Volume 9, Issue 3 (8-2022)                   JROS 2022, 9(3): 149-156 | Back to browse issues page


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Gharanizadeh K, Pisoudeh K, Sarikhani M, aminian A, Bahaeddini M. Evaluation of the Accuracy of Cup Positioning in Total Hip Arthroplasty Using the Antero-lateral Approach. JROS 2022; 9 (3) :149-156
URL: http://jros.iums.ac.ir/article-1-2230-en.html
1- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (236 Views)
Background: Total hip arthroplasty (THA) is a highly successful orthopedic procedure, recognized as the gold standard for addressing advanced osteoarthritis, with a projected global increase in performed cases.
Objectives: This study investigated the accuracy of cup positioning in patients undergoing THA using the anterolateral (AL) approach.
Methods: This cross-sectional study included patients undergoing ALTHA at Shafa Yahyaiyan Hospital in Tehran, affiliated with the Iran University of Medical Sciences, from 2018 to 2023. Post-operative radiological evaluations were conducted, and anteversion and inclination were assessed using established protocols. A safe zone for cup orientation was defined with an inclination angle of 40±10° and anteversion angle of 15±10°.
Results: Among 91 patients, the mean age was 51.14 years and 48 cases (52.7%) were male. Considering the safe zone for cup orientation, 69 patients (75.8%) fell within the inclination angle safe zone and 46(50.5%) were within the anteversion angle safe zone. However, no significant associations were found between age, gender, side of operation and the safe zones for anteversion and inclination.
Conclusion: The results indicated that the AL approach, as performed by experienced surgeons, achieved favorable cup positioning in the majority of patients, regardless of age and gender. 
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Type of Study: Research Article | Subject: Hip surgery
Received: 2022/04/17 | Accepted: 2022/06/5 | Published: 2022/08/1

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