Difference in Stem Alignment Between the Direct Anterior Approach and the Posterolateral Approach in Total Hip Arthroplasty

被引：71

作者：

Abe, Hirohito ^{[1
]}

Sakai, Takashi ^{[2
]}

Takao, Masaki ^{[2
]}

Nishii, Takashi ^{[1
]}

Nakamura, Nobuo ^{[3
]}

Sugano, Nobuhiko ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Orthopaed Med Engn, Suita, Osaka 5650871, Japan

[2] Osaka Univ, Grad Sch Med, Dept Orthopaed Surg, Suita, Osaka 5650871, Japan

[3] Kyowakai Hosp, Ctr Arthroplasty, Suita, Osaka, Japan

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 10期

关键词：

total hip arthroplasty; femoral component; anteversion; sagittal alignment; coronal alignment; MOTION; RANGE; ASSOCIATION; IMPINGEMENT; ANTEVERSION; ORIENTATION; DISLOCATION; COMPONENTS; SYSTEM; FEMUR;

D O I：

10.1016/j.arth.2015.04.026

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：

100224 [整形外科学];

摘要：

The purpose of this study was to investigate the effects of different surgical approaches, the posterolateral approach (PLA) and the direct anterior approach (DAA), on postoperative femoral anteversion and stem coronal and sagittal alignment in total hip arthroplasty (THA), and to identify the factors related to postoperative femoral anteversion and stem alignment. A total of 209 hips of 181 patients were evaluated. THA was performed through the PLA in 80 hips and through the DAA in 129 hips. Femoral anteversion and stem alignment were measured on postoperative computed tomography images. The factor related to postoperative anteversion change was pre-operative femoral anteversion, and the surgical approaches did not affect the postoperative anteversion change, while surgical approach did have an effect on stem sagittal alignment. (c) 2015 Elsevier Inc. All rights reserved.

引用

页码：1761 / 1766

页数：6

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