Pre-operative planning in THA. Part III: do implant size prediction and offset restoration influence functional outcomes after THA?
Alexandre CechMasanori KaseHideo KobayashiGeert PagenstertYannick CarrillonPadhraig F O'LoughlinTarik Aït-Si-SelmiHugo BothorelMichel P BonninPublished in: Archives of orthopaedic and trauma surgery (2020)
The FJS and OHS were not influenced by mismatch of component sizes nor of FO and GO. The FJS was better when the post-operative AO was greater than planned (p = 0.050). The FJS differed among arthritic types (p = 0.015). Multivariable analyses confirmed that older patients had better OHS (beta - 0.16; p = 0.033) and FJS (beta 0.74; p = 0.002), medialized hips had worse FJS (beta - 20.1; p = 0.041) and hips with greater AO than planned had better FJS (beta 1.71; p = 0.024) CONCLUSIONS: Implanting a component of different size than planned did not compromise THA outcomes, but medialized hips had worse scores, and conservative acetabular reaming improved scores.
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