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Does total hip arthroplasty restore native hip anatomy? three-dimensional reconstruction analysis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tsai, Tsung-Yuan Dimitriou, Dimitris Li, Guoan Kwon, Young-Min
Description	Country affiliation: United States Author Affiliation: Tsai TY ( Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit St., GRJ-1215, Boston, MA, 02114, USA.)
Abstract	PURPOSE: Component orientations and positions in total hip arthroplasty (THA) are important parameters in restoring hip function. However, measurements using plain radiographs and 2D computed tomography (CT) slices are affected by patient position during imaging. This study used 3D CT to determine whether contemporary THA restores native hip geometry. METHODS: Fourteen patients with unilateral THA underwent CT scan for 3D hip reconstruction. Hip models of the nonoperated side were mirrored with the implanted side to quantify the differences in hip geometry between sides. RESULTS: The study demonstrated that combined hip anteversion (sum of acetabular and femoral anteversion) and vertical hip offset significantly increased by 25.3° ± 29.3° (range, -25.7° to 55.9°, p = 0.003) and 4.1 ± 4.7 mm (range, -7.1 to 9.8 mm, p = 0.009) in THAs. CONCLUSIONS: These data suggest that hip anatomy is not fully restored following THA compared with the contralateral native hip.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
DOI	10.1007/s00264-014-2401-3
Journal	International Orthopaedics
Issue Number	8
Volume Number	38
Language	English
Publisher	Springer
Publisher Date	2014-08-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Hip Joint Surgery Hip Anatomy & Histology Osteoarthritis, Hip Physiology Imaging, Three-dimensional Range Of Motion, Articular Tomography, X-ray Computed Comparative Study
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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