Liu K, He Q, Liao G, Kong G, Wang C
Acta Orthop Belg. 2016 Sep;82(3):549-556.
The current study investigated the relationship between the implantation angle of the acetabular component and the change in the pelvic postural angle during hip arthroplasty surgery. One pelvis with a left lower limb prosthesis was used. Total hip arthroplasty on the left pelvis was simulated with the help of a computer-assisted navigation system. The pelvis revolved around the horizontal, longitudinal and sagittal axes at different angles, and the anteversion and abduction of the acetabular component were measured. The changing angle of the pelvis rotating around the horizontal and longitudinal axes greatly influenced acetabular component anteversion. The changing angle of the pelvis rotating around the sagittal axis had a relatively great influence on the acetabular component abduction angle. The change in the postural angle of the pelvis had a great influence on the installation angle of the acetabular component. It is important to standardize posture prior to the operation.
本研究调查了髋关节置换手术中髋臼组件的植入角度与骨盆姿势角度变化之间的关系。使用了一个带有左下肢假体的骨盆。借助计算机辅助导航系统模拟了左骨盆的全髋关节置换术。骨盆围绕水平轴、纵轴和矢状轴以不同角度旋转,并测量髋臼组件的前倾角和外展角。骨盆围绕水平轴和纵轴旋转的角度变化对髋臼组件前倾角有很大影响。骨盆围绕矢状轴旋转的角度变化对髋臼组件外展角有相对较大的影响。骨盆姿势角度的变化对髋臼组件的安装角度有很大影响。术前规范姿势很重要。