• français
    • English
    français
  • Login
Help
View Item 
  •   Home
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • View Item
  • Home
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

The Impact of Hip Mobility on Lumbar and Pelvic Mobility before and after Total Hip Arthroplasty

Article dans une revue avec comité de lecture
Author
KIM, Youngwoo
SHIMIZU, Yu
TOKUYASU, Hiroyuki
TAKEMOTO, Mitsuru
ccVERGARI, Claudio
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]

URI
http://hdl.handle.net/10985/23083
DOI
10.3390/jcm12010331
Date
2022-12
Journal
Journal of Clinical Medicine

Abstract

Hip arthrosis and total hip arthroplasty (THA) can alter a patient’s balance and spinopelvic mobility. In this study, we hypothesized that lumbar, pelvic, and hip mobility and their inter-relations are affected by THA and that their study could give an insight in our understanding of postoperative balance and mobility. A total of 165 patients with hip arthrosis and with an indication for THA were included in this single-center prospective cohort. Sagittal radiographs were acquired in four positions: free-standing, standing extension, relaxed-seating and flexed-seating preoperatively and at 6 and 12 months. Spinopelvic parameters were measured (pelvic tilt and incidence, sacral slope, lumbar lordosis, pelvic-femoral angle). Standing spinopelvic parameters did not significantly change postoperatively. However, the postural changes occurring between positions were significantly altered after THA. In particular, pelvic and lumbar mobility was significantly reduced postoperatively, while hip mobility was increased. Correlations were observed between the changes in lumbar, pelvic and hip mobility before and after THA. This study confirmed that there is a relationship between lumbar, pelvic and hip mobility in osteoarthritis, and that this relationship is modified by the postoperative compensation mechanisms deployed by the patient in dynamic postures. Hence, surgeons should consider these relationships when planning surgery, in order to obtain a physiological pelvic tilt postoperatively and to account for the potential increased risk of impingement and dislocation with hip hypermobility.

Files in this item

Name:
IBHGC_JCM_2022_VERGARI.pdf
Size:
1.862Mb
Format:
PDF
Description:
The Impact of Hip Mobility on ...
Embargoed until:
2023-07-01
View/Open
CC BY
This document is available under CC BY license

Collections

  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)

Related items

Showing items related by title, author, creator and subject.

  • Sagittal alignment in patients with flexion contracture of the hip before and after total hip arthroplasty 
    Article dans une revue avec comité de lecture
    VERGARI, Claudio; KIM, Youngwoo; TAKEMOTO, Mitsuru; SHIMIZU, Yu; TANAKA, Chiaki; FUKAE, Shunya; FUJIBAYASHI, Shunsuke; MATSUDA, Shuichi (Springer, 2022-09)
    Introduction In hip osteoarthritis, hip flexion contracture can severely alter the patient’s alignment, and, therefore, affect the patient’s quality of life (QOL). Hip contracture is not well-studied, partly because of ...
  • Stand-to-Sit Kinematics of the Pelvis Is Not Always as Expected: Hip and Spine Pathologies Can Have an Impact 
    Article dans une revue avec comité de lecture
    KIM, Youngwoo; VERGARI, Claudio; GIRINON, François; LAZENNEC, Jean-Yves; SKALLI, Wafa (Elsevier, 2019)
    Introduction; Stand to sit pelvis kinematics is commonly considered as a rotation around the bicoxofemoral axis. However, abnormal kinematics could occur for patients with musculoskeletal disorders affecting the hip-spine ...
  • Quasi-automatic early detection of progressive idiopathic scoliosis from biplanar radiography: a preliminary validation 
    Article dans une revue avec comité de lecture
    VERGARI, Claudio; GAJNY, Laurent; COURTOIS, Isabelle; EBERMEYER, Eric; ABELIN-GENEVOIS, Kariman; KIM, Youngwoo; LANGLAIS, Tristan; VIALLE, Raphaël; ASSI, Ayman; GHANEM, Ismat; DUBOUSSET, Jean; SKALLI, Wafa (Springer Verlag, 2019)
    Purpose To validate the predictive power and reliability of a novel quasi-automatic method to calculate the severity index of adolescent idiopathic scoliosis (AIS). Methods Fifty-five AIS patients were prospectively ...
  • Total Hip Arthroplasty in Patients With Parkinson Disease: Improved Outcomes With Dual Mobility Implants and Cementless Fixation 
    Article dans une revue avec comité de lecture
    LAZENNEC, Jean-Yves; KIM, Youngwoo; POUR, Aidin Eslam (Elsevier, 2017)
    Background: Parkinson disease (PD) results in severe limitation in ambulation caused by abnormality of gait and posture. The rate of complications, including fractures and dislocation after total hip arthroplasty (THA), ...
  • How do global sagittal alignment and posture change after total hip arthroplasty? 
    Article dans une revue avec comité de lecture
    KIM, Youngwoo; POUR, Aidin Eslam; LAZENNEC, Jean Yves (Springer Science and Business Media LLC, 2019)
    Background: Postural change after total hip arthroplasty (THA) is still a matter of discussion. Previous studies have mainly concentrated on the pelvic motions. We report the post-operative changes of the global sagittal ...

Browse

All SAMCommunities & CollectionsAuthorsIssue DateCenter / InstitutionThis CollectionAuthorsIssue DateCenter / Institution

Newsletter

Latest newsletterPrevious newsletters

Statistics

Most Popular ItemsStatistics by CountryMost Popular Authors

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales