Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty
Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Innmann, Moritz Maximilian - 1985- [verfasserIn] Maier, Michael Wolfgang - 1979- [verfasserIn] Streit, Marcus R. - 1982- [verfasserIn] Bruckner, Thomas - 1956- [verfasserIn] Gotterbarm, Tobias - 1973- [verfasserIn] Merle, Christian - 1979- [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Anmerkung: |
Online 12 August 2017 Gesehen am 20.11.2018 |
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| Umfang: |
6 |
| Übergeordnetes Werk: |
Enthalten in: The journal of arthroplasty - Orlando, Fla. : Churchill Livingstone, 1986, 33(2018), 1, Seite 156-161 |
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| Übergeordnetes Werk: |
volume:33 ; year:2018 ; number:1 ; pages:156-161 ; extent:6 |
| Links: |
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| DOI / URN: |
10.1016/j.arth.2017.08.007 |
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| Katalog-ID: |
1583864865 |
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| 245 | 1 | 0 | |a Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty |c Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle |
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| 520 | |a Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. | ||
| 650 | 4 | |a anatomy | |
| 650 | 4 | |a Diagnostic level III | |
| 650 | 4 | |a geometry | |
| 650 | 4 | |a limb length | |
| 650 | 4 | |a offset | |
| 650 | 4 | |a reconstruction | |
| 650 | 4 | |a total hip arthroplasty | |
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10.1016/j.arth.2017.08.007 doi (DE-627)1583864865 (DE-576)513864865 (DE-599)BSZ513864865 (OCoLC)1341023581 DE-627 ger DE-627 rda eng Innmann, Moritz Maximilian 1985- verfasserin (DE-588)1066499470 (DE-627)817645535 (DE-576)426014391 aut Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle 2018 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Online 12 August 2017 Gesehen am 20.11.2018 Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. anatomy Diagnostic level III geometry limb length offset reconstruction total hip arthroplasty Maier, Michael Wolfgang 1979- verfasserin (DE-588)13785031X (DE-627)596148321 (DE-576)304913324 aut Streit, Marcus R. 1982- verfasserin (DE-588)1044249943 (DE-627)77170867X (DE-576)396814131 aut Bruckner, Thomas 1956- verfasserin (DE-588)136046215 (DE-627)574429298 (DE-576)300798768 aut Gotterbarm, Tobias 1973- verfasserin (DE-588)129590975 (DE-627)473363879 (DE-576)188550968 aut Merle, Christian 1979- verfasserin (DE-588)139524541 (DE-627)61181465X (DE-576)312148577 aut Enthalten in The journal of arthroplasty Orlando, Fla. : Churchill Livingstone, 1986 33(2018), 1, Seite 156-161 Online-Ressource (DE-627)326645411 (DE-600)2041553-9 (DE-576)104194421 1532-8406 nnns volume:33 year:2018 number:1 pages:156-161 extent:6 http://dx.doi.org/10.1016/j.arth.2017.08.007 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S0883540317306964 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 33 2018 1 156-161 6 2013 01 DE-16-250 3032729459 00 --%%-- --%%-- --%%-- --%%-- l01 20-11-18 2013 01 DE-16-250 00 s hd2018 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_7 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)1503807622 Innmann, Moritz Maximilian 2013 01 DE-16-250 04 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1494869853 Maier, Michael Wolfgang 2013 01 DE-16-250 05 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_2 2013 01 DE-16-250 06 p (DE-627)1486335942 Streit, Marcus R. 2013 01 DE-16-250 06 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_3 2013 01 DE-16-250 07 p (DE-627)144822702X Bruckner, Thomas 2013 01 DE-16-250 07 k (DE-627)1416741593 Institut für Medizinische Biometrie und Informatik 2013 01 DE-16-250 07 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 07 s pos_5 2013 01 DE-16-250 08 p (DE-627)1486336175 Gotterbarm, Tobias 2013 01 DE-16-250 08 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 08 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 08 s pos_6 2013 01 DE-16-250 09 p (DE-627)1486334776 Merle, Christian 2013 01 DE-16-250 09 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 09 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 09 s pos_7 |
