Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip
Background: Hip osteoarthritis is associated with an aging population with the average total hip arthroplasty patient in the U.S. approximately 65 years of age. Although there is an association between femoroacetabular impingement and early arthritis, there is a paucity of data attributed to variati...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124000074 |
| _version_ | 1827304329770434560 |
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| author | Arash Rezaei, MD, PhD Stojanovic Michael, MD Ahmed Eldib, MD Lalit Puri, MD |
| author_facet | Arash Rezaei, MD, PhD Stojanovic Michael, MD Ahmed Eldib, MD Lalit Puri, MD |
| author_sort | Arash Rezaei, MD, PhD |
| collection | DOAJ |
| description | Background: Hip osteoarthritis is associated with an aging population with the average total hip arthroplasty patient in the U.S. approximately 65 years of age. Although there is an association between femoroacetabular impingement and early arthritis, there is a paucity of data attributed to variation in native acetabular version and early onset osteoarthritis. We investigated that whether patients with relative acetabular retroversion are predisposed to earlier hip osteoarthritis. Methods: Five hundred sixteen charts of patients undergoing THA by a single surgeon between March 2018 and May 2022 were reviewed (221 male and 295 female subjects; mean age 66.7 years [standard deviation (SD) 9.8]). Patients with advanced dysplasia, who are post-traumatic, septic, have inflammatory arthritis, and osteonecrosis were excluded. Operative hip anteversion was measured using three-dimensional computed tomography. A univariate analysis was used to correlate the age of male and female subjects with anteversion angles of ≤15° and >15°. The effect of age and gender on version angle was studied using a multivariate linear regression model. Results: In patients with anteversion ≤15°, both male (P = .006) and female subjects (P = .015) presented at significantly lesser age (male: 98, avg. age: 63.7, SD: 8.7; female: 62, avg. age: 64.8, SD: 9.8) than those with anteversion >15° (male: 123, avg. age: 67.2, SD: 10.2; female: 233, avg. age: 68.2, SD: 9.8). Male subjects had lower anteversion than female subjects with age held constant (P < .001), and older patients had increased anteversion with gender held constant (P < .001). Conclusions: This study suggests that patients with a relatively decreased version angle (≤15°) are more likely to present with earlier-onset symptomatic hip osteoarthritis. |
| first_indexed | 2024-03-07T14:28:56Z |
| format | Article |
| id | doaj.art-4d02bd8ce66f41b88485794efa11d713 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-24T17:28:05Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-4d02bd8ce66f41b88485794efa11d7132024-03-28T06:38:09ZengElsevierArthroplasty Today2352-34412024-04-0126101322Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the HipArash Rezaei, MD, PhD0Stojanovic Michael, MD1Ahmed Eldib, MD2Lalit Puri, MD3Department of Orthopedic Surgery, University of Illinois – Chicago, Chicago, IL, USADepartment of Orthopaedic Surgery, NorthShore Orthopaedic & Spine Institute, Skokie, IL, USADepartment of Orthopaedic Surgery, NorthShore Orthopaedic & Spine Institute, Skokie, IL, USADepartment of Orthopaedic Surgery, NorthShore Orthopaedic & Spine Institute, Skokie, IL, USABackground: Hip osteoarthritis is associated with an aging population with the average total hip arthroplasty patient in the U.S. approximately 65 years of age. Although there is an association between femoroacetabular impingement and early arthritis, there is a paucity of data attributed to variation in native acetabular version and early onset osteoarthritis. We investigated that whether patients with relative acetabular retroversion are predisposed to earlier hip osteoarthritis. Methods: Five hundred sixteen charts of patients undergoing THA by a single surgeon between March 2018 and May 2022 were reviewed (221 male and 295 female subjects; mean age 66.7 years [standard deviation (SD) 9.8]). Patients with advanced dysplasia, who are post-traumatic, septic, have inflammatory arthritis, and osteonecrosis were excluded. Operative hip anteversion was measured using three-dimensional computed tomography. A univariate analysis was used to correlate the age of male and female subjects with anteversion angles of ≤15° and >15°. The effect of age and gender on version angle was studied using a multivariate linear regression model. Results: In patients with anteversion ≤15°, both male (P = .006) and female subjects (P = .015) presented at significantly lesser age (male: 98, avg. age: 63.7, SD: 8.7; female: 62, avg. age: 64.8, SD: 9.8) than those with anteversion >15° (male: 123, avg. age: 67.2, SD: 10.2; female: 233, avg. age: 68.2, SD: 9.8). Male subjects had lower anteversion than female subjects with age held constant (P < .001), and older patients had increased anteversion with gender held constant (P < .001). Conclusions: This study suggests that patients with a relatively decreased version angle (≤15°) are more likely to present with earlier-onset symptomatic hip osteoarthritis.http://www.sciencedirect.com/science/article/pii/S2352344124000074Acetabular retroversionAcetabular anteversionHip osteoarthritisTotal hip arthroplasty |
| spellingShingle | Arash Rezaei, MD, PhD Stojanovic Michael, MD Ahmed Eldib, MD Lalit Puri, MD Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip Arthroplasty Today Acetabular retroversion Acetabular anteversion Hip osteoarthritis Total hip arthroplasty |
| title | Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip |
| title_full | Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip |
| title_fullStr | Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip |
| title_full_unstemmed | Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip |
| title_short | Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip |
| title_sort | relative acetabular retroversion and its association with earlier onset symptomatic osteoarthritis of the hip |
| topic | Acetabular retroversion Acetabular anteversion Hip osteoarthritis Total hip arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124000074 |
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