Evidence map›Paper›PMID 38849873›Full record

ArticleJournal of orthopaedic surgery and research2024

Effects of lower limb length discrepancy on spinopelvic compensation following total hip arthroplasty in patients with developmental dysplasia of the hip.

Tong Li, Yifei Li, Jiaxiang Gao, Ruichen Ma, Qidong Zhang, Weiguo Wang

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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tong Li *Department of Orthopedics, China-Japan Friendship Hospital, Beijing, China.
Yifei Li *15 th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jiaxiang GaoDepartment of Orthopedics, China-Japan Friendship Hospital, Beijing, China.
Ruichen MaDepartment of Orthopedics, China-Japan Friendship Hospital, Beijing, China.
Qidong ZhangDepartment of Orthopedics, China-Japan Friendship Hospital, Beijing, China. tjzhqd@163.com.
Weiguo WangDepartment of Orthopedics, China-Japan Friendship Hospital, Beijing, China. jointwwg@163.com.

Funding

Elite Medical Professionals project of China-Japan Friendship Hospital ZRJY2021-QM08National Natural Science Foundation of China 82372426
6 · The paper itself

Abstract

backgroundLimited research has examined the impact of lower limb length discrepancy (LLLD) alteration on spinopelvic compensation in individuals with developmental dysplasia of the hip (DDH). This study aimed to investigate the effects of LLLD on spinopelvic compensation following total hip arthroplasty (THA) and elucidate the complex biomechanical adaptations in the spinopelvic structures.

methodsA retrospective review of DDH patients undergoing THA from January 2014 to December 2021 categorized individuals with Crowe type I and II into the low dislocation group (LDG, n = 94) and those with Crowe type III and IV into the high dislocation group (HDG, n = 43). Demographic data, as well as preoperative, postoperative, and last follow-up imaging data, including lower limb length (LLL), sacral obliquity (SO), iliac obliquity (IO), hip obliquity (HO), Cobb angle, apical vertebral translation (AVT), and coronal decompensation (CD), were collected for analysis.

resultsPatients in the LDG had a significantly higher surgical age and shorter disease duration (P<0.05). In LDG, patients exhibited substantial postoperative reductions in LLLD, SO, IO, and HO (P<0.05), while Cobb Angle, AVT, and CD showed no statistically significant changes (P>0.05). The variation in LLLD correlated significantly with the variations in SO, IO, and HO (P<0.05). Postoperative outcomes in the HDG demonstrated marked decreases in LLLD, SO, IO, HO, and CD (P<0.05), with no significant change in Cobb angle and AVT (P>0.05). The variation in LLLD correlated significantly with the variations in SO, IO, HO, and CD (P<0.05).

conclusionsTHA effectively reduces LLLD in patients with DDH, and the variation in LLLD correlates meaningfully with the recovery of spinopelvic compensatory mechanisms.

Indexed as

Arthroplasty, Replacement, HipDevelopmental Dysplasia of the HipLeg Length InequalityAdultAgedBiomechanical PhenomenaFemaleHumansLower ExtremityMaleMiddle AgedPelvisRetrospective StudiesSpineCompensationCoronal decompensation (CD)Developmental dysplasia of the hip (DDH)Lower limb length discrepancy (LLLD)Total hip arthroplasty (THA)

Identifiers

PMID38849873
PMCPMC11161919

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.