Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty

Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %–10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the ace...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Clinical biomechanics (Bristol) 2025-02, Vol.122, p.106422, Article 106422
Hauptverfasser: Shozen, Hideki, Shoji, Takeshi, Ueki, Shinichi, Kaneta, Hiroki, Kozuma, Yosuke, Morita, Hiroyuki, Adachi, Nobuo
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page 106422
container_title Clinical biomechanics (Bristol)
container_volume 122
creator Shozen, Hideki
Shoji, Takeshi
Ueki, Shinichi
Kaneta, Hiroki
Kozuma, Yosuke
Morita, Hiroyuki
Adachi, Nobuo
description Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %–10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the acetabulum and proximal femur is a primary cause of instability. A retrospective analysis of 120 patients (130 hips) undergoing total hip arthroplasty at XX Hospital (2011−2023) categorized patients by lateral center-edge angle: developmental dysplasia of the hip, borderline developmental dysplasia of the hip, and normal hip. ct imaging facilitated virtual 3D bone models for motion analysis, excluding cases with prior hip surgery or spinal fusion. Statistical analyses utilized the Mann–Whitney U test and one-way ANOVA. The developmental dysplasia of the hip group showed the highest posterior impingement frequency, significantly affecting range of motion in flexion, adduction, and external rotation compared to borderline developmental dysplasia of the hip and normal hip groups. Variations in femoral neck anteversion, lesser trochanter version, and ischiofemoral space were notable. Posterior impingement commonly occurred between the lesser trochanter and ischial tuberosity. Posterior bony impingement emerged as a predominant factor reducing range of motion and increasing dislocation risk, particularly in developmental dysplasia of the hip patients, challenging the conventional “safe zone” for implant positioning. Personalized surgical strategies tailored to individual bone morphology are crucial for enhancing total hip arthroplasty outcomes and minimizing complications, although limitations include the exclusion of soft tissue influences and focusing solely on range of motion until impingement occurs. •Computed tomography analysis reveals higher posterior impingement in developmental dysplasia of the hip.•Patients with developmental dysplasia of the hip show limited range of motion due to bone morphology.•Bony morphology challenges “safe zone” for implant placement.•Personalized surgical planning needed based on bone structure.•Computed tomography helps assess impingement risk for improved total hip arthroplasty outcomes.
doi_str_mv 10.1016/j.clinbiomech.2024.106422
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3149881216</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0268003324002547</els_id><sourcerecordid>3149881216</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1663-fbec10892f3d26c91ed1616eef2b575a451c44782b55e8a53eaa94d9a0c42fca3</originalsourceid><addsrcrecordid>eNqNkEtPwzAQhC0EoqXwF1C4cUnxK05yrCpeEhIXOFuOs6Gukji13Ur99zhtQRw52Tv6ZlY7CN0RPCeYiIf1XLemr4ztQK_mFFMedcEpPUNTUuRlSmhOztEUU1GkGDM2QVferzHGnGb5JZqwMmc06lO0WfSq3XvjE9skg_UBnLEuWZkhWVvTh8R0g-m_oIP4V5XdhqSGHbR2GBXVJvXeD63yRo0BYQUHq2piThLsCBxmF1bOjlzYX6OLRrUebk7vDH0-PX4sX9K39-fX5eIt1UQIljYVaIKLkjaspkKXBGoiiABoaJXlmeIZ0ZznRZwyKFTGQKmS16XCmtNGKzZD98fcwdnNFnyQnfEa2lb1YLdeMsLLoiCUiIiWR1Q7672DRg7OdMrtJcFybFyu5Z_G5di4PDYevbenNduqg_rX-VNxBJZHAOKxOwNOem2g11AbBzrI2pp_rPkG_62agQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3149881216</pqid></control><display><type>article</type><title>Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty</title><source>ScienceDirect Journals (5 years ago - present)</source><creator>Shozen, Hideki ; Shoji, Takeshi ; Ueki, Shinichi ; Kaneta, Hiroki ; Kozuma, Yosuke ; Morita, Hiroyuki ; Adachi, Nobuo</creator><creatorcontrib>Shozen, Hideki ; Shoji, Takeshi ; Ueki, Shinichi ; Kaneta, Hiroki ; Kozuma, Yosuke ; Morita, Hiroyuki ; Adachi, Nobuo</creatorcontrib><description>Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %–10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the acetabulum and proximal femur is a primary cause of instability. A retrospective analysis of 120 patients (130 hips) undergoing total hip arthroplasty at XX Hospital (2011−2023) categorized patients by lateral center-edge angle: developmental dysplasia of the hip, borderline developmental dysplasia of the hip, and normal hip. ct imaging facilitated virtual 3D bone models for motion analysis, excluding cases with prior hip surgery or spinal fusion. Statistical analyses utilized the Mann–Whitney U test and one-way ANOVA. The developmental dysplasia of the hip group showed the highest posterior impingement frequency, significantly affecting range of motion in flexion, adduction, and external rotation compared to borderline developmental dysplasia of the hip and normal hip groups. Variations in femoral neck anteversion, lesser trochanter version, and ischiofemoral space were notable. Posterior impingement commonly occurred between the lesser trochanter and ischial tuberosity. Posterior bony impingement emerged as a predominant factor reducing range of motion and increasing dislocation risk, particularly in developmental dysplasia of the hip patients, challenging the conventional “safe zone” for implant positioning. Personalized surgical strategies tailored to individual bone morphology are crucial for enhancing total hip arthroplasty outcomes and minimizing complications, although limitations include the exclusion of soft tissue influences and focusing solely on range of motion until impingement occurs. •Computed tomography analysis reveals higher posterior impingement in developmental dysplasia of the hip.•Patients with developmental dysplasia of the hip show limited range of motion due to bone morphology.•Bony morphology challenges “safe zone” for implant placement.•Personalized surgical planning needed based on bone structure.•Computed tomography helps assess impingement risk for improved total hip arthroplasty outcomes.</description><identifier>ISSN: 0268-0033</identifier><identifier>ISSN: 1879-1271</identifier><identifier>EISSN: 1879-1271</identifier><identifier>DOI: 10.1016/j.clinbiomech.2024.106422</identifier><identifier>PMID: 39732033</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Anterior dislocation ; CT analysis ; Developmental dysplasia of the hip ; Posterior hip joint impingement ; Total hip arthroplasty</subject><ispartof>Clinical biomechanics (Bristol), 2025-02, Vol.122, p.106422, Article 106422</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1663-fbec10892f3d26c91ed1616eef2b575a451c44782b55e8a53eaa94d9a0c42fca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0268003324002547$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39732033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shozen, Hideki</creatorcontrib><creatorcontrib>Shoji, Takeshi</creatorcontrib><creatorcontrib>Ueki, Shinichi</creatorcontrib><creatorcontrib>Kaneta, Hiroki</creatorcontrib><creatorcontrib>Kozuma, Yosuke</creatorcontrib><creatorcontrib>Morita, Hiroyuki</creatorcontrib><creatorcontrib>Adachi, Nobuo</creatorcontrib><title>Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty</title><title>Clinical biomechanics (Bristol)</title><addtitle>Clin Biomech (Bristol)</addtitle><description>Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %–10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the acetabulum and proximal femur is a primary cause of instability. A retrospective analysis of 120 patients (130 hips) undergoing total hip arthroplasty at XX Hospital (2011−2023) categorized patients by lateral center-edge angle: developmental dysplasia of the hip, borderline developmental dysplasia of the