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Int Orthop. 2009 Dec;33(6):1695-700. doi: 10.1007/s00264-008-0702-0. Epub 2009 Jan 16.
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本文引用的文献

1
The rationale for tilt-adjusted acetabular cup navigation.倾斜调整髋臼杯导航的基本原理。
J Bone Joint Surg Am. 2008 Feb;90(2):357-65. doi: 10.2106/JBJS.F.00628.
2
[Low accuracy of the anterior pelvic plane to guide the position of the cup with imageless computer assistance: variation of position in 106 patients].[在无图像计算机辅助下，骨盆前平面引导髋臼杯位置的准确性较低：106例患者的位置变化]
Rev Chir Orthop Reparatrice Appar Mot. 2007 Sep;93(5):455-60. doi: 10.1016/s0035-1040(07)90327-x.
3
Gravitational forces and sagittal shape of the spine. Clinical estimation of their relations.重力与脊柱矢状面形态。对它们之间关系的临床评估。
Int Orthop. 2008 Dec;32(6):809-16. doi: 10.1007/s00264-007-0421-y. Epub 2007 Jul 25.
4
Implant position calculation for acetabular cup placement considering pelvic lateral tilt and inclination.考虑骨盆侧倾和倾斜度的髋臼杯植入位置计算
Comput Aided Surg. 2006 Nov;11(6):309-16. doi: 10.3109/10929080601090516.
5
Sagittal pelvic mal-rotation and positioning of the acetabular component in total hip arthroplasty: Three-dimensional computer model analysis.全髋关节置换术中骨盆矢状面旋转不良及髋臼假体位置：三维计算机模型分析
J Orthop Res. 2007 Jun;25(6):766-71. doi: 10.1002/jor.20225.
6
Functional pelvic orientation measured from lateral standing and sitting radiographs.通过站立位和坐位侧位X线片测量功能性骨盆方向。
Clin Orthop Relat Res. 2006 Dec;453:272-6. doi: 10.1097/01.blo.0000238862.92356.45.
7
The frontal pelvic plane provides a valid reference system for implantation of the acetabular cup: spatial orientation of the pelvis in different positions.骨盆额状面为髋臼杯植入提供了一个有效的参考系统：骨盆在不同位置的空间定向。
Acta Orthop. 2005 Dec;76(6):848-53. doi: 10.1080/17453670510045471.
8
Imageless navigation for insertion of the acetabular component in total hip arthroplasty: is it as accurate as CT-based navigation?全髋关节置换术中髋臼组件植入的无图像导航：它与基于CT的导航一样准确吗？
J Bone Joint Surg Br. 2006 Feb;88(2):163-7. doi: 10.1302/0301-620X.88B2.17163.
9
Pelvic tilt makes acetabular cup navigation inaccurate.骨盆倾斜会使髋臼杯导航不准确。
Acta Orthop. 2005 Aug;76(4):517-23. doi: 10.1080/17453670510041501.
10
Variations of caudal, central, and cranial acetabular anteversion according to the tilt of the pelvis.髋臼尾侧、中央和头侧前倾角随骨盆倾斜度的变化。
Surg Radiol Anat. 2004 Dec;26(6):462-5. doi: 10.1007/s00276-004-0254-y.

脊柱矢状平衡对骨盆前平面和髋臼方向的影响。

Influence of the sagittal balance of the spine on the anterior pelvic plane and on the acetabular orientation.

机构信息

Department of Orthopaedics, University Hospital of Mont-Godinne, 5530, Yvoir, Belgium.

出版信息

Int Orthop. 2009 Dec;33(6):1695-700. doi: 10.1007/s00264-008-0702-0. Epub 2009 Jan 16.

DOI:10.1007/s00264-008-0702-0
PMID:19148643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2899171/
Abstract

The Anterior Pelvic Plane (APP), defined by the anterior superior iliac spines and the pubic tubercle, was commonly used as reference for positioning and postoperative evaluation of the orientation of the acetabular cup in total hip arthroplasty. APP was assumed to be vertical, but was not observed always so, mostly because of associated spinal diseases inducing perturbations in the harmony of the sagittal balance of the pelvi-spinal unit. Consequently a sagittal rotation of the pelvis occurs, and so a tilt of the APP which alters directly the orientation of the cup in upright position. An analysis of the APP tilt related to the sagittal balance of the spine was provided and its implication on the cup orientation. It appeared essential for an individual adjustment of the cup positioning to avoid a functional mal-position which can lead to an increased risk of dislocation and impingement.

摘要

骨盆前平面（APP）由髂前上棘和耻骨结节定义，常用于全髋关节置换术中髋臼杯方向的定位和术后评估。APP 被认为是垂直的，但并不总是如此，主要是因为相关的脊柱疾病导致骨盆-脊柱单位矢状平衡的和谐受到干扰。因此，骨盆发生矢状旋转，APP 倾斜，直接改变了髋臼杯在直立位置的方向。本文分析了 APP 倾斜与脊柱矢状平衡的关系及其对杯状方向的影响。对于杯状位置的个体化调整，避免功能错位是至关重要的，因为功能错位会增加脱位和撞击的风险。