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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 2

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An Med Asoc Med Hosp ABC 2021; 66 (2)

Multicentric study of validation of a simple and reproductible measurement to define the hip center rotation in Mexican population

Castillo-Vázquez FG, Sánchez RR, Berebichez-Fridman R, Ascencio AJ

Language: Spanish
References: 17
Page: 81-85
PDF size: 247.10 Kb.


ABSTRACT

Introduction: The hip center rotation is a fundamental parameter which should be restored in hip arthroplasty. Re-establish it properly allows for the optimization of biomechanics and increases the lifespan of prosthetic components. Objective: Validate and standardize a simple and reproducible method for determining the hip center rotation in the Mexican population. Material and methods: We randomly evaluated 117 anteroposterior pelvic X-rays of adults obtained from two orthopedics centers. The hip center rotation was determined as the center of a concentric circle in the femoral head and three lines, interischiatic, interiliac and a perpendicular to previous passing through the medial part of the Kohler line (pelvic height). Results: The mean pelvic height was 247 mm ±13.38 in men and 227 mm ± 15.47 in women (p < 0.0001). The ratio horizontal distance was 16.63% ± 1.76 in men and 16.09% ± 1.84 in women (p = 0.057), while the vertical distance in men was 30.9% ± 2.91 and 29.87% ± 2.69 in women (p < 0.05). It was shown that there is a statistically significant difference between the parameters obtained in the Turkish population and the Mexican population, as well as between sexes. An horizontal distance ratio of 16% in men and women and a vertical distance ratio of 30% in men and 29% in women was established as the appropriate measurements to be used in the Mexican population. Conclusions: This study is the first to define the anthropometric basis of hip center rotation in the Mexican population and the specific measurements to be used using a simple and reproducible method, which will increase the accuracy of preoperative planning and improve the outcomes of patients undergoing a hip arthroplasty.


REFERENCES

  1. Lum ZC, Dorr LD. Restoration of center of rotation and balance of THR. J Orthop. 2018; 15 (4): 992-996.

  2. Bombaci H, Simsek B, Soyarslan M, Murat Yildirim M. Determination of the hip rotation centre from landmarks in pelvic radiograph. Acta Orthop Traumatol Turc. 2017; 51 (6): 470-473.

  3. Bicanic G, Delimar D, Delimar M, Pecina M. Influence of the acetabular cup position on hip load during arthroplasty in hip dysplasia. Int Orthop. 2009; 33 (2): 397-402.

  4. O'Sullivan GS, Goodman SB, Jones HH. Computerized tomographic evaluation of acetabular anatomy. Clin Orthop Relat Res. 1992; (277): 175-1781.

  5. Durand-Hill M, Henckel J, Satchithananda K, Sabah S, Hua J, Hothi H et al. Calculating the hip center of rotation using contralateral pelvic anatomy. J Orthop Res. 2016; 34 (6): 1077-1083.

  6. Cassidy KA, Noticewala MS, Macaulay W, Lee JH, Geller JA. Effect of femoral offset on pain and function after total hip arthroplasty. J Arthroplasty. 2012; 27 (10): 1863-1869.

  7. Bell AL, Pedersen DR, Brand RA. A comparison of the accuracy of several hip center location prediction methods. J Biomech. 1990; 23 (6): 617-621.

  8. Nawabi DH, Meftah M, Nam D, Ranawat AS, Ranawat CS. Durable fixation achieved with medialized, high hip center cementless THAs for Crowe II and III dysplasia. Clin Orthop Relat Res. 2014; 472 (2): 630-636.

  9. Kelley SS. High hip center in revision arthroplasty. J Arthroplasty. 1994; 9 (5): 503-510.

  10. Zhang H, Zhou J, Liu Y, Guan J, Ding H, Wang Z et al. Mid-term and long-term results of restoring rotation center in revision hip arthroplasty. J Orthop Surg Res. 2020; 15 (1): 152.

  11. Pierchon F, Migaud H, Duquennoy A, Fontaine C. Evaluation radiologique du centre de rotation de la hanche. Rev Chir Orthop Reparatrice Appar Mot. 1993; 79 (4): 281-284.

  12. Olmedo-Garcia N, Lopez-Prats F, Agullo A, Ortuño A, Palazon A. A comparative study of the accuracy of Ranawat's and Pierchon's methods to determine the centre of rotation in bilateral coxopathy. Skeletal Radiol. 2000; 29 (11): 652-655.

  13. Lavy CB, Msamati BC, Igbigbi PS. Racial and gender variations in adult hip morphology. Int Orthop. 2003; 27 (6): 331-333.

  14. Ranawat CS, Dorr LD, Inglis AE. Total hip arthroplasty in protrusio acetabuli of rheumatoid arthritis. J Bone Joint Surg Am. 1980; 62 (7): 1059-1065.

  15. Patriquin ML, Steyn M, Loth SR. Metric analysis of sex differences in South African black and white pelves. Forensic Sci Int. 2005; 147 (2-3): 119-127.

  16. Hirakawa K, Mitsugi N, Koshino T, Saito T, Hirasawa Y, Kubo T. Effect of acetabular cup position and orientation in cemented total hip arthroplasty. Clin Orthop Relat Res. 2001; (388): 135-142.

  17. Sakalkale DP, Sharkey PF, Eng K, Hozack WJ, Rothman RH. Effect of femoral component offset on polyethylene wear in total hip arthroplasty. Clin Orthop Relat Res. 2001; (388): 125-134.



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