دورية أكاديمية
أعرض في EDS

Functional assessment of component positioning in patients with groin pain after total hip arthroplasty as a tool to guide management.

التفاصيل البيبلوغرافية
العنوان: Functional assessment of component positioning in patients with groin pain after total hip arthroplasty as a tool to guide management.
المؤلفون: Waters GC; Orthopaedic Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia., Jones C; Orthopaedic Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia., D'Alessandro P; Orthopaedic Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia., Yates P; University of Western Australia, Fremantle Hospital and Health Service, Perth, WA, Australia.
المصدر: Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2024 May; Vol. 34 (3), pp. 336-343. Date of Electronic Publication: 2023 Oct 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: SAGE Publishing Country of Publication: United States NLM ID: 9200413 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6067 (Electronic) Linking ISSN: 11207000 NLM ISO Abbreviation: Hip Int Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Thousand Oaks, CA : SAGE Publishing
Original Publication: Milano, Italy : Wichtig, c1991-
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip*/adverse effects , Arthroplasty, Replacement, Hip*/methods , Groin* , Hip Prosthesis* , Pain, Postoperative*/etiology , Pain, Postoperative*/diagnosis , Reoperation*/methods , Acetabulum*/surgery , Acetabulum*/diagnostic imaging, Humans ; Male ; Female ; Aged ; Middle Aged ; Pain Measurement ; Retrospective Studies ; Tomography, X-Ray Computed ; Aged, 80 and over ; Adult ; Cohort Studies
مستخلص: Background: Persisting groin pain post total hip arthroplasty (THA) is a common and complex issue that can be difficult to diagnose and manage. Acetabular component positioning is often implicated.
Aims and Methods: We used a previously well described and validated functional positioning protocol to determine if functional acetabular malpositioning was a factor in groin pain post THA and hence to determine if acetabular revision would be indicated. We compared patient-specific functional acetabular positioning to traditional CT evaluation of cup position and assessment of anterior cup overhang.
Results: 39 patients with groin pain post-THA were investigated. Functional acetabular malpositioning was diagnosed in 31% (12/39). Revision THA was performed in those 12 patients, resulting in resolution of functional malpositioning (100%), with an overall accuracy of 5.6° (range 1-12), and resolution of groin pain in 67% (8/12). 33% (4/12) of the revised implants had functional positioning located outside the traditional "40/20 zone". Comparison with CT indicated that 40% (4/10) of implants with anterior overhang were well positioned, however only 50% (6/12) of functionally malpositioned implants had CT evidence of anterior cup prominence. Of the 8/12 revision patients who had resolution of their groin pain, only 1 had cup prominence.
Conclusions: This study suggests that the utilisation of a patient specific functional positioning algorithm in the analysis of persistent groin pain following THA can assist in identifying the underlying cause of pain and help to guide treatment. For a functionally malpositioned acetabulum, revision surgery offers a potential resolution of groin pain.
Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
فهرسة مساهمة: Keywords: Acetabular malpositioning; functional imaging; groin pain post hip arthroplasty; psoas impingement
تواريخ الأحداث: Date Created: 20231020 Date Completed: 20240506 Latest Revision: 20240506
رمز التحديث: 20240506
DOI: 10.1177/11207000231205843
PMID: 37861204
قاعدة البيانات: MEDLINE
الوصف
تدمد:1724-6067
DOI:10.1177/11207000231205843