Original Article

Hip Pelvis 2013; 25(2): 102-109

Published online June 1, 2013

https://doi.org/10.5371/hp.2013.25.2.102

© The Korean Hip Society

The Usefulness of Intraoperative Radiography for Prevention of Malalignment of the Cemented Femoral Stem

Ho Hyun Yun, MD, Jung-Ro Yoon, MD, Yong In Lee, MD, Se Hyeok Yun, MD, Kyoung Ho Kim, MD

Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, Korea

Correspondence to : Ho Hyun Yun, MD
Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon-dong, Gangdong-gu, Seoul 134-791, Korea
TEL: +82-2-2226-1114 FAX: +82-2-2226-1910
E-mail: 3188yun@naver.com

* 본 논문의 요지는 2013년도 대한고관절학회 춘계학술대회에서 발표하였음.

Received: April 16, 2013; Revised: June 14, 2013; Accepted: June 14, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The purpose of this study was to evaluate the usefulness of our method, which estimated femoral stem alignment using a c-arm when the broach was inserted, for prevention of femoral stem malalignment.
Materials and Methods: A total of 103 hips were enrolled in this study. All patients underwentprimary hip arthroplasty from October 2011 to February 2013. The study was conductedretrospectively. Intraoperative estimated femoral stem alignments and final femoral stem alignments were classified into three groups. Multinomial logistic regression analysis was performed for analysis of factors (age, sex, diagnosis, body mass index, femoral stem size, osteoporosis, and proximal demur geometry) thatmight affect intraoperatively estimated femoral stem alignment.
Results: The distribution of intraoperative estimated femoral stem alignment was 80(78%) in the neutral group, 18(17%) in the varus group, and 5(5%) in the valgus group. The distribution of final femoral stem alignment was 100(97%) in the neutral group, 2(2%) in the varus group, and 1(1%) in the valgus group. There was no statistically significant factor affecting the intraoperatively estimated femoral stem alignment.
Conclusion: Intraoperative estimated femoral stem alignment using a c-arm is an effective method for prevention of femoral stem malalignment.

Keywords Hip, Arthroplasty, Cemented femoral stem, Malalignment

Article

Original Article

Hip Pelvis 2013; 25(2): 102-109

Published online June 1, 2013 https://doi.org/10.5371/hp.2013.25.2.102

Copyright © The Korean Hip Society.

The Usefulness of Intraoperative Radiography for Prevention of Malalignment of the Cemented Femoral Stem

Ho Hyun Yun, MD, Jung-Ro Yoon, MD, Yong In Lee, MD, Se Hyeok Yun, MD, Kyoung Ho Kim, MD

Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, Korea

Correspondence to:Ho Hyun Yun, MD
Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon-dong, Gangdong-gu, Seoul 134-791, Korea
TEL: +82-2-2226-1114 FAX: +82-2-2226-1910
E-mail: 3188yun@naver.com

* 본 논문의 요지는 2013년도 대한고관절학회 춘계학술대회에서 발표하였음.

Received: April 16, 2013; Revised: June 14, 2013; Accepted: June 14, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The purpose of this study was to evaluate the usefulness of our method, which estimated femoral stem alignment using a c-arm when the broach was inserted, for prevention of femoral stem malalignment.
Materials and Methods: A total of 103 hips were enrolled in this study. All patients underwentprimary hip arthroplasty from October 2011 to February 2013. The study was conductedretrospectively. Intraoperative estimated femoral stem alignments and final femoral stem alignments were classified into three groups. Multinomial logistic regression analysis was performed for analysis of factors (age, sex, diagnosis, body mass index, femoral stem size, osteoporosis, and proximal demur geometry) thatmight affect intraoperatively estimated femoral stem alignment.
Results: The distribution of intraoperative estimated femoral stem alignment was 80(78%) in the neutral group, 18(17%) in the varus group, and 5(5%) in the valgus group. The distribution of final femoral stem alignment was 100(97%) in the neutral group, 2(2%) in the varus group, and 1(1%) in the valgus group. There was no statistically significant factor affecting the intraoperatively estimated femoral stem alignment.
Conclusion: Intraoperative estimated femoral stem alignment using a c-arm is an effective method for prevention of femoral stem malalignment.

Keywords: Hip, Arthroplasty, Cemented femoral stem, Malalignment

H&P
Vol.36 No.1 Mar 01, 2024, pp. 1~75

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