Geometrical restoration and component positioning after hip arthroplasty for femoral neck fracture / Sebastian Mukka in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 557-562 Titre : Geometrical restoration and component positioning after hip arthroplasty for femoral neck fracture Type de document : texte imprimé Auteurs : Sebastian Mukka ; Hamid H. Hassany ; Arkan S. Sayed-Noor Année de publication : 2016 Article en page(s) : p. 557-562 Langues : Anglais (eng) Mots-clés : fracture  col du fémur  hanche  longueur des membres inférieurs Résumé : In this study, the restoration of leg length and global femoral offset and positioning of the femoral stem and acetabular cup of hemiartroplasty (HA) and total hip arthroplasty (THA) after femoral neck fracture (FNF) were compared at the postoperative radiographs between 181 hips operated using the direct lateral (DL) approach and 127 hips operated using the posterolateral (PL) approach. Regarding HA, the DL approach was associated with lengthening of the operated leg (5.7 mm vs. 2.1 mm), p = 0.001. The PL approach had more varus stem position (23% vs. 12%, p = 0.03) and the DL approach had more stems with C-position (58% vs. 32%, p = 0.001). Regarding THA, the DL approach showed increased cup anteversion (28° vs. 21°), p = 0.016, and a decrease in FO (-5.9 mm vs. -2.0 mm, p = 0.04). Surgeons caring for FNF patients are to be aware of the differences in geometrical restroration and component positioning between the two approaches. Permalink : ./index.php?lvl=notice_display&id=47184 [article] Geometrical restoration and component positioning after hip arthroplasty for femoral neck fracture [texte imprimé] / Sebastian Mukka ; Hamid H. Hassany ; Arkan S. Sayed-Noor . - 2016 . - p. 557-562. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 557-562 Mots-clés : fracture  col du fémur  hanche  longueur des membres inférieurs Résumé : In this study, the restoration of leg length and global femoral offset and positioning of the femoral stem and acetabular cup of hemiartroplasty (HA) and total hip arthroplasty (THA) after femoral neck fracture (FNF) were compared at the postoperative radiographs between 181 hips operated using the direct lateral (DL) approach and 127 hips operated using the posterolateral (PL) approach. Regarding HA, the DL approach was associated with lengthening of the operated leg (5.7 mm vs. 2.1 mm), p = 0.001. The PL approach had more varus stem position (23% vs. 12%, p = 0.03) and the DL approach had more stems with C-position (58% vs. 32%, p = 0.001). Regarding THA, the DL approach showed increased cup anteversion (28° vs. 21°), p = 0.016, and a decrease in FO (-5.9 mm vs. -2.0 mm, p = 0.04). Surgeons caring for FNF patients are to be aware of the differences in geometrical restroration and component positioning between the two approaches. Permalink : ./index.php?lvl=notice_display&id=47184

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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