| spelling |
10.1016/j.arth.2017.08.007 doi (DE-627)1583864865 (DE-576)513864865 (DE-599)BSZ513864865 (OCoLC)1341023581 DE-627 ger DE-627 rda eng Innmann, Moritz Maximilian 1985- verfasserin (DE-588)1066499470 (DE-627)817645535 (DE-576)426014391 aut Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle 2018 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Online 12 August 2017 Gesehen am 20.11.2018 Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. anatomy Diagnostic level III geometry limb length offset reconstruction total hip arthroplasty Maier, Michael Wolfgang 1979- verfasserin (DE-588)13785031X (DE-627)596148321 (DE-576)304913324 aut Streit, Marcus R. 1982- verfasserin (DE-588)1044249943 (DE-627)77170867X (DE-576)396814131 aut Bruckner, Thomas 1956- verfasserin (DE-588)136046215 (DE-627)574429298 (DE-576)300798768 aut Gotterbarm, Tobias 1973- verfasserin (DE-588)129590975 (DE-627)473363879 (DE-576)188550968 aut Merle, Christian 1979- verfasserin (DE-588)139524541 (DE-627)61181465X (DE-576)312148577 aut Enthalten in The journal of arthroplasty Orlando, Fla. : Churchill Livingstone, 1986 33(2018), 1, Seite 156-161 Online-Ressource (DE-627)326645411 (DE-600)2041553-9 (DE-576)104194421 1532-8406 nnns volume:33 year:2018 number:1 pages:156-161 extent:6 http://dx.doi.org/10.1016/j.arth.2017.08.007 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S0883540317306964 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 33 2018 1 156-161 6 2013 01 DE-16-250 3032729459 00 --%%-- --%%-- --%%-- --%%-- l01 20-11-18 2013 01 DE-16-250 00 s hd2018 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_7 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)1503807622 Innmann, Moritz Maximilian 2013 01 DE-16-250 04 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1494869853 Maier, Michael Wolfgang 2013 01 DE-16-250 05 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_2 2013 01 DE-16-250 06 p (DE-627)1486335942 Streit, Marcus R. 2013 01 DE-16-250 06 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_3 2013 01 DE-16-250 07 p (DE-627)144822702X Bruckner, Thomas 2013 01 DE-16-250 07 k (DE-627)1416741593 Institut für Medizinische Biometrie und Informatik 2013 01 DE-16-250 07 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 07 s pos_5 2013 01 DE-16-250 08 p (DE-627)1486336175 Gotterbarm, Tobias 2013 01 DE-16-250 08 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 08 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 08 s pos_6 2013 01 DE-16-250 09 p (DE-627)1486334776 Merle, Christian 2013 01 DE-16-250 09 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 09 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 09 s pos_7 |
| allfields_unstemmed |
10.1016/j.arth.2017.08.007 doi (DE-627)1583864865 (DE-576)513864865 (DE-599)BSZ513864865 (OCoLC)1341023581 DE-627 ger DE-627 rda eng Innmann, Moritz Maximilian 1985- verfasserin (DE-588)1066499470 (DE-627)817645535 (DE-576)426014391 aut Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle 2018 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Online 12 August 2017 Gesehen am 20.11.2018 Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. anatomy Diagnostic level III geometry limb length offset reconstruction total hip arthroplasty Maier, Michael Wolfgang 1979- verfasserin (DE-588)13785031X (DE-627)596148321 (DE-576)304913324 aut Streit, Marcus R. 1982- verfasserin (DE-588)1044249943 (DE-627)77170867X (DE-576)396814131 aut Bruckner, Thomas 1956- verfasserin (DE-588)136046215 (DE-627)574429298 (DE-576)300798768 aut Gotterbarm, Tobias 1973- verfasserin (DE-588)129590975 (DE-627)473363879 (DE-576)188550968 aut Merle, Christian 1979- verfasserin (DE-588)139524541 (DE-627)61181465X (DE-576)312148577 aut Enthalten in The journal of arthroplasty Orlando, Fla. : Churchill Livingstone, 1986 33(2018), 1, Seite 156-161 Online-Ressource (DE-627)326645411 (DE-600)2041553-9 (DE-576)104194421 1532-8406 nnns volume:33 year:2018 number:1 pages:156-161 extent:6 