Is Dislocation Risk due to Posterior Pelvic Tilt Reduced With Direct Anterior Approach Total Hip Arthroplasty?

Article Orthopedics

Can Dislocation Rates Be Decreased Using the Anterior Approach in Patients With Lumbar Spondylosis or Lumbar Instrumented Fusion?

Timothy L. Kahn et al.

Summary: The study showed that using an anterior surgical approach for total hip arthroplasty in patients with lumbar spondylosis or fusion can significantly reduce postoperative instability rates.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics

The Hip-Spine Relationship in Total Hip Arthroplasty: How to Execute the Plan

Abhinav K. Sharma et al.

Summary: Patients with spinopelvic pathology undergoing total hip arthroplasty (THA) require consideration for lumbar spinal stiffness and sagittal spinal deformity. By assessing patient-specific spinopelvic parameters, surgeons can optimize acetabular component positioning to minimize postoperative complications and improve outcomes.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics

Pelvic Tilt and the Pubic Symphysis to Sacrococcygeal Junction Distance: Risk Factors for Hip Dislocation Observed on Anteroposterior Pelvis Radiographs

William G. Rainer et al.

Summary: A study was conducted to investigate the effect of pelvic tilt on the risk of dislocation after total hip arthroplasty (THA) using a novel radiographic measurement. Patients who experienced dislocation had more posterior pelvic tilt and smaller PSCD compared to controls. Patients with a PSCD <0 had 9-fold odds of dislocation, highlighting the importance of evaluating pelvic tilt and PSCD for identifying increased risk of dislocation.

JOURNAL OF ARTHROPLASTY (2021)

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Article Orthopedics