐fan Qian, Dinghua Jiang, Lisong Li, Lixin Huang |
| المصدر: | Orthopaedic Surgery, Vol 15, Iss 5, Pp 1312-1324 (2023) |
| بيانات النشر: | Wiley, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Orthopedic surgery |
| مصطلحات موضوعية: | Anterior Pelvic Plane Inclination, Direct Lateral Approach, EOS Imaging System, Posterior Lateral Approach, Total Hip Arthroplasty, Orthopedic surgery, RD701-811 |
| الوصف: | Objective The classical approaches for total hip arthroplasty (THA) are the direct lateral approach (DLA) and posterior lateral approach (PLA). There are few studies comparing implant orientation with these two approaches, and the impact of surgical approaches on implant orientation remains controversial. With the rise of the EOS imaging system, we aimed to use it to identify the differences between and factors associated with implant orientation after THA using DLA and PLA. Methods In our department from January 2019 to December 2021, 321 primary unilateral THAs that used PLA and DLA were enrolled. A total of 201 patients who received PLA and 120 patients who received DLA were included in this study. Two blinded observers measured each case using EOS imaging data. Postoperative imaging metrics and other relevant influencing factors of the two surgical approaches were compared. Postoperative imaging metrics, including the anteversion and inclination of the cup, anteversion of the stem, and combined anteversion were measured based on EOS. Other relevant influencing factors included age, approach, gender, laterality, BMI, anterior pelvic plane inclination, femoral head diameter, femoral offset, lateral pelvic tilt, pelvic incidence, pelvis axial rotation, sacral slope, sagittal pelvic tilt, and surgery time. Multiple linear regression analyses were performed to identify the predictors of acceptability for each imaging data point. Results No dislocation was found in the 321 patients who underwent primary THA during this period. The mean anteversion and combined anteversion of the cups using the DLA were 21.33° ± 17.31° (−51.7°–60.8°) and 33.71° ± 20.85° (−38.8°–77.6°) and PLA were 25.34° ± 12.76° (−5.5°–57.0°) and 42.37° ± 18.85° (−8.7°–84.7°), respectively. The DLA group had smaller anteversion (p = 0.038) and combined anteversion (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1757-7861 1757-7853 |
| العلاقة: | https://doaj.org/toc/1757-7853Test; https://doaj.org/toc/1757-7861Test |
| DOI: | 10.1111/os.13726 |
| الوصول الحر: | https://doaj.org/article/50640c9abcdb4449845b378be5b3f1b0Test |
| رقم الانضمام: | edsdoj.50640c9abcdb4449845b378be5b3f1b0 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17577861 17577853 |
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| DOI: | 10.1111/os.13726 |