http://dx.doi.org/10.1016/j.arth.2017.08.007 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S0883540317306964 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 33 2018 1 156-161 6 2013 01 DE-16-250 3032729459 00 --%%-- --%%-- --%%-- --%%-- l01 20-11-18 2013 01 DE-16-250 00 s hd2018 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_7 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)1503807622 Innmann, Moritz Maximilian 2013 01 DE-16-250 04 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1494869853 Maier, Michael Wolfgang 2013 01 DE-16-250 05 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_2 2013 01 DE-16-250 06 p (DE-627)1486335942 Streit, Marcus R. 2013 01 DE-16-250 06 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_3 2013 01 DE-16-250 07 p (DE-627)144822702X Bruckner, Thomas 2013 01 DE-16-250 07 k (DE-627)1416741593 Institut für Medizinische Biometrie und Informatik 2013 01 DE-16-250 07 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 07 s pos_5 2013 01 DE-16-250 08 p (DE-627)1486336175 Gotterbarm, Tobias 2013 01 DE-16-250 08 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 08 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 08 s pos_6 2013 01 DE-16-250 09 p (DE-627)1486334776 Merle, Christian 2013 01 DE-16-250 09 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 09 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 09 s pos_7 |
| allfieldsGer |
10.1016/j.arth.2017.08.007 doi (DE-627)1583864865 (DE-576)513864865 (DE-599)BSZ513864865 (OCoLC)1341023581 DE-627 ger DE-627 rda eng Innmann, Moritz Maximilian 1985- verfasserin (DE-588)1066499470 (DE-627)817645535 (DE-576)426014391 aut Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle 2018 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Online 12 August 2017 Gesehen am 20.11.2018 Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. anatomy Diagnostic level III geometry limb length offset reconstruction total hip arthroplasty Maier, Michael Wolfgang 1979- verfasserin (DE-588)13785031X (DE-627)596148321 (DE-576)304913324 aut Streit, Marcus R. 1982- verfasserin (DE-588)1044249943 (DE-627)77170867X (DE-576)396814131 aut Bruckner, Thomas 1956- verfasserin (DE-588)136046215 (DE-627)574429298 (DE-576)300798768 aut Gotterbarm, Tobias 1973- verfasserin (DE-588)129590975 (DE-627)473363879 (DE-576)188550968 aut Merle, Christian 1979- verfasserin (DE-588)139524541 (DE-627)61181465X (DE-576)312148577 aut Enthalten in The journal of arthroplasty Orlando, Fla. : Churchill Livingstone, 1986 33(2018), 1, Seite 156-161 Online-Ressource (DE-627)326645411 (DE-600)2041553-9 (DE-576)104194421 1532-8406 nnns volume:33 year:2018 number:1 pages:156-161 extent:6 http://dx.doi.org/10.1016/j.arth.2017.08.007 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S0883540317306964 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 33 2018 1 156-161 6 2013 01 DE-16-250 3032729459 00 --%%-- --%%-- --%%-- --%%-- l01 20-11-18 2013 01 DE-16-250 00 s hd2018 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_7 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)1503807622 Innmann, Moritz Maximilian 2013 01 DE-16-250 04 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1494869853 Maier, Michael Wolfgang 2013 01 DE-16-250 05 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_2 2013 01 DE-16-250 06 p (DE-627)1486335942 Streit, Marcus R. 2013 01 DE-16-250 06 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_3 2013 01 DE-16-250 07 p (DE-627)144822702X Bruckner, Thomas 2013 01 DE-16-250 07 k (DE-627)1416741593 Institut für Medizinische Biometrie und Informatik 2013 01 DE-16-250 07 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 07 s pos_5 2013 01 DE-16-250 08 p (DE-627)1486336175 Gotterbarm, Tobias 2013 01 DE-16-250 08 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 08 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 08 s pos_6 2013 01 DE-16-250 09 p (DE-627)1486334776 Merle, Christian 2013 01 DE-16-250 09 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 09 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 09 s pos_7 |
| allfieldsSound |
