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Current concepts in diagnosis and management of patients undergoing total hip replacement with concurrent disorders of spinopelvic anatomy: a narrative review

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F23%3AE0110430" target="_blank" >RIV/00843989:_____/23:E0110430 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11120/23:43925994 RIV/00064173:_____/23:43925994

  • Result on the web

    <a href="https://www.mdpi.com/1648-9144/59/9/1591" target="_blank" >https://www.mdpi.com/1648-9144/59/9/1591</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.3390/medicina59091591" target="_blank" >10.3390/medicina59091591</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Current concepts in diagnosis and management of patients undergoing total hip replacement with concurrent disorders of spinopelvic anatomy: a narrative review

  • Original language description

    Despite the high success rate of primary total hip replacement (THR), a significant early revision rate remains, which is largely attributed to instability and dislocations. Despite the implants being placed according to the safe zone philosophy of Lewinnek, occurrence of THR dislocation is not an uncommon complication. Large diagnostic and computational model studies have shown variability in patients' mobility based on the individual anatomic and functional relationship of the hip-pelvis-spine complex. The absolute and relative position of hip replacement components changes throughout motion of the patient's body. In the case of spinopelvic pathology such as spine stiffness, the system reaches abnormal positional states, as shown with computerized models. The clinical result of such pathologic hip positioning is edge loading, implant impingement, or even joint dislocation. To prevent such complications, surgeons must change the dogma of single correct implant positioning and take into account patients' individualized anatomy and function. It is essential to broaden the standard diagnostics and their anatomical interpretation, and correct the pre-operative surgical planning. The need for correct and personalized implant placement pushes forward the development and adaptation of novel technologies in THR, such as robotics. In this current concepts narrative review, we simplify the spinopelvic biomechanics and pathoanatomy, the relevant anatomical terminology, and the diagnosis and management algorithms most commonly used today.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30211 - Orthopaedics

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Medicina

  • ISSN

    1010-660X

  • e-ISSN

    1648-9144

  • Volume of the periodical

    59

  • Issue of the periodical within the volume

    9

  • Country of publishing house

    CH - SWITZERLAND

  • Number of pages

    11

  • Pages from-to

    1-11

  • UT code for WoS article

    001078496000001

  • EID of the result in the Scopus database

    2-s2.0-85172275497