Influence of leg-length discrepancy on anterior acetabular coverage using false profile image
| Autor: | Tomohisa Sekimoto, Etsuo Chosa, Masaki Kudo, Takero Sakamoto |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Joint replacement Arthroplasty Replacement Hip medicine.medical_treatment Osteotomy Osteoarthritis Hip Young Adult medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over Orthodontics Periacetabular osteotomy business.industry Leg length Acetabulum Middle Aged Ischial tuberosity Acetabular dysplasia Leg Length Inequality Surgery Radiography medicine.anatomical_structure Orthopedic surgery Female business Follow-Up Studies |
| Zdroj: | Journal of Orthopaedic Science. 20:861-867 |
| ISSN: | 0949-2658 |
| DOI: | 10.1007/s00776-015-0738-0 |
| Popis: | Leg-length discrepancy (LLD) occurs commonly in patients with osteoarthritis (OA) of the hip. Although some investigators argue that LLD in a weight-bearing position may influence lateral acetabular coverage, there have been no reports on the influence of LLD on anterior acetabular coverage and the relationship between LLD and vertical center anterior margin (VCA) angle before and after LLD correction. Anterior acetabular coverage is an important index for diagnosis, treatment, and surgery for OA of the hip. Therefore, we investigated the influence of LLD in a weight-bearing position on VCA angle. There were 154 patients with LLD in OA of the hip and 146 healthy individuals without LLD. The sole of the short-leg side in patients was adjusted with an acrylic plate, and the LLD revision value was calculated in the anteroposterior (AP) view in a weight-bearing position. Calculated revision value was applied to individuals and VCA angles in false profile images before and after correction was measured. For healthy individuals, we corrected the sole of the nonexamined side with an acrylic plate to artificially increase LLD and then measured VCA angles in false profile images before and after correction. Significant difference was found in VCA angles between before and after LLD correction in patients and healthy individuals (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink