X-RAY CHARACTERISTICS OF THE DYSPLASTIC HIP JOINT IN ADULTS BEFORE AND AFTER ENDOPROSTHETIC SURGERY

Authors:

Abstract:

Based on the results of X-ray studies of 49 dysplastic hip joints before and after arthroplasty, it was found that such indices of the dysplastic hip joint in adults as the cervical-diaphyseal angle of the femur, the depth of the acetabulum and the thickness of its bottom before and after the arthroplasty surgery significantly differ from each other. The parameters of the cervical-diaphyseal angle in women had significant differences before and after surgery. The cervical-diaphyseal angle in women after arthroplasty was significantly higher than in men. Abductor strength shoulder indices significantly increase in women after surgery. In men, there was a tendency to reduce the shoulder strength of the abductors after surgery. The parameters of the hip joint, which affect the magnitude of the hip abductors’ arm, should be considered as biomechanical criteria for the efficiency of the hip joint muscles. Based on the results of X-ray studies of 49 dysplastic hip joints before and after arthroplasty, it was found that such indices of the dysplastic hip joint in adults as the cervical-diaphyseal angle of the femur, the depth of the acetabulum and the thickness of its bottom before and after the arthroplasty surgery significantly differ from each other. Improving the biomechanics of the dysplastic hip joint can be achieved by restoring the geometric parameters of the hip joint as a result of arthroplasty.

Keywords:

hip joint dysplasia hip arthroplasty X-ray indices

References:

1. Loskutov AYe, Oleynik AYe, Zub TA. Osobennosti deformatsii vertluzhnoy vpadiny pri displasticheskom koksartroze s pozitsii endoprotezirovaniya. Vísnyk ortopedíyí̈, travmatolohíyi ta protezuvannya; 2011; 2: 23–27.http://nbuv.gov.ua/UJRN/Votip_2011_2_7 [in Russian]
2. Loskutov AYe. Endoprotezirovaniye tazobedrennogo sustava: Monogr. Dnepr: Lira; 2010. 344 s. [in Russian]
3. Filippenko VA, Klimovitskiy RV, Tyazhelov AA, Karpinskiy MYu, Karpinskaya YeD, Goncharova LD. Podbor komponentov endoproteza i velichina obshchego bedrennogo ofseta posle endoprotezirovaniya tazobedrennogo sustava (rentgenometricheskoye issledovaniye). Travma; 2018; 19 (1): 82–91DOI: 10.22141/1608-1706.1.19.2018.126658 [in Russian]
4. Dy CJ, Bozic KJ, Pan TJ, Wright TM, Padgett DE, Lyman S. Risk factors for early revision after total hip arthroplasty. Arthritis Care & Research; 2014; 66(6): 907–915. doi:10.1002/acr.22240
5. Judd DL, Dennis DA, Thomas AC, Wolfe P, Dayton MR, Stevens-Lapsley JE. Muscle strength and functional recovery during the first year after THA. Clin Orthop Relat Res. 2014 Feb; 472(2):654–64. doi: 10.1007/s11999-013-3136-y.
6. Lebedev VF, Dmitrieva LA, Arsentiev LI. Clinico-diagnostic peculiarities of dysplastic coxarthrosis of III-IV degree. Acta Biomedica Scientifica (East Siberian Biomedical Journal); 2013; 1: 49–53.
7. Levin S. The significance of closed kinematic chains to biological movement and dynamic stability. J Bodyw Mov Ther. 2017. 21, 3: 664–672.DOI: 10.1016/j.jbmt.2017.03.012
8. Macheras GA, Koutsostathis SD, Lepetsos P, Anastasopoulos PP, Galanakos S, Papadakis SA THA following deformities due to congenital dislocation of the hip joint. Hip Int. 2014; 24 (10): 29–32. doi: 10.5301/hipint.5000168.
9. Mahmood SS, Mukka SS, Crnalic S, Wretenberg P, Sayed-Noor AS. Association between changes in global femoral offset after total hip arthroplasty and function, quality of life, and abductor muscle strength. Acta Orthopaedica; 2015; 87(1): 36–41. doi:10.3109/17453674.2015.1091955
10. Ong KL, Manley MT, Nevelos J, Greene K. Review: biomechanical issues in total hip replacement. Surg.Technol Int; 2012; 22: 222–228
11. Onischenko ОV, Korolkov OI, Ksonz IV, Karpinskyi MYu, Yaresko ОV. Study of the stress-deformed state of the hip joint model in children under the conditions of dysplasia and conservative treatment. World of Medicine and Biology; 2021; 3(77): 142–147. DOI: 10.26724/2079-8334-2021-3-77-142-147
12. Sariali E, Klouche S, Mouttet A, Pascal-Moussellard H. The effect of femoral offset modification on gait after total hip arthroplasty. Acta Orthop. 2014 Apr; 85(2):123–7. doi: 10.3109/17453674.2014.889980.
13. Tsai TY, Li JS, Dimitriou D, Kwon YM. Does component alignment affect gait symmetry in unilateral total hip arthroplasty patients? ClinBiomech (Bristol, Avon); 2015; 30(8): 802–7. doi: 10.1016/j.clinbiomech.2015.06.010.
14. Turner RS. Postoperative total hip prosthetic femoral head dislocations incidence, etiologic factors, and management. Clinical Orthopaedics and Related Research; 1994; 301: 196–204. doi:10.1097/00003086-199404000-00031
15. Tyazhelov OA, Karpinska OD, Goncharova LD, Klymovytskyi FV. Features of the abduction mechanism work before and after total hip joint arthroplasty. World of Medicine and Biology; 2020; 3 (73): 134–139. Doi: 10.26724/2079-8334-2020-3-73-134-139

Publication:

«World of Medicine and Biology» Vol. 18 No. 80 (2022) , с. 168-173
УДК 616.728.2-089.28:612.76

DOI:

https://doi.org/10.26724/2079-8334-2022-2-80-168-173