Objectives: We evaluated the relationship between morphometric parameters such as height, weight, and body mass index with the development of the Trendelenburg gait following the Hardinge approach, which is one of the most commonly used approaches in total hip arthroplasty.
Methods: The study included 59 patients (43 women, 16 men; mean age 55 years; range 37 to 74 years) who underwent total hip arthroplasty via the Hardinge approach for primary coxarthrosis. The patients were examined postoperatively at 15 days, and at the end of the first and third months. The mean follow-up period was 24.3 months (range 12 to 37 months). The height, weight, and body mass index values of the patients with and without a positive Trendelenburg sign were compared.
Results: The Trendelenburg sign was positive in 19 patients (32.2%) following total hip arthroplasty with the Hardinge approach and persisted for a mean of 8.3 months (range 4-14 months). Patients with a positive Trendelenburg sign had a mean height of 157.4 cm (range 151 to 173 cm), mean weight of 82.5 kg (range 70 to 108 kg), and mean body mass index of 33.2 kg/m(2) (range 25.4 to 30.5 kg/m(2)). The corresponding figures in patients without a Trendelenburg sign were as follows: 166.3 cm (range 158 to 180 cm), 79.4 kg (range 72 to 94 kg), and 28.7 kg/m(2) (range 21.6 to 30.5 kg/m(2)). There was no significant difference between the two patient groups with respect to weight, but height and body mass index showed highly significant differences (p<0.0001).
Conclusion: Based on our finding that patients having a significantly shorter height and greater body mass index sustained Trendelenburg positivity for quite a long time, we recommend that these two factors be taken into consideration in the preoperative evaluation of patients for total hip arthroplasty with the Hardinge approach. Thus, the use of the Hardinge approach in total hip arthroplasty may not be convenient in short subjects having borderline obesity.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3944/AOTT.2010.2290 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[When should a gluteus medius tendon rupture be operated on ?].
Rev Med Suisse
December 2024
Service d'orthopédie et traumatologie de l'appareil moteur, Hôpitaux universitaires de Genève, 1211 Genève 14.
The gluteus medius allows hip abduction and stabilization of the pelvis when walking. A rupture of the gluteus medius tendon is associated with lateral hip pain, weakness, a positive Trendelenburg sign, and a limp. Diagnosis is confirmed by ultrasound or MRI.
View Article and Find Full Text PDFVariability and clinical anatomy of the superior gluteal nerve-A systematic review and meta-analysis.
J Anat
December 2024
International Evidence-Based Anatomy Working Group, Kraków, Poland.
The superior gluteal nerve (SGN) is a mixed nerve of the sacral plexus that arises from the posterior divisions of the L4, L5, and S1 nerve roots. Its motor branch plays a crucial role in innervation of hip muscles, which allows for physiological gait or walk-pattern. As for its sensory branch, it provides innervation for the hip joint capsule, especially its superior part.
View Article and Find Full Text PDFPost-operative short-term clinical evaluation of direct lateral (Harding) approach in primary total hip replacement.
J Pak Med Assoc
October 2024
Department of Surgery, Mustansiriyah University, Baghdad, Iraq.
Objective: To evaluate patients' functional outcomes after total hip arthroplasty through a direct lateral approach.
Methods: The prospective, observational, descriptive study was conducted at Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from May 2019 to June 2020, and comprised patients aged 28-81 years having advanced osteoarthritis and avascular necrosis who underwent cementless total hip arthroplasty. The patients were followed up for 6 months.
Surgical Outcomes of Total Hip Arthroplasty With Paavilainen Osteotomy in Patients Who Have High Developmental Hip Dislocation: Mean 4.4-Year Follow-Up.
J Arthroplasty
October 2024
Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan, PR China.
Article Synopsis
- - The study evaluated the use of Paavilainen osteotomy in combination with total hip arthroplasty (THA) for treating high developmental hip dislocation, focusing on effectiveness and risk factors for nonunion after the procedure.
- - A total of 44 patients were reviewed over an average follow-up of 4.4 years, showing significant improvement in hip function scores, with a 12% incidence of nonunion, which was linked to the length of contact between the osteotomy block and femoral cortex.
- - The research concluded that this combined surgical approach is effective and less complex than other methods for high-dislocation hip dysplasia, with a critical contact length of 2.15 cm identified as essential for
Vastus Lateralis Transfer for Reconstruction of Hip Abduction following Superior Gluteal Nerve Injury.
Plast Reconstr Surg Glob Open
September 2024
From the Department of Hand-, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, University of Tuebingen, Tuebingen, Germany.
A 71-year-old man who had hip abductor insufficiency due to a chronic injury to the right superior gluteal nerve injury after lipoma resection presented to our outpatient clinic 1.5 years postoperatively with persistent pain, atrophy of the gluteus medius muscle, and Trendelenburg sign with a corresponding limp. A magnetic resonance imaging scan and neurophysiological diagnostics confirmed a chronic lesion of the superior gluteal nerve with completed reinnervation and absent pathological spontaneous activity, excluding neurosurgical options to restore hip abduction.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!