Batra Sahil, Khare Tarun, Kabra Apoorva Praveen, Malhotra Rajesh
Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, 110029, India.
J Clin Orthop Trauma. 2022 Apr 22;29:101877. doi: 10.1016/j.jcot.2022.101877. eCollection 2022 Jun.
Total hip arthroplasty (THA) has been described as the operation of the century. Despite significant advancement in the field of technology, hip instability remains second most common cause of revision hip surgery after infection. There is garning interest to identify role of hip-spine relationship in order to identify high-risk patients for instability after THA. Acetabular component position varies according to spinal alignment and mobility in order to decrease risk of impingement and instability. Preoperative work up includes standing pelvis anteroposterior radiograph and lateral spino-pelvic radiograph in standing and sitting position. The focus of this review is to develop an algorithm to address the spino-pelvic pathology and guide the treatment on the basis of sagittal movement of the spine-pelvis-hip complex and to minimise the rate of dislocation following THA.
全髋关节置换术（THA）被誉为世纪手术。尽管技术领域取得了重大进展，但髋关节不稳定仍是继感染之后髋关节翻修手术的第二大常见原因。人们越来越关注髋关节与脊柱关系的作用，以便识别全髋关节置换术后不稳定的高危患者。髋臼组件的位置会根据脊柱的排列和活动度而变化，以降低撞击和不稳定的风险。术前检查包括站立位骨盆前后位X线片以及站立位和坐位的脊柱骨盆侧位X线片。本综述的重点是开发一种算法，以解决脊柱骨盆病理问题，并根据脊柱-骨盆-髋关节复合体的矢状面运动指导治疗，从而将全髋关节置换术后的脱位率降至最低。
