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
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30211 - Orthopaedics
Result continuities
Project
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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