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Comparison between cup implantations during total hip arthroplasty with or without a history of rotational acetabular osteotomy

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Total hip arthroplasty (THA) after rotational acetabular osteotomy (RAO) is technically demanding because of the characteristic acetabular morphology after RAO. The present study aimed to investigate the differences in the three-dimensional cup position between THA after RAO and primary THA.

Materials and methods

We analysed the pre-operative and post-operative computed tomography (CT) data of 120 patients (20 patients after RAO and 100 patients without a history of RAO) who underwent THA between January 2017 and June 2018. We evaluated radiographic parameters, including acetabular anteversion, antero-posterior distance at the level of the femoral head centre, the presence of anterior acetabular osteophyte and/or rotated fragment during RAO from the CT data. Additionally, operative data and clinical scores were also evaluated.

Results

Although we found no significant differences in any clinical parameters, there were significant differences in radiographic parameters and operative data. The morphology of the acetabulum was significantly retroverted, and the antero-posterior distance was longer in patients after RAO, compared to the implanted cup. Additionally, longer operative time was necessary for such patients. These results reflect the atypical acetabular morphology after RAO, and emphasize that care should be taken to avoid anterior bony impingement and post-operative dislocation.

Conclusion

For cup implantation during THA after RAO, surgeons should acknowledge the atypical morphology of the acetabulum and not be misled by its visual shape.

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Acknowledgments

No funding was received for this study. We would like to thank Editage (www.editage.com) for English language editing.

Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Orthopaedic Surgery, Sensory and Motor System Medicine, Surgical Sciences, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Takeyuki Tanaka, Toru Moro, Shin Asai, Kazuaki Hashikura, Hisatoshi Ishikura & Sakae Tanaka

  2. Division of Science for Joint Reconstruction, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

    Toru Moro & Kazuaki Hashikura

Authors
  1. Takeyuki Tanaka
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  2. Toru Moro
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  3. Shin Asai
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  4. Kazuaki Hashikura
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  5. Hisatoshi Ishikura
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  6. Sakae Tanaka
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analyses were performed by Takeyuki Tanaka, Shin Asai, Kazuaki Hashikura, and Hisatoshi Ishikura. The first draft of the manuscript was written by Takeyuki Tanaka, and all authors commented on previous versions of the manuscript. Toru Moro and Sakae Tanaka supervised the study. All authors read and approved the final manuscript

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Correspondence to Takeyuki Tanaka.

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The authors have no conflict of interest to declare that are relevant to the content of this article

Ethics approval

The study was approved by the institutional review board of the University of Tokyo Hospital (number 2674-(3)). All investigations were conducted in conformity with ethical principles of research.

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Informed consent was obtained from all patients prior to their participation in the study.

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Tanaka, T., Moro, T., Asai, S. et al. Comparison between cup implantations during total hip arthroplasty with or without a history of rotational acetabular osteotomy. Arch Orthop Trauma Surg 142, 3539–3547 (2022). https://doi.org/10.1007/s00402-021-04253-9

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