The effect of posterolateral reconstruction on range of motion and muscle strength in total hip arthroplasty

Yamaguchi, Tetsu; Naito, Masatoshi; Asayama, Isao; Kambe, Taichi; Fujisawa, Michiko; Ishiko, Toshiyuki

doi:10.1054/arth.2003.50060

Cited by 36 publications

(32 citation statements)

References 10 publications

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“…In several clinical studies, lower dislocation rates (0.5%-2%) were reported when these soft tissues were repaired compared with when they were not repaired [7,14,[19][20][21][22][23]25]. The advantages of soft tissue repairs for postoperative stability after THA also were demonstrated in a mechanical study [10].…”

Section: Discussionmentioning

confidence: 92%

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Modified Posterior Approach to Total Hip Arthroplasty to Enhance Joint Stability

Kim

Kwon

Sun

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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We modified the posterior approach by preserving the external rotator muscles to enhance joint stability after primary THA. We asked whether this modified posterior approach would have a lower dislocation rate than the conventional posterior approach, with and without a repair of external rotator muscles. We retrospectively divided 557 patients (670 hips) who had undergone primary THA into three groups based on how the external rotator muscles had been treated during surgery: (1) not repaired after sectioning, (2) repaired after sectioning, or (3) not sectioned and preserved. The minimum followup was 1 year. In the group with preserved external rotator muscles, we observed no dislocations; in comparison, the dislocation rates for the repaired rotator group and the no-repair group were 3.9% and 5.3%, respectively. This modified posterior approach, which preserves the short external rotator muscles, seemed effective in preventing early dislocation after primary THA. Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 92%

“…In hopes of preventing dislocation, numerous authors have reported the benefits of repairing the short external rotator muscle and capsule [7,14,19,20,22,23,25]. Nonetheless, one study had an exceptionally high dislocation rate of 9.5%, even after the piriformis tendon and both obturator tendons were repaired [21].…”

Section: Introductionmentioning

confidence: 99%

Modified Posterior Approach to Total Hip Arthroplasty to Enhance Joint Stability

Kim

Kwon

Sun

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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“…Although QF does not contribute to the osteotendinous complex on the greater trochanter, it is still predisposed to acute strains and impingement within the ischiofemoral space (Willick et al, ; Sussman et al, ). Detailed anatomical knowledge of the attachment and the alignment of each of the six short lateral rotator muscles at their bony insertion can better inform surgical approaches for hip reconstruction (Solomon et al, ; Pine et al, ; Ito et al, ; Roche et al, ; Tamaki et al, ), which in turn, can improve the stability of the hip joint postoperatively (Yamaguchi et al, ).…”

Section: Resultsmentioning

confidence: 99%

An appraisal of the short lateral rotators of the hip joint

2015

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The short lateral rotators (piriformis, obturator internus, superior and inferior gemelli, obturator internus, and quadratus femoris) are functionally important muscles, significantly contributing to hip joint stability. They act as "postural muscles", holding the femoral head in the acetabulum during hip movements, thus are frequently monitored in gait analysis and for muscle rehabilitation post-injury. Despite the need to precisely identify and repair these muscles for stability postoperatively, clinical complications have resulted from the inadequate and inconsistent understanding of their morphological and functional anatomy. Furthermore, the short lateral rotators have complex entheses (osteotendinous insertions on bone) and may be subject to overuse injury in sport. This study aims to review the reported morphology of the short lateral rotators in order to ascertain whether discrepancies exist in our understanding of these muscles, and if further investigation is required to aid in gait analysis, clinical management of hip pathologies, and prevention of overuse injuries. Following a literature search strategy, 59 primary references were retrieved from three databases, with additional 26 anatomical textbooks selected for critical evaluation. Numerous inaccuracies and inconsistencies in the anatomical descriptions of the attachments, patterns of innervation and actions exist, and often insufficiently supported by primary findings. There is also a paucity of information regarding the architectural pattern of the muscles, which would be useful in clarifying the function of these dynamic stabilizers of the hip joint. A better anatomical understanding of these muscles will better inform hip reconstruction and lead to improved surgical outcomes by reducing post-operative complications.

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“…performed the surgery, employing either the translateral [7] or posterolateral approach with a capsular repair [24]. He had already performed more than 100 mini-incision hip replacements before starting this study.…”

Section: Methodsmentioning

confidence: 99%

Which is more invasive—mini versus standard incisions in total hip arthroplasty?

Shitama

Kiyama

Naito

et al. 2009

International Orthopaedics (SICOT)

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In this study, interleukin-6 (IL-6), C-reactive protein (CRP), and haemoglobin levels were evaluated to compare the degree of surgical invasion between mini and standard incisions in total hip arthroplasty (THA). Sixtytwo patients admitted for primary cementless THA were enrolled in this randomised study. The patients were allocated to have surgery through either a mini incision of <10 cm or a standard incision of 15 cm. In each group, inflammatory responses were evaluated by IL-6, CRP, and haemoglobin levels before operation and one day after operation. Significant differences were not found in IL-

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The effect of posterolateral reconstruction on range of motion and muscle strength in total hip arthroplasty

Cited by 36 publications

References 10 publications

Modified Posterior Approach to Total Hip Arthroplasty to Enhance Joint Stability

Modified Posterior Approach to Total Hip Arthroplasty to Enhance Joint Stability

An appraisal of the short lateral rotators of the hip joint

Which is more invasive—mini versus standard incisions in total hip arthroplasty?

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