Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter?

Maratt, Joseph D; Esposito, Christina I; McLawhorn, Alexander S; Jerabek, Seth A; Padgett, Douglas E; Mayman, David J · J Arthroplasty · 2015

retrospective_cohort · Level III

Where this comes from

Abstract

Pelvic tilt (PT) affects the functional anteversion and inclination of acetabular components in total hip arthroplasty (THA). One-hundred and thirty-eight consecutive patients who underwent unilateral primary THA were reviewed. Most cases had some degree of pre-operative PT, with 17% having greater than 10° of PT on standing pre-operative radiographs. There was no significant change in PT following THA. A computer model of a hemispheric acetabular component implanted in a range of anatomic positions in a pelvis with varying PT was created to determine the effects of PT on functional anteversion and inclination. Based on the study results, tilt-adjustment of the acetabular component position based on standing pre-operative imaging will likely improve functional component position in most patients undergoing THA.

Medical subject headings

Anatomy