10.1016/j.arth.2017.08.007 doi (DE-627)1583864865 (DE-576)513864865 (DE-599)BSZ513864865 (OCoLC)1341023581 DE-627 ger DE-627 rda eng Innmann, Moritz Maximilian 1985- verfasserin (DE-588)1066499470 (DE-627)817645535 (DE-576)426014391 aut Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle 2018 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Online 12 August 2017 Gesehen am 20.11.2018 Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. anatomy Diagnostic level III geometry limb length offset reconstruction total hip arthroplasty Maier, Michael Wolfgang 1979- verfasserin (DE-588)13785031X (DE-627)596148321 (DE-576)304913324 aut Streit, Marcus R. 1982- verfasserin (DE-588)1044249943 (DE-627)77170867X (DE-576)396814131 aut Bruckner, Thomas 1956- verfasserin (DE-588)136046215 (DE-627)574429298 (DE-576)300798768 aut Gotterbarm, Tobias 1973- verfasserin (DE-588)129590975 (DE-627)473363879 (DE-576)188550968 aut Merle, Christian 1979- verfasserin (DE-588)139524541 (DE-627)61181465X (DE-576)312148577 aut Enthalten in The journal of arthroplasty Orlando, Fla. : Churchill Livingstone, 1986 33(2018), 1, Seite 156-161 Online-Ressource (DE-627)326645411 (DE-600)2041553-9 (DE-576)104194421 1532-8406 nnns volume:33 year:2018 number:1 pages:156-161 extent:6 http://dx.doi.org/10.1016/j.arth.2017.08.007 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S0883540317306964 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 33 2018 1 156-161 6 2013 01 DE-16-250 3032729459 00 --%%-- --%%-- --%%-- --%%-- l01 20-11-18 2013 01 DE-16-250 00 s hd2018 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_7 2013 01 DE-16-250 03 s s_6 2013 01 DE-16-250 04 p (DE-627)1503807622 Innmann, Moritz Maximilian 2013 01 DE-16-250 04 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1494869853 Maier, Michael Wolfgang 2013 01 DE-16-250 05 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_2 2013 01 DE-16-250 06 p (DE-627)1486335942 Streit, Marcus R. 2013 01 DE-16-250 06 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 06 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 06 s pos_3 2013 01 DE-16-250 07 p (DE-627)144822702X Bruckner, Thomas 2013 01 DE-16-250 07 k (DE-627)1416741593 Institut für Medizinische Biometrie und Informatik 2013 01 DE-16-250 07 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 07 s pos_5 2013 01 DE-16-250 08 p (DE-627)1486336175 Gotterbarm, Tobias 2013 01 DE-16-250 08 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 08 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 08 s pos_6 2013 01 DE-16-250 09 p (DE-627)1486334776 Merle, Christian 2013 01 DE-16-250 09 k (DE-627)1539716015 Orthopädische Klinik 2013 01 DE-16-250 09 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 09 s pos_7 |
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Innmann, Moritz Maximilian @@aut@@ Maier, Michael Wolfgang @@aut@@ Streit, Marcus R. @@aut@@ Bruckner, Thomas @@aut@@ Gotterbarm, Tobias @@aut@@ Merle, Christian @@aut@@ |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a2200265 4500</leader><controlfield tag="001">1583864865</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240316100541.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">181120s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.arth.2017.08.007</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)1583864865</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-576)513864865</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BSZ513864865</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)1341023581</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Innmann, Moritz Maximilian</subfield><subfield code="d">1985-</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(DE-588)1066499470</subfield><subfield code="0">(DE-627)817645535</subfield><subfield code="0">(DE-576)426014391</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty</subfield><subfield code="c">Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">6</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Online 12 August 2017</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">Gesehen am 20.11.2018</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). 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Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty |
