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Fall risk in patient with dysplastic hip osteoarthritis

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Abstract

Purpose

Patients with dysplastic hip osteo arthritis (DHOA) often have a spinopelvic imbalance, and they are more likely to experience falls. This study aimed to evaluate the risk factors for falls in patients with DHOA, including spinopelvic parameters.

Methods

In this cross-sectional study, a total of 103 patients with DHOA were included from 2019 to 2021. Fall risk was evaluated using the Fall Risk Index 5 items version (FRI-5). Demographics, functional outcomes, and spinopelvic parameters were compared between the high-risk group (FRI-5 ≥ 6) and the low-risk group (FRI-5 < 6). Multivariate analysis was performed using factors with significant differences in univariate analysis.

Results

High-risk and low-risk groups comprised 54 and 49 patients, respectively. Females were significantly more common in the high-risk group than in the low-risk group. The Harris Hip Score was significantly lower in the high-risk group than in the low-risk group (p = 0.02). Pelvic incidence, tilt, and obliquity were significantly higher in the high-risk group than in the low-risk group (p < 0.01). In multivariate analysis, female sex (odds ratio [OR]: 3.76, 95% confidence interval [CI]: 1.11-12.64, p = 0.03), pelvic obliquity (OR: 1.36, 95% CI: 1.09-1.71, p < 0.01), and Harris hip score (OR: 0.96, 95% CI: 0.93-0.99, p = 0.02) were identified as risk factors.

Conclusion

Female sex, pelvic obliquity, and low Harris hip score were associated with an increased risk of falls among patients with DHOA.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan

    Takamune Asamoto, Yusuke Osawa, Yasuhiko Takegami, Masanori Okamoto, Hiroki Iida & Shiro Imagama

Authors
  1. Takamune Asamoto
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  2. Yusuke Osawa
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  3. Yasuhiko Takegami
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  4. Masanori Okamoto
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  5. Hiroki Iida
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  6. Shiro Imagama
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Contributions

T Asamoto: data collection, study design, writing the paper

Y. Osawa: study design, data collection, data analysis

Y. Takegami: data collection, statistical analysis

M Okamoto: data collection

H Iida: data collection

S. Imagama: proofreading of the final paper

Corresponding author

Correspondence to Yusuke Osawa.

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This investigational protocol was conducted with the approval of the Nagoya University Graduate School of Medicine Ethics Committee. In accordance with the requirements of this review, all subjects provided informed consent.

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The authors declare no competing interests.

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Asamoto, T., Osawa, Y., Takegami, Y. et al. Fall risk in patient with dysplastic hip osteoarthritis. International Orthopaedics (SICOT) 48, 221–227 (2024). https://doi.org/10.1007/s00264-023-05938-z

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  • DOI: https://doi.org/10.1007/s00264-023-05938-z

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