Hip-Spine Evaluation: A Clinical Practice for Total Hip Arthroplasty in Indian Scenario.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2026-05-13 eCollection Date: 2026-09-01 DOI:10.1007/s43465-026-01815-0

Shreesha Parthaje, Mahesh Kulkarni, Rishi Raj

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引用次数: 0

Abstract

Purpose: Instability following total hip arthroplasty (THA) remains a significant complication. This study aimed to evaluate spinopelvic parameters in Indian patients and the role of functional component positioning in preventing dislocations.

Methods: This prospective study included 338 patients undergoing primary THA from January 2023 to June 2024. Spinopelvic alignment and mobility were assessed using standing and sitting radiographs, with classification based on the Simple Hip-Spine classification system. Component positioning was tailored to spinopelvic parameters, including robotic-assisted THA in selected cases.

Results: The mean age was 48 years and most common indication of THA was osteonecrosis of head of femur. Spinopelvic abnormalities were observed only in 12% of patients, lower than in Western populations. Functional component positioning successfully prevented dislocations, with no cases reported at 6 months. PI-LL was negative in 58% with hyperlordosis (PI-LL < -10⁰) in 22% and spinopelvic imbalance (PI-LL > 10⁰) was in 9%.

Conclusion: Spinopelvic abnormalities are less common in Indian THA patients. Preoperative evaluation and personalized component positioning effectively prevent dislocations.

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髋-脊柱评估：全髋关节置换术在印度的临床实践。

目的：全髋关节置换术后不稳定仍然是一个重要的并发症。本研究旨在评估印度患者的脊柱骨盆参数和功能部件定位在预防脱位中的作用。方法：这项前瞻性研究包括338例于2023年1月至2024年6月接受原发性THA手术的患者。采用站立和坐位x线片评估脊柱骨盆对齐和活动度，并根据简单髋-脊柱分类系统进行分类。组件定位是根据脊柱骨盆参数定制的，包括在选定的病例中使用机器人辅助THA。结果：患者平均年龄48岁，最常见的适应症是股骨头坏死。只有12%的患者观察到脊柱骨盆异常，低于西方人群。功能部件定位成功防止脱位，6个月无病例报告。PI-LL为阴性的占58%，脊柱前凸（PI-LL 0）占22%，脊柱骨盆失衡（PI-LL bbb100）占9%。结论：脊柱骨盆异常在印度THA患者中较少见。术前评估和个性化部件定位可有效预防脱位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.