Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty
BackgroundLimb length discrepancy (LLD) is one of the most common postoperative complications and can cause serious consequences. Poor recovery of femoral offset (OD) will result in weakness of the patient's external rotator muscles and affect the patient's postoperative function. The stud...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-03-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.845364/full |
| _version_ | 1818491031601020928 |
|---|---|
| author | Xing Chen Shuxing Xing Zhiyong Zhu Huisheng Wang Zhongshen Yu Xizhuang Bai Xi Li |
| author_facet | Xing Chen Shuxing Xing Zhiyong Zhu Huisheng Wang Zhongshen Yu Xizhuang Bai Xi Li |
| author_sort | Xing Chen |
| collection | DOAJ |
| description | BackgroundLimb length discrepancy (LLD) is one of the most common postoperative complications and can cause serious consequences. Poor recovery of femoral offset (OD) will result in weakness of the patient's external rotator muscles and affect the patient's postoperative function. The study is aimed to present a simple approach that compensates for the shortcomings of previous measuring devices and combines the advantages of different measuring devices to provide more accurate limb length and femoral offset restoration in total hip arthroplasty (THA).MethodsThis study was a prospective controlled trial involving 89 patients with THA. Group I (n = 44) was used for intraoperative measurement of THA with our self-designed horizontal calibrator. Group II (n = 45) was measured by a traditional freehand technique. The main outcome indicators were measured on the Neusoft PACS, including LLD, femoral offset deviation, and operative time. IBM SPSS 23.0 was used for data analysis.ResultsThe independent sample t-test was performed for all the data. The operative time, preoperative radiographic LLD, and OD of Group I and Group II had no statistical significance. Postoperative LLD of Group I and Group II were 2.5 ± 2.1 mm (range −5.7 to 8.3 mm) and 6.2 ± 4.3 mm (range −18.0 to 15.2 mm), and the independent sample t-test data of both (P < 0.001; 95% CI = −5.1, −2.2) showed statistical significance. In Group I, there were 38 THAs with LLD <5 mm, accounting for 86% and there were 44 THAs with LLD <10 mm, accounting for 100%. In Group II, there were 20 THAs with LLD <5 mm, accounting for 44%. There were 36 THAs with LLD <10 mm, covering for 80%. There was no significant difference in postoperative femoral offset and OD.ConclusionThe horizontal calibrator can provide more accurate limb length and femoral offset recovery in THA. It is a simple surgical technique that does not add additionally surgical costs and does not significantly increase operative time, providing a new solution for surgeons to resolve postoperative LLD and restore femoral offset. |
| first_indexed | 2024-12-10T17:24:52Z |
| format | Article |
| id | doaj.art-bf85a1f59e8a4b28be704bafc8e69b8d |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-10T17:24:52Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-bf85a1f59e8a4b28be704bafc8e69b8d2022-12-22T01:39:52ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-03-01910.3389/fsurg.2022.845364845364Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip ArthroplastyXing Chen0Shuxing Xing1Zhiyong Zhu2Huisheng Wang3Zhongshen Yu4Xizhuang Bai5Xi Li6Department of Orthopedic Surgery, Chengdu Fifth People's Hospital, The Fifth People's Hospital of Chengdu University of TCM, Chengdu, ChinaDepartment of Orthopedic Surgery, Chengdu Fifth People's Hospital, The Fifth People's Hospital of Chengdu University of TCM, Chengdu, ChinaDepartment of Orthopedics and Sports Medicine and Joint Surgery, Liaoning Provincial People's Hospital, People's Hospital of China Medical University, Shenyang, ChinaDepartment of Orthopedics and Sports Medicine and Joint Surgery, Liaoning Provincial People's Hospital, People's Hospital of China Medical University, Shenyang, ChinaDepartment of Orthopedics and Sports Medicine and Joint Surgery, Liaoning Provincial People's Hospital, People's Hospital of China Medical University, Shenyang, ChinaDepartment of Orthopedics and Sports Medicine and Joint Surgery, Liaoning Provincial People's Hospital, People's Hospital of China Medical University, Shenyang, ChinaDepartment of Orthopedics and Sports Medicine and Joint Surgery, Liaoning Provincial People's Hospital, People's Hospital of China Medical University, Shenyang, ChinaBackgroundLimb length discrepancy (LLD) is one of the most common postoperative complications and can cause serious consequences. Poor recovery of femoral offset (OD) will result in weakness of the patient's external rotator muscles and affect the patient's postoperative function. The study is aimed to present a simple approach that compensates for the shortcomings of previous measuring devices and combines the advantages of different measuring devices to provide more accurate limb length and femoral offset restoration in total hip arthroplasty (THA).MethodsThis study was a prospective controlled trial involving 89 patients with THA. Group I (n = 44) was used for intraoperative measurement of THA with our self-designed horizontal calibrator. Group II (n = 45) was measured by a traditional freehand technique. The main outcome indicators were measured on the Neusoft PACS, including LLD, femoral offset deviation, and operative time. IBM SPSS 23.0 was used for data analysis.ResultsThe independent sample t-test was performed for all the data. The operative time, preoperative radiographic LLD, and OD of Group I and Group II had no statistical significance. Postoperative LLD of Group I and Group II were 2.5 ± 2.1 mm (range −5.7 to 8.3 mm) and 6.2 ± 4.3 mm (range −18.0 to 15.2 mm), and the independent sample t-test data of both (P < 0.001; 95% CI = −5.1, −2.2) showed statistical significance. In Group I, there were 38 THAs with LLD <5 mm, accounting for 86% and there were 44 THAs with LLD <10 mm, accounting for 100%. In Group II, there were 20 THAs with LLD <5 mm, accounting for 44%. There were 36 THAs with LLD <10 mm, covering for 80%. There was no significant difference in postoperative femoral offset and OD.ConclusionThe horizontal calibrator can provide more accurate limb length and femoral offset recovery in THA. It is a simple surgical technique that does not add additionally surgical costs and does not significantly increase operative time, providing a new solution for surgeons to resolve postoperative LLD and restore femoral offset.https://www.frontiersin.org/articles/10.3389/fsurg.2022.845364/fullhip arthroplastyleg length discrepancyoffsetintraoperativecalibrator |
| spellingShingle | Xing Chen Shuxing Xing Zhiyong Zhu Huisheng Wang Zhongshen Yu Xizhuang Bai Xi Li Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty Frontiers in Surgery hip arthroplasty leg length discrepancy offset intraoperative calibrator |
| title | Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty |
| title_full | Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty |
| title_fullStr | Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty |
| title_full_unstemmed | Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty |
| title_short | Accuracy of the Horizontal Calibrator in Correcting Leg Length and Restoring Femoral Offset in Total Hip Arthroplasty |
| title_sort | accuracy of the horizontal calibrator in correcting leg length and restoring femoral offset in total hip arthroplasty |
| topic | hip arthroplasty leg length discrepancy offset intraoperative calibrator |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.845364/full |
| work_keys_str_mv | AT xingchen accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT shuxingxing accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT zhiyongzhu accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT huishengwang accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT zhongshenyu accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT xizhuangbai accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty AT xili accuracyofthehorizontalcalibratorincorrectingleglengthandrestoringfemoraloffsetintotalhiparthroplasty |