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Do component position and muscle strength affect the cup-head translation during gait after total hip arthroplasty?

  • Original Article • HIP - ARTHROPLASTY
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Introduction

This study examined whether the component position or muscle strength affects the cup-head translation under in vivo weight-bearing conditions after total hip arthroplasty (THA). We hypothesized that there was a correlation between the hip offset or abductor strength and cup-head translation during gait.

Materials and methods

We prospectively evaluated 31 patients undergoing unilateral cementless primary THA. The cup height, cup/stem offset, and limb length discrepancy were measured on anterior–posterior bilateral hip radiographic images. The isometric muscle strength of the lower limbs was quantified using a handheld dynamometer. Continuous radiographic images were recorded during gait, and cup-head translation was analysed using a computer-assisted method.

Results

The average cup height, cup/stem offset, and limb length discrepancy were − 3.8 ± 5.1 mm, 1.2 ± 5.2 mm/− 0.7 ± 7.7 mm, and − 2.1 ± 5.2 mm, respectively. The average hip abductor/flexor and knee extensor strength were 86% ± 18%/85% ± 17% and 88% ± 17% of the contralateral healthy hip, respectively. The average cup-head translation during swing phase of gait was − 0.003 ± 0.31 mm. Multiple regression analyses found no significant independent predictors of cup-head translation (p > 0.05).

Conclusions

The component position or muscle strength did not significantly influence cup-head translation during gait after well-positioned primary THA.

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Acknowledgements

Source of funding: This work was supported by JSPS KAKENHI Grant No. (25870499) and a grant from the Nakatomi Foundation.

Funding

This study was funded by JSPS KAKENHI Grant No. (25870499) and a grant from the Nakatomi Foundation.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Masato Kiyohara, Satoshi Hamai, Daisuke Hara, Satoru Harada, Kenichi Kawaguchi & Yasuharu Nakashima

  2. Rehabilitation Medicine, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Satoshi Hamai, Daisuke Fujiyoshi & Kenichi Kawaguchi

Authors
  1. Masato Kiyohara
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  2. Satoshi Hamai
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  3. Daisuke Hara
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  4. Daisuke Fujiyoshi
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  5. Satoru Harada
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  6. Kenichi Kawaguchi
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  7. Yasuharu Nakashima
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Correspondence to Satoshi Hamai.

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Kiyohara, M., Hamai, S., Hara, D. et al. Do component position and muscle strength affect the cup-head translation during gait after total hip arthroplasty?. Eur J Orthop Surg Traumatol 29, 1263–1269 (2019). https://doi.org/10.1007/s00590-019-02443-1

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  • DOI: https://doi.org/10.1007/s00590-019-02443-1

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