Changes in pelvic orientation after total hip arthroplasty : a prospective study with EOS™


Published online: Sep 30 2017

Olivier Barbier, Waffa Skalli , Didier Mainard

From the Department of arthroscopy, traumatology and orthopaedic surgery, Central Hospital, Nancy, Arts et Metiers ParisTech, Biomechanics laboratory, Paris, Department of orthopaedic surgery, Begin Military Teaching Hospