The varus cemented femoral stem in total hip arthroplasty: Predictors, implications and The Femoral Access Ratio.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 33424184.
- Also identified by DOI 10.1016/j.jor.2020.12.012 and PMC identifier 7777456.
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Abstract
We describe a novel morphological ratio, the Femoral Access Ratio, in the preoperative femur to investigate the predictors of femoral stem malalignment. We reviewed 70 cemented femoral stems. Preoperative 'FAR' score was measured. Postoperative coronal stem alignment was measured and ten year survivorship and functional outcomes investigated. There were three predictors of varus stem malalignment-BMI, GT-height and 'FAR' score. Increasing BMI led to higher rates of malalignment (p = 0.048). 'FAR' score <1 lead to 68.4% of varus stems. GT height contributed most to the prediction of varus stem malalignment (p = 0.013). FAR score is a simple preoperative radiographic measurement that can predict the likelihood of femoral stem varus malalignment in cemented femoral stems.
Anatomy
- femur
- hip