Email this article Brief concept of hip preservation
- Authors: Madan S.S.1, Chilbule S.K.1
-
Affiliations:
- Sheffield Children's Hospital
- Issue: Vol 5, No 4 (2017)
- Pages: 74-79
- Section: Articles
- URL: https://bakhtiniada.ru/turner/article/view/6851
- DOI: https://doi.org/10.17816/PTORS5474-79
- ID: 6851
Cite item
Abstract
Restoration of the anatomy of the hip joint and biomechanics across it, carry the immense importance to prevent future osteoarthritis of the joint. The aim of this review is to provide the brief concept of the methods to preserve the hip, especially in young adults.
Attempts to preserve the hips start with the intense preoperative planning of the corrective procedure. Different parameters regarding the femur and acetabulum in all 3 dimensions need to be assessed. Especially, measurement of the anteversion of the femur and acetabulum is a significant step to avoid osteoarthritis. In addition, the suprapelvic and infrapelvic (spine and lower limb lengths) alignment needs to be considered in the planning.
Correction of the femoral side of the hip needs the understanding of the blood supply of the proximal femur which carries the risk of avascular necrosis more so with intracapsular osteotomies. Acetabular reorientation, to re-distribute the forces over the weight bearing part, can be carried out with re-directional osteotomy such as periacetabular osteotomy. It needs the understanding of the acetabular anatomy and the force distribution in it.
To conclude, correction of both femoral and acetabular side parameters need to be considered in decision making depending on the alterations due to various etiologies causing the hip disorders.
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##article.viewOnOriginalSite##About the authors
Sanjeev S. Madan
Sheffield Children's Hospital
Email: Sanjeev.madan@sch.nhs.uk
MS, FRCS (T and O)
United Kingdom, Sheffield, S10 2THSanjay K. Chilbule
Sheffield Children's Hospital
Author for correspondence.
Email: sanjay.chilbule@sch.nhs.uk
ORCID iD: 0000-0002-4745-6254
MBBS, MS (ortho)
United Kingdom, Sheffield, S10 2THReferences
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