ArticleInternational orthopaedics2016
Current standard rules of combined anteversion prevent prosthetic impingement but ignore osseous contact in total hip arthroplasty.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Inaccurate offset restoration in total hip arthroplasty results in reduced range of motion.Scientific reports · 2020Trial
- Impact of Hip Rotation Angle Following Total Hip Arthroplasty with Leg Lengthening.Journal of clinical medicine · 2025Article
- Influence of hip prosthesis position on postoperative gait in symptomatic hip osteoarthritis secondary to hip dysplasia patients after primary total hip arthroplasty: a short-term follow-up study.BMC musculoskeletal disorders · 2024Article
- Clinical effects of combined anteversion and offset on postoperative dislocation in total hip arthroplasty.Arthroplasty (London, England) · 2024Article
- How to Estimate Femoral Stem Anteversion During Direct Anterior Approach Total Hip Arthroplasty.Arthroplasty today · 2024Article
- Relative Acetabular Retroversion and Its Association With Earlier-Onset Symptomatic Osteoarthritis of the Hip.Arthroplasty today · 2024Article
- A novel method for evaluating combined component anteversion in total hip arthroplasty on cross-table lateral hip radiographs.Archives of orthopaedic and trauma surgery · 2023Article
- Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- Which Safe Zone Is Safe in Total Hip Arthroplasty? The Effect of Bony Impingement.Journal of personalized medicine · 2022Article
- Can we trust combined anteversion and Lewinnek safe zone to avoid hip prosthesis dislocation?Journal of clinical orthopaedics and trauma · 2021Article
- Is Combined Anteversion Equally Affected by Acetabular Cup and Femoral Stem Anteversion?The Journal of arthroplasty · 2021Article
- Measurement of operative femoral anteversion during cementless total hip arthroplasty and influencing factors for using neck-adjustable femoral stem.Journal of orthopaedic surgery and research · 2021Article
- [The superiority of navigation and robotics in hip arthroplasty: fact or myth?]Der Orthopade · 2021Review
- Impact of stem design and cementation on postoperative femoral antetorsion in 227 patients with total hip arthroplasty (THA).Skeletal radiology · 2020Article
- [Intraoperative assessment of pelvic tilt and cup position in total hip arthroplasty: the relevance of navigation and robotics].Der Orthopade · 2020Review
- Bone-to-Bone and Implant-to-Bone Impingement: A Novel Graphical Representation for Hip Replacement Planning.Annals of biomedical engineering · 2020Article
- Anatomic stem inserted according to native anteversion could reproduce the native anterior distance of the femoral head and decrease bony impingement in total hip arthroplasty.International orthopaedics · 2020Article
- Femur First navigation can reduce impingement severity compared to traditional free hand total hip arthroplasty.Scientific reports · 2017Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn this prospective study of 135 patients undergoing cementless total hip arthroplasty (THA) we asked whether six current definitions of combined anteversion prevent impingement and increase postoperative patient individual impingement-free range-of-motion (ROM).
methodsImplant position was measured by an independent, external institute on 3D-CT performed six weeks post-operatively. Post-operative ROM was calculated using a CT-based algorithm detecting osseous and/or prosthetic impingement by virtual hip movement. Additionally, clinical ROM was evaluated pre-operatively and one-year post-operatively by a blinded observer.
resultsCombined component position of cup and stem according to the definitions of Ranawat, Widmer, Dorr, Hisatome and Yoshimine inhibited prosthetic impingement in over 90 %, while combined osseous and prosthetic impingement still occurred in over 40 % of the cases. The recommendations by Jolles, Widmer, Dorr, Yoshimine and Hisatome enabled higher flexion (p ≤ 0.001) and internal rotation (p ≤ 0.006). Clinically, anteversion rules of Widmer and Yoshimine provided one-year post-operatively statistically but not clinically relevant higher internal rotation (p ≤0.034).
conclusionStandard rules of combined anteversion detect prosthetic but fail to prevent combined osseous and prosthetic impingement in THA. Future models will have to account for the patient-individual anatomic situation to ensure impingement-free ROM.
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