hip, and normal hip. ct imaging facilitated virtual 3D bone models for motion analysis, excluding cases with prior hip surgery or spinal fusion. Statistical analyses utilized the Mann–Whitney U test and one-way ANOVA. The developmental dysplasia of the hip group showed the highest posterior impingement frequency, significantly affecting range of motion in flexion, adduction, and external rotation compared to borderline developmental dysplasia of the hip and normal hip groups. Variations in femoral neck anteversion, lesser trochanter version, and ischiofemoral space were notable. Posterior impingement commonly occurred between the lesser trochanter and ischial tuberosity. Posterior bony impingement emerged as a predominant factor reducing range of motion and increasing dislocation risk, particularly in developmental dysplasia of the hip patients, challenging the conventional “safe zone” for implant positioning. Personalized surgical strategies tailored to individual bone morphology are crucial for enhancing total hip arthroplasty outcomes and minimizing complications, although limitations include the exclusion of soft tissue influences and focusing solely on range of motion until impingement occurs. •Computed tomography analysis reveals higher posterior impingement in developmental dysplasia of the hip.•Patients with developmental dysplasia of the hip show limited range of motion due to bone morphology.•Bony morphology challenges “safe zone” for implant placement.•Personalized surgical planning needed based on bone structure.•Computed tomography helps assess impingement risk for improved total hip arthroplasty outcomes.</description><subject>Anterior dislocation</subject><subject>CT analysis</subject><subject>Developmental dysplasia of the hip</subject><subject>Posterior hip joint impingement</subject><subject>Total hip arthroplasty</subject><issn>0268-0033</issn><issn>1879-1271</issn><issn>1879-1271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNqNkEtPwzAQhC0EoqXwF1C4cUnxK05yrCpeEhIXOFuOs6Gukji13Ur99zhtQRw52Tv6ZlY7CN0RPCeYiIf1XLemr4ztQK_mFFMedcEpPUNTUuRlSmhOztEUU1GkGDM2QVferzHGnGb5JZqwMmc06lO0WfSq3XvjE9skg_UBnLEuWZkhWVvTh8R0g-m_oIP4V5XdhqSGHbR2GBXVJvXeD63yRo0BYQUHq2piThLsCBxmF1bOjlzYX6OLRrUebk7vDH0-PX4sX9K39-fX5eIt1UQIljYVaIKLkjaspkKXBGoiiABoaJXlmeIZ0ZznRZwyKFTGQKmS16XCmtNGKzZD98fcwdnNFnyQnfEa2lb1YLdeMsLLoiCUiIiWR1Q7672DRg7OdMrtJcFybFyu5Z_G5di4PDYevbenNduqg_rX-VNxBJZHAOKxOwNOem2g11AbBzrI2pp_rPkG_62agQ</recordid><startdate>202502</startdate><enddate>202502</enddate><creator>Shozen, Hideki</creator><creator>Shoji, Takeshi</creator><creator>Ueki, Shinichi</creator><creator>Kaneta, Hiroki</creator><creator>Kozuma, Yosuke</creator><creator>Morita, Hiroyuki</creator><creator>Adachi, Nobuo</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202502</creationdate><title>Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty</title><author>Shozen, Hideki ; Shoji, Takeshi ; Ueki, Shinichi ; Kaneta, Hiroki ; Kozuma, Yosuke ; Morita, Hiroyuki ; Adachi, Nobuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1663-fbec10892f3d26c91ed1616eef2b575a451c44782b55e8a53eaa94d9a0c42fca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Anterior dislocation</topic><topic>CT analysis</topic><topic>Developmental dysplasia of the hip</topic><topic>Posterior hip joint impingement</topic><topic>Total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shozen, Hideki</creatorcontrib><creatorcontrib>Shoji, Takeshi</creatorcontrib><creatorcontrib>Ueki, Shinichi</creatorcontrib><creatorcontrib>Kaneta, Hiroki</creatorcontrib><creatorcontrib>Kozuma, Yosuke</creatorcontrib><creatorcontrib>Morita, Hiroyuki</creatorcontrib><creatorcontrib>Adachi, Nobuo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical biomechanics (Bristol)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shozen, Hideki</au><au>Shoji, Takeshi</au><au>Ueki, Shinichi</au><au>Kaneta, Hiroki</au><au>Kozuma, Yosuke</au><au>Morita, Hiroyuki</au><au>Adachi, Nobuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty</atitle><jtitle>Clinical