Observational studyInternational orthopaedics2022
Restoring femoral medial offset could reduce pelvic obliquity following primary total hip arthroplasty, an observational study.
Observational study in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Low-versus high-dose aspirin for venous thromboembolic prophylaxis after total joint arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Medial Femoral Offset and Early Pelvic Obliquity Correction After Unilateral Total Hip Arthroplasty.Arthroplasty today · 2026Article
- Clinical cutoff value of lumbar bending range for predicting residual pelvic obliquity after total hip arthroplasty in dysplastic hip osteoarthritis.Archives of orthopaedic and trauma surgery · 2026Article
- Correlation Analysis of Clinical Outcomes for Patients With Coronal Pelvic Obliquity After Total Hip Arthroplasty in Direct Anterior Approach.Orthopaedic surgery · 2025Article
- Direction of pelvic obliquity after total hip arthroplasty for dysplastic hip osteoarthritis: a retrospective observational study.Archives of orthopaedic and trauma surgery · 2025Observational
- Characteristics of pelvic obliquity in dysplastic hip osteoarthritis.Archives of orthopaedic and trauma surgery · 2024Article
- Risk factors for residual pelvic obliquity one year after total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Bilateral total hip arthroplasty in a case with fibrous dysplasia: a case report.Journal of medical case reports · 2023Article
- Coronal tibiofemoral subluxation under valgus stress force radiography is useful for evaluating postoperative coronal tibiofemoral subluxation in mobile-bearing UKA.Archives of orthopaedic and trauma surgery · 2023Article
- Slight pelvic obliquity is normal in a healthy population: a cross-sectional study.Journal of experimental orthopaedics · 2023Article
- Comparison of low-dose (162 mg) and high-dose (650 mg) Aspirin prophylaxis following total joint arthroplasty: a prospective cohort study.Annals of medicine and surgery (2012) · 2023Article
- Joint replacement and human immunodeficiency virus.World journal of virology · 2023Review
- Predictors of Core Decompression Success in Patients with Femoral Head Avascular Necrosis.The archives of bone and joint surgery · 2023Article
- COVID-19 Infection Risk Following Elective Arthroplasty and Surgical Complications in COVID-19-vaccinated Patients: A Multicenter Comparative Cohort Study.Arthroplasty today · 2022Article
- Total Hip Arthroplasty via direct anterior approach for osteonecrosis; comparison with primary hip osteoarthritis in a mid term follow up.Journal of clinical orthopaedics and trauma · 2022Article
- Simultaneous femoral head reduction osteotomy (FHRO) combined with periacetabular osteotomy (PAO) for the treatment of severe femoral head asphericity in Perthes disease.Journal of orthopaedic surgery and research · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSince femoral and horizontal offsets may be contributing factors to hip and pelvic balance, this study seeks to determine whether there is a correlation between pelvic obliquity (PO) after unilateral total hip arthroplasty (THA) and horizontal/vertical offset differences of the replaced and contralateral natural joints.
methodsA cross-sectional study was performed on adult patients who underwent unilateral THA between 2017 and 2020. An expert orthopaedic resident measured PO angles and offset parameters. "Delta medial offset" is considered medial offset of the replaced hip minus the medial offset of the contralateral side. "Absolute delta medial offset" is considered the absolute value of the "Delta medial offset."
resultsFinally, 133 patients were included in the study with a mean (SD) age of 45.3 ± 14.8 years and 57.9% female. The PO values (median, IQR) changed from 3.2 (1.7-5.7) before THA to 3.0 (1.50-5.6) after THA, not significantly decreased (P = 0.31). The PO after THA is significantly correlated with PO before THA (correlation coefficient of 0.457, P < 0.001), the delta medial offset after THA (correlation coefficient of - 0.24, P = 0.006), and the absolute delta medial offset after THA (correlation coefficient of 0.284, P = 0.001). The amount of changes of delta medial offset, before and after surgery, was not significantly correlated to PO or PO changes after surgery.
conclusionPO before the THA and medial offset discrepancy after THA are two important contributing factors for post-operative PO. Restoring the medial offset of the affected side and lowering the delta medial offset between the two sides can significantly decrease post-operative PO.
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