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Hip-lumbar mobility loss affects quality of life in patients undergoing both lumbar fusion and total hip arthroplasty.
Bone Joint J
January 2025
Department of Orthopaedics, Kyoto City Hospital, Kyoto, Japan.
Aims: Overall sagittal flexion is restricted in patients who have undergone both lumbar fusion and total hip arthroplasty (THA). However, it is not evident to what extent this movement is restricted in these patients and how this influences quality of life (QoL). The purpose of this study was to determine the extent to which hip-lumbar mobility is decreased in these patients, and how this affects their QoL score.
View Article and Find Full Text PDFChange in standing acetabular orientation 2 years postoperatively after surgical correction of adult spinal deformity.
Orthop Traumatol Surg Res
December 2024
Arts et Métiers ParisTech, 151 Boulevard de l'Hôpital, 75013 Paris, France.
Introduction: Although sagittal alignment is known to influence pelvic position, few studies accurately identify the relationship between sagittal alignment and acetabular orientation. We hypothesized that postoperative PT should be correlated with acetabular change in native hips after surgical correction of adult spinal deformity. The objective of this study was therefore to describe the correlation between the change in pelvic tilt and the change in acetabular orientation two years after surgical correction of adult spinal deformity.
View Article and Find Full Text PDFThe Journey of an Ankylosed Hip: A 20 Year Long-Term Follow-up of an Hip Arthrodesis using Cobra Plate - The Present Day Relevance.
J Orthop Case Rep
December 2024
Department of Orthopaedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Introduction: Hip fusion surgeries even though uncommon have shown good functional outcomes in patients and have its own advantages over arthroplasty.
Case Report: In this case report, we present a 62-year-old female, who underwent right hip arthrodesis using Cobra plate when she was 42 years, with a long-term 20 years follow-up, leading a functionally normal life, good patient satisfaction with acceptable quality of life.
Discussion: Although hip fusion can limit the patient's range of motion, it confers the advantage of better and stable fixation, pain relief, and advantage of future conversion to hip arthroplasty if done within accepted limits.
Spinopelvic alignment and precise cup placement in total hip arthroplasty - A systematic review.
J Orthop
February 2025
Meitra Hospital, Kozhikode, Kerala, 673005, India.
Article Synopsis
- The study conducted a systematic review and meta-analysis to consolidate literature on the biomechanical principles of the spine-pelvis-hip complex, particularly in the context of total hip arthroplasty (THA) for patients with and without spinal disorders.
- The research included articles that assessed various spinopelvic parameters in THA patients, analyzing data from 218 abstracts and resulting in the selection of 4 relevant studies with 439 participants.
- The findings indicated specific average values for sacral slope, ante inclination, and spinopelvic tilt in different positions, revealing proportional changes in these measures post-surgery.
Article Synopsis
- Hip arthroscopy is a newer procedure compared to total hip arthroplasty, leading to increased research on hip-spine syndrome in young adults and how hip health affects spine health and vice versa.
- Patients with spine issues may experience worse outcomes and increased spinal symptoms post-hip arthroscopy, but some may benefit from improved back symptoms after the procedure.
- A thorough assessment of a patient's spinal condition and symptoms is crucial before surgery to determine the likelihood of success, with certain factors like prior spinal surgery influencing outcomes significantly.
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