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术后股骨全球偏心距与全髋关节置换术结果的关系。

The association of postoperative global femoral offset with total hip arthroplasty outcomes.

机构信息

Division of Orthopedic Surgery Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-do-ri, Chuou ku, Niigata, Niigata, 951-8510, Japan.

Division of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-do-ri, Chuou ku, Niigata, Niigata, 951-8510, Japan.

出版信息

Sci Rep. 2023 Jan 28;13(1):1621. doi: 10.1038/s41598-023-28863-y.

DOI:10.1038/s41598-023-28863-y
PMID:36709404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9884219/
Abstract

Global femoral offset (GFO) and femoral offset (FO) reportedly affect outcomes following total hip arthroplasty (THA). However, FO assessed using plain radiography is affected by internal and external rotations of the hip joint. We investigated the relationship between leg length discrepancy and Harris hip score (HHS), and their influence on acetabular offset (AO), FO, GFO, anterior femoral offset, and outcomes after THA. We retrospectively evaluated 140 patients with hip osteoarthritis who underwent THA. A three-dimensional (3D) pelvis and femur model created from computed tomography (data using ZedHip software was used to investigate these parameters. The modified (m)HHS scores were significantly improved from 49.0 to 88.8 in total mHHS, 20.0-44.5 in pain, and 28.9-44.4 points in function. Significant correlations were found between the differences in AO, FO, GFO, and pain score in binominal, with maximum values of - 1.24, + 1.54, and + 0.90 mm/100 cm body height, respectively. The maximum value of GFO and mHHS in binominal was + 1.17 mm/100 cm body height (BH). The optimal range of difference of GFO was - 1.75 to 4.09 mm/100 cm BH. This is the first report using a 3D method for assessing FO. Preoperative planning using the system could improve postoperative function.

摘要

全球股骨偏移量（GFO）和股骨偏移量（FO）据报道会影响全髋关节置换术（THA）的结果。然而，使用普通 X 射线评估的 FO 受到髋关节内、外旋转的影响。我们研究了肢体长度差异与 Harris 髋关节评分（HHS）之间的关系，及其对髋臼偏移量（AO）、FO、GFO、前股骨偏移量和 THA 后结果的影响。我们回顾性评估了 140 例髋骨关节炎患者，这些患者均接受了 THA。使用来自计算机断层扫描（CT）的三维（3D）骨盆和股骨模型（ZedHip 软件的数据）来研究这些参数。改良（m）HHS 评分在总分 mHHS 中从 49.0 显著提高到 88.8，疼痛评分从 20.0-44.5 提高，功能评分从 28.9-44.4 提高。在二项式中，AO、FO、GFO 和疼痛评分之间的差异存在显著相关性，最大值分别为-1.24、+1.54 和+0.90mm/100cm 身高。二项式中 GFO 和 mHHS 的最大值分别为+1.17mm/100cm 身高（BH）。GFO 差值的最佳范围为-1.75 至 4.09mm/100cm BH。这是首次使用 3D 方法评估 FO 的报告。使用该系统进行术前规划可以改善术后功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/b30b4b9fbcba/41598_2023_28863_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/374d745cb2a4/41598_2023_28863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/16836d732803/41598_2023_28863_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/24efa08bf58d/41598_2023_28863_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/c4646509c954/41598_2023_28863_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/51188ee3abdf/41598_2023_28863_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/b30b4b9fbcba/41598_2023_28863_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/374d745cb2a4/41598_2023_28863_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/16836d732803/41598_2023_28863_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/24efa08bf58d/41598_2023_28863_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/c4646509c954/41598_2023_28863_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/51188ee3abdf/41598_2023_28863_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f29/9884219/b30b4b9fbcba/41598_2023_28863_Fig6_HTML.jpg

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