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Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty Moritz M. Innmann, Michael W. Maier, Marcus R. Streit, George Grammatopoulos, Thomas Bruckner, Tobias Gotterbarm, Christian Merle |
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additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty |
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Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty |
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Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. Online 12 August 2017 Gesehen am 20.11.2018 |
| abstractGer |
Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. Online 12 August 2017 Gesehen am 20.11.2018 |
| abstract_unstemmed |
Background: There is a lack of prospective studies investigating the additive effect of both acetabular and femoral reconstruction parameters on the functional outcome following total hip arthroplasty (THA). Methods: The aim of this prospective cohort study was to determine the combined influence of hip geometry reconstruction and component positioning on the clinical outcome following primary THA for unilateral osteoarthritis. We prospectively assessed the clinical outcome and radiographic parameters for hip geometry reconstruction, component position, and orientation using validated measurements for the operated hip compared to the contralateral native hip in a consecutive series of 113 patients with primary unilateral cementless THA. The correlation of reconstruction parameters was investigated using a multivariate polynomial regression model for the dependent variable ΔHHS (difference between the Harris hip scores preoperatively and 2.0-4.8 years postoperatively). Target zones for hip reconstruction and component positioning were investigated for an association with superior clinical outcome. Results: The regression model demonstrated a significant correlation for the ΔHHS and both hip offset (HO) reconstruction and leg length difference. Patients with accurate to slightly increased HO reconstruction combined with balanced leg length demonstrated a significantly higher ΔHHS than patients outside this zone (HO: 5 ± 5 and LLD: 0 ±5 mm, P = .029). This finding could be confirmed for 2 enlarged zones (zone 1: HO, 7.5 ± 7.5 and LLD, 2.5 ± 7.5 mm, P = .028; zone 2: HO, 7.5 ± 7.5 and LLD, 7.5 ± 7.5 mm, P = .007). Conclusion HO and leg length reconstruction demonstrated an additive effect on clinical outcome and surgeons should aim for high accuracy in the reconstruction of both factors. Online 12 August 2017 Gesehen am 20.11.2018 |
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Additive influence of hip offset and leg length reconstruction on postoperative improvement in clinical outcome after total hip arthroplasty |
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http://dx.doi.org/10.1016/j.arth.2017.08.007 http://www.sciencedirect.com/science/article/pii/S0883540317306964 |
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Maier, Michael Wolfgang 1979- Streit, Marcus R. 1982- Bruckner, Thomas 1956- Gotterbarm, Tobias 1973- Merle, Christian 1979- |
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Innmann, Moritz Innmann, Moritz M. Innmann, M. M. Innmann, Moritz Maximilian Maier, Michael Maier, Michael W. Maier, Michael Wolfgang Streit, Marcus Streit, M. R. Streit, M. Streit, Marcus Rudolf Streit, Marcus R. Bruckner, Tom Bruckner, T. Bruckner, Thomas Gotterbarm, T. Gotterbarm, Tobias Merle, Christian D. Merle, C. Merle, Christian |
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Innmann, Moritz Innmann, Moritz M. Innmann, M. M. Innmann, Moritz Maximilian Maier, Michael Maier, Michael W. Maier, Michael Wolfgang Streit, Marcus Streit, M. R. Streit, M. Streit, Marcus Rudolf Streit, Marcus R. Bruckner, Tom Bruckner, T. Bruckner, Thomas Gotterbarm, T. Gotterbarm, Tobias Merle, Christian D. Merle, C. Merle, Christian |
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