Abstract:
Knowledge of the relationship between the hip and spine is essential in the effort to minimize instability and improve outcomes following total hip arthroplasty (THA). A detailed yet straightforward preoperative imaging workup can provide valuable information on pelvic positioning, which may be helpful for optimum placement of the acetabular cup. For a streamlined preoperative assessment of THA candidates, classification systems with a capacity for providing a more personalized approach to performance of THA have been introduced. Familiarity with these systems and their clinical application is important in the effort to optimize component placement and reduce the risk of instability. Looking ahead, the principles of the hip-spine relationship are being integrated using emerging innovative technologies, promising further streamlining of the evaluation process.
摘要:
了解髋关节和脊柱之间的关系对于减少全髋关节置换术(THA)后的不稳定性和改善预后至关重要。详细而直接的术前影像学检查可以提供有关骨盆定位的有价值的信息,这可能有助于髋臼杯的最佳放置。为了简化THA候选人的术前评估,已经引入了能够提供更个性化的THA性能方法的分类系统。熟悉这些系统及其临床应用对于优化组件放置和降低不稳定风险的努力非常重要。展望未来,使用新兴的创新技术整合髋骨关系的原则,承诺进一步简化评估过程。