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논문 기본 정보

자료유형
학술저널
저자정보
Shobit Deshmukh (Department of Orthopaedic Surgery, Busan Bumin Hospital, Busan, Korea) Nirav Gupta (Department of Orthopaedic Surgery, Busan Bumin Hospital, Busan, Korea) Ki Seong Heo (Bumin Hospital, Busan, Korea) 손원용 (부산부민병원 정형외과) Se-Myoung Jo (Department of Orthopaedic Surgery, Busan Bumin Hospital, Busan, Korea.) Anshul Pancholiya (Department of Orthopaedic Surgery, Busan Bumin Hospital, Busan, Korea)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis Vol.36 No.3
발행연도
2024.9
수록면
187 - 195 (9page)

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Purpose: Pelvis tilting in sagittal plane influences the acetabular cup position. Majority of total hip arthroplasty (THA) are performed in lateral decubitus surgical position. This study is to assess whether there is any difference in sacral slope between standing and lateral decubitus position and influence of this variation in planning acetabular cup anteversion. Materials and Methods: This is a prospective study including 50 patients operated between January 2020 to March 2022. Preoperative radiograph included lumbosacral spine lateral X-ray in standing, supine and lateral decubitus positions to calculate the sacral slope for assessment of anterior or posterior pelvic tilting. In our study, we determined the position of the acetabular cup based on changes in sacral slope between standing and lateral decubitus postures. For patients whose sacral slope increased from lateral decubitus to standing, we implanted the acetabular component with a higher degree of anteversion. Conversely, for patients with reverse phenomenon, the cup was inserted at lower anteversion. Results: Twenty-four patients (48.0%) had increase in sacral slope from lateral decubitus to standing whereas 26 patients (52.0%) had decrease in sacral slope. There was linear correlation between difference in preoperative sacral slope and postoperative cross table lateral cup anteversion. Harris hip scores improved from 40.78 to 85.43. There was no subluxation or dislocation in any patient at minimum 2-year follow-up. Conclusion: Individualized acetabular cup placement is important for better functional outcome in THA. Evaluation of pelvic tilting in lateral decubitus position is necessary for better positioning of acetabular cup and avoid postoperative complications.

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