Pagan Cale A, Karasavvidis Theofilos, Vigdorchik Jonathan M, DeCook Charles A
Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA.
Arthritis and Total Joint Specialists, Atlanta, GA, USA.
Hip Pelvis. 2024 Jun 1;36(2):77-86. doi: 10.5371/hp.2024.36.2.77.
Knowledge of the relationship between the hip and spine is essential in the effort to minimize instability and improve outcomes following total hip arthroplasty (THA). A detailed yet straightforward preoperative imaging workup can provide valuable information on pelvic positioning, which may be helpful for optimum placement of the acetabular cup. For a streamlined preoperative assessment of THA candidates, classification systems with a capacity for providing a more personalized approach to performance of THA have been introduced. Familiarity with these systems and their clinical application is important in the effort to optimize component placement and reduce the risk of instability. Looking ahead, the principles of the hip-spine relationship are being integrated using emerging innovative technologies, promising further streamlining of the evaluation process.
了解髋关节与脊柱之间的关系对于在全髋关节置换术(THA)后尽量减少不稳定并改善预后至关重要。详细而直接的术前影像学检查可以提供有关骨盆定位的有价值信息,这可能有助于髋臼杯的最佳放置。为了对THA候选者进行简化的术前评估,已经引入了能够为THA手术提供更个性化方法的分类系统。熟悉这些系统及其临床应用对于优化假体放置和降低不稳定风险很重要。展望未来,髋关节与脊柱关系的原则正在通过新兴的创新技术进行整合,有望进一步简化评估过程。