biomechanics (Bristol)</jtitle><addtitle>Clin Biomech (Bristol)</addtitle><date>2025-02</date><risdate>2025</risdate><volume>122</volume><spage>106422</spage><pages>106422-</pages><artnum>106422</artnum><issn>0268-0033</issn><issn>1879-1271</issn><eissn>1879-1271</eissn><abstract>Total hip arthroplasty is the preferred treatment for advanced hip osteoarthritis, yet complications like hip dislocation (0.2 %–10 %) persist due to factors such as implant design, positioning, surgical technique, and patient-specific conditions. Impingement between prosthetic components or the acetabulum and proximal femur is a primary cause of instability. A retrospective analysis of 120 patients (130 hips) undergoing total hip arthroplasty at XX Hospital (2011−2023) categorized patients by lateral center-edge angle: developmental dysplasia of the hip, borderline developmental dysplasia of the hip, and normal hip. ct imaging facilitated virtual 3D bone models for motion analysis, excluding cases with prior hip surgery or spinal fusion. Statistical analyses utilized the Mann–Whitney U test and one-way ANOVA. The developmental dysplasia of the hip group showed the highest posterior impingement frequency, significantly affecting range of motion in flexion, adduction, and external rotation compared to borderline developmental dysplasia of the hip and normal hip groups. Variations in femoral neck anteversion, lesser trochanter version, and ischiofemoral space were notable. Posterior impingement commonly occurred between the lesser trochanter and ischial tuberosity. Posterior bony impingement emerged as a predominant factor reducing range of motion and increasing dislocation risk, particularly in developmental dysplasia of the hip patients, challenging the conventional “safe zone” for implant positioning. Personalized surgical strategies tailored to individual bone morphology are crucial for enhancing total hip arthroplasty outcomes and minimizing complications, although limitations include the exclusion of soft tissue influences and focusing solely on range of motion until impingement occurs. •Computed tomography analysis reveals higher posterior impingement in developmental dysplasia of the hip.•Patients with developmental dysplasia of the hip show limited range of motion due to bone morphology.•Bony morphology challenges “safe zone” for implant placement.•Personalized surgical planning needed based on bone structure.•Computed tomography helps assess impingement risk for improved total hip arthroplasty outcomes.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>39732033</pmid><doi>10.1016/j.clinbiomech.2024.106422</doi></addata></record>
fulltext fulltext
identifier ISSN: 0268-0033
ispartof Clinical biomechanics (Bristol), 2025-02, Vol.122, p.106422, Article 106422
issn 0268-0033
1879-1271
1879-1271
language eng
recordid cdi_proquest_miscellaneous_3149881216
source ScienceDirect Journals (5 years ago - present)
subjects Anterior dislocation
CT analysis
Developmental dysplasia of the hip
Posterior hip joint impingement
Total hip arthroplasty
title Analysis of posterior hip joint impingement about developmental dysplasia of the hip after total hip arthroplasty
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T19%3A02%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Analysis%20of%20posterior%20hip%20joint%20impingement%20about%20developmental%20dysplasia%20of%20the%20hip%20after%20total%20hip%20arthroplasty&rft.jtitle=Clinical%20biomechanics%20(Bristol)&rft.au=Shozen,%20Hideki&rft.date=2025-02&rft.volume=122&rft.spage=106422&rft.pages=106422-&rft.artnum=106422&rft.issn=0268-0033&rft.eissn=1879-1271&rft_id=info:doi/10.1016/j.clinbiomech.2024.106422&rft_dat=%3Cproquest_cross%3E3149881216%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3149881216&rft_id=info:pmid/39732033&rft_els_id=S0268003324002547&rfr_iscdi=true