Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant?
Background: The purpose of this study was to evaluate the age-related change in pelvic sagittal inclination in the standing position after total hip arthroplasty (THA). This study hypothesized that the rate of progression of posterior tilt is not constant. Material and methods: We measured sacral sl...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122000917 |
| _version_ | 1811245221556518912 |
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| author | Katsura Kagawa, MD Takuya Nakamura, MD, PhD Takeshi Sasagawa, MD, PhD |
| author_facet | Katsura Kagawa, MD Takuya Nakamura, MD, PhD Takeshi Sasagawa, MD, PhD |
| author_sort | Katsura Kagawa, MD |
| collection | DOAJ |
| description | Background: The purpose of this study was to evaluate the age-related change in pelvic sagittal inclination in the standing position after total hip arthroplasty (THA). This study hypothesized that the rate of progression of posterior tilt is not constant. Material and methods: We measured sacral slope and pelvic tilt in 36 patients who were followed up for more than 10 years after unilateral primary THA. Results: The posterior pelvic tilt in the standing position progressed significantly in the first year after THA and then progressed slowly. However, there was a tendency to accelerate again for those older than 75 years. Posterior pelvic tilt tended to progress rapidly after surgery in patients with femoral neck fractures and subchondral fractures of the femoral head. Conclusions: In patients older than 75 years and those with fragility fractures, postoperative pelvic tilt in the standing position tends to be greater, suggesting that the use of a large head or dual mobility system should be considered. |
| first_indexed | 2024-04-12T14:36:39Z |
| format | Article |
| id | doaj.art-eb3df97614104528941d41cfd0791b28 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-12T14:36:39Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-eb3df97614104528941d41cfd0791b282022-12-22T03:29:04ZengElsevierArthroplasty Today2352-34412022-06-0115147152Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant?Katsura Kagawa, MD0Takuya Nakamura, MD, PhD1Takeshi Sasagawa, MD, PhD2Corresponding author. Katsura Kagawa, MD, Department of Orthopaedic Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama-shi, Toyama 930-8550, Japan. Tel.: +1 76 424 1531.; Department of Orthopaedic Surgery, Toyama Prefectural Central Hospital, Toyama, JapanDepartment of Orthopaedic Surgery, Toyama Prefectural Central Hospital, Toyama, JapanDepartment of Orthopaedic Surgery, Toyama Prefectural Central Hospital, Toyama, JapanBackground: The purpose of this study was to evaluate the age-related change in pelvic sagittal inclination in the standing position after total hip arthroplasty (THA). This study hypothesized that the rate of progression of posterior tilt is not constant. Material and methods: We measured sacral slope and pelvic tilt in 36 patients who were followed up for more than 10 years after unilateral primary THA. Results: The posterior pelvic tilt in the standing position progressed significantly in the first year after THA and then progressed slowly. However, there was a tendency to accelerate again for those older than 75 years. Posterior pelvic tilt tended to progress rapidly after surgery in patients with femoral neck fractures and subchondral fractures of the femoral head. Conclusions: In patients older than 75 years and those with fragility fractures, postoperative pelvic tilt in the standing position tends to be greater, suggesting that the use of a large head or dual mobility system should be considered.http://www.sciencedirect.com/science/article/pii/S2352344122000917Total hip arthroplastyPosterior pelvic tiltStanding positionRate of progressionSpinopelvic harmony |
| spellingShingle | Katsura Kagawa, MD Takuya Nakamura, MD, PhD Takeshi Sasagawa, MD, PhD Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? Arthroplasty Today Total hip arthroplasty Posterior pelvic tilt Standing position Rate of progression Spinopelvic harmony |
| title | Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? |
| title_full | Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? |
| title_fullStr | Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? |
| title_full_unstemmed | Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? |
| title_short | Is the Rate of Change in Posterior Pelvic Tilt After Total Hip Arthroplasty Constant? |
| title_sort | is the rate of change in posterior pelvic tilt after total hip arthroplasty constant |
| topic | Total hip arthroplasty Posterior pelvic tilt Standing position Rate of progression Spinopelvic harmony |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122000917 |
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