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Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning

  • Radiologic Anatomy
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Abstract

The criteria for acetabular cup positioning during total hip replacement are a matter of considerable discussion, particularly with regards to the optimal degree of anteversion. “Anatomical anteversion” is defined in the transverse plane, and “surgical anteversion” in the sagittal plane. Computed tomography measurements of anteversion are characteristic of a given transverse section plane and fail to take into account the position of the pelvis. We suggest a simple method for evaluating acetabular cup position in both the transverse and sagittal planes during standing and sitting. By shedding new light on the relationships between the pelvis and the spine, this method may help to understand some cases of impingement, instability or abnormal wear.

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Authors and Affiliations

  1. Service de Chirurgie Orthopédique et Traumatologique, Université Paris VI Hôpital de la Pitié-Salpétrière, 47–83 boulevard de l’Hôpital, Cedex 13, Paris, France

    J.-Y. Lazennec, N. Charlot & G. Saillant

  2. Clinique Radiologique, 3 rue Lefèbvre, 75009 , Paris, France

    M. Gorin

  3. Service de Radiologie Ostéo-Articulaire, Université Paris VI Hôpital de la Pitié-Salpétrière, 47–83 boulevard de l’Hôpital, Cedex 13, Paris, France

    B. Roger

  4. Laboratoire d’Anatomie, Faculté de Médecine de la Pitié-Salpétrière Université Paris VI, France

    N. Arafati

  5. Département de Statistique, Faculté de Médecine de la Pitié-Salpétrière Université Paris VI, France

    A. Bissery

Authors
  1. J.-Y. Lazennec
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  2. N. Charlot
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  3. M. Gorin
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  4. B. Roger
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  5. N. Arafati
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  6. A. Bissery
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  7. G. Saillant
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Correspondence to J.-Y. Lazennec.

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Lazennec, JY., Charlot, N., Gorin, M. et al. Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning. Surg Radiol Anat 26, 136–144 (2004). https://doi.org/10.1007/s00276-003-0195-x

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  • DOI: https://doi.org/10.1007/s00276-003-0195-x

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