Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study
Purpose: While implant impingement and bony impingement have been recognized as causes of poor outcomes in total hip arthroplasty (THA), reports of soft-tissue impingement are rare. To clarify the issue, the effect of anterior capsule resection on hip range of motion (ROM) was quantitatively measure...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2016-01-01
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| Series: | Computer Assisted Surgery |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/24699322.2016.1223347 |
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| author | Nobuo Nakamura Yuki Maeda Makoto Hamawaki Takashi Sakai Nobuhiko Sugano |
| author_facet | Nobuo Nakamura Yuki Maeda Makoto Hamawaki Takashi Sakai Nobuhiko Sugano |
| author_sort | Nobuo Nakamura |
| collection | DOAJ |
| description | Purpose: While implant impingement and bony impingement have been recognized as causes of poor outcomes in total hip arthroplasty (THA), reports of soft-tissue impingement are rare. To clarify the issue, the effect of anterior capsule resection on hip range of motion (ROM) was quantitatively measured in vivo during posterior approach THA using a CT-based hip navigation system.Materials and methods: For 47 patients (51 hips), hip ROM was measured intraoperatively before and after resection of the anterior hip capsule, and the difference was compared.Results: Resection of the anterior hip capsule brought about an average 6° increase of ROM in the direction of flexion with internal rotation and did not markedly change ROM in other directions.Conclusions: During THA through a posterior approach, soft-tissue impingement by the anterior hip capsule can occur. Clinically, we expect that resection of the anterior hip capsule can reduce the risk of posterior instability without increasing the risk of anterior instability. |
| format | Article |
| id | doaj-art-a7d2601cefbc4e69a969ecaca81ecb70 |
| institution | OA Journals |
| issn | 2469-9322 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Computer Assisted Surgery |
| spelling | doaj-art-a7d2601cefbc4e69a969ecaca81ecb702025-08-20T02:18:38ZengTaylor & Francis GroupComputer Assisted Surgery2469-93222016-01-0121113213610.1080/24699322.2016.1223347Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement studyNobuo Nakamura0Yuki Maeda1Makoto Hamawaki2Takashi Sakai3Nobuhiko Sugano4Center of Arthroplasty, Kyowakai Hospital, Suita-city, Osaka, Japan;Center of Arthroplasty, Kyowakai Hospital, Suita-city, Osaka, Japan;Center of Arthroplasty, Kyowakai Hospital, Suita-city, Osaka, Japan;Department of Orthopedic Surgery, Osaka University Medical School, Suita-city, Osaka, JapanDepartment of Orthopedic Surgery, Osaka University Medical School, Suita-city, Osaka, JapanPurpose: While implant impingement and bony impingement have been recognized as causes of poor outcomes in total hip arthroplasty (THA), reports of soft-tissue impingement are rare. To clarify the issue, the effect of anterior capsule resection on hip range of motion (ROM) was quantitatively measured in vivo during posterior approach THA using a CT-based hip navigation system.Materials and methods: For 47 patients (51 hips), hip ROM was measured intraoperatively before and after resection of the anterior hip capsule, and the difference was compared.Results: Resection of the anterior hip capsule brought about an average 6° increase of ROM in the direction of flexion with internal rotation and did not markedly change ROM in other directions.Conclusions: During THA through a posterior approach, soft-tissue impingement by the anterior hip capsule can occur. Clinically, we expect that resection of the anterior hip capsule can reduce the risk of posterior instability without increasing the risk of anterior instability.https://www.tandfonline.com/doi/10.1080/24699322.2016.1223347Total hip replacementnavigationsurgical skill evaluationcup positioning |
| spellingShingle | Nobuo Nakamura Yuki Maeda Makoto Hamawaki Takashi Sakai Nobuhiko Sugano Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study Computer Assisted Surgery Total hip replacement navigation surgical skill evaluation cup positioning |
| title | Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study |
| title_full | Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study |
| title_fullStr | Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study |
| title_full_unstemmed | Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study |
| title_short | Effect of soft-tissue impingement on range of motion during posterior approach Total Hip Arthroplasty: an in vivo measurement study |
| title_sort | effect of soft tissue impingement on range of motion during posterior approach total hip arthroplasty an in vivo measurement study |
| topic | Total hip replacement navigation surgical skill evaluation cup positioning |
| url | https://www.tandfonline.com/doi/10.1080/24699322.2016.1223347 |
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