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髋关节骨关节炎患者的脊柱与髋关节关系

Spine-hip relations in patients with hip osteoarthritis.

作者信息

Rivière Charles, Lazic Stefan, Dagneaux Louis, Van Der Straeten Catherine, Cobb Justin, Muirhead-Allwood Sarah

机构信息

MSK Lab, Imperial College London, UK.

South West London Elective Orthopaedic Centre, UK.

出版信息

EFORT Open Rev. 2018 Feb 21;3(2):39-44. doi: 10.1302/2058-5241.3.170020. eCollection 2018 Feb.

DOI:10.1302/2058-5241.3.170020
PMID:29657844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5890167/
Abstract

Patients with hip osteoarthritis often have an abnormal spine-hip relation (SHR), meaning the presence of a clinically deleterious spine-hip and/or hip-spine syndrome.Definition of the individual SHR is ideally done using the EOS® imaging system or, if not available, with conventional lumbopelvic lateral radiographs.By pre-operatively screening patients with abnormal SHR, it is possible to refine total hip replacement (THR) surgical planning, which may improve outcomes.An important component of the concept of kinematically aligned total hip arthroplasty (KA THA) consists of defining the optimal acetabular cup design and orientation based on the assessment of an individual's SHR, and use of the transverse acetabular ligament to adjust the cup positioning.The Bordeaux classification might advance the understanding of SHR and hopefully help improve THR outcomes. Cite this article: 2018;3:39-44. DOI: 10.1302/2058-5241.3.170020.

摘要

髋关节骨关节炎患者常存在异常的脊柱 - 髋关节关系（SHR），即存在临床上有害的脊柱 - 髋关节和/或髋关节 - 脊柱综合征。理想情况下，使用EOS®成像系统来定义个体的SHR，若无法使用该系统，则使用传统的腰骶骨盆侧位X线片。通过术前筛查SHR异常的患者，可以优化全髋关节置换（THR）手术规划，这可能改善手术效果。运动学对齐全髋关节置换术（KA THA）概念的一个重要组成部分包括基于对个体SHR的评估来定义最佳髋臼杯设计和方向，并使用髋臼横韧带调整髋臼杯位置。波尔多分类可能会增进对SHR的理解，并有望帮助改善THR手术效果。引用本文：2018;3:39 - 44。DOI: 10.1302/2058 - 5241.3.170020。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/684f/5890167/95989dda3698/eor-3-39-g001.jpg

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