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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Failed periacetabular osteotomy leads to acetabular defects during subsequent total hip arthroplasty

http://hdl.handle.net/2237/00030622
d3ffeb2b-e236-4b56-b943-0d1a453e533d
名前 / ファイル ライセンス アクション
OsawaAOTS2019.pdf OsawaAOTS2019 (857.4 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-08-27
タイトル
タイトル Failed periacetabular osteotomy leads to acetabular defects during subsequent total hip arthroplasty
著者 Osawa, Yusuke

× Osawa, Yusuke

WEKO 93031

Osawa, Yusuke

Search repository
Seki, Taisuke

× Seki, Taisuke

WEKO 93032

Seki, Taisuke

Search repository
Takegami, Yasuhiko

× Takegami, Yasuhiko

WEKO 93033

Takegami, Yasuhiko

Search repository
Kusano, Taiki

× Kusano, Taiki

WEKO 93034

Kusano, Taiki

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 93035

Ishiguro, Naoki

Search repository
Hasegawa, Yukiharu

× Hasegawa, Yukiharu

WEKO 93036

Hasegawa, Yukiharu

Search repository
権利
権利情報 “This is a post-peer-review, pre-copyedit version of an article published in [Archives of Orthopaedic and Trauma Surgery]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s00402-019-03174-y”.
キーワード
主題Scheme Other
主題 Acetabular wall defect
キーワード
主題Scheme Other
主題 Periacetabular osteotomy
キーワード
主題Scheme Other
主題 Rotational acetabular osteotomy
キーワード
主題Scheme Other
主題 Eccentric rotational acetabular osteotomy
キーワード
主題Scheme Other
主題 Total hip arthroplasty
抄録
内容記述 Background: Acetabular wall defects after periacetabular osteotomy (PAO) lead to technical difficulties when performing subsequent total hip arthroplasty (THA). There is no unified consensus regarding the solution for THA socket installation after PAO. In the current study, we performed computed tomography (CT)-based simulation of socket installation and evaluated the acetabular defect following THA after PAO and after primary osteoarthritis (OA). Patients and methods: The study group comprised 55 patients (56 hips) who underwent THA after PAO. For the control group, after matching for age, sex, and Crowe classification, we included 55 patients (56 hips) who underwent primary THA for hip dysplasia. We evaluated the anterior, posterior, and superior acetabular sector angle (ASA) and medial wall thickness (MWT) at the anatomical hip center (at the 20-mm vertical hip level from teardrop) in the study group (anatomical PAO group) and control group (primary OA group). In addition, we investigated the changes in the socket covering when the socket was positioned 10 mm above the anatomical hip center (30 mm above the teardrop; elevated osteotomy group). Results: All ASA and MWT values were significantly smaller in the anatomical PAO group than in the primary OA group. In particular, the individuals with a Crowe classification of II/III in the anatomical PAO group presented severe acetabular defects. However, the elevated PAO group had a significantly larger ASA compared to the anatomical PAO group, with improved socket coverings. Conclusion: Acetabular defects in the anatomical hip center following THA after PAO were significantly common compared to those after primary THA. Elevation of hip joint centers as much as 10 mm is one therapeutic option in the case of severe acetabular defects following THA after PAO.
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2020/05/01
内容記述タイプ Other
出版者
出版者 Springer
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00402-019-03174-y
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0936-8051
書誌情報 Archives of Orthopaedic and Trauma Surgery

巻 139, 号 5, p. 729-734, 発行日 2019-05
著者版フラグ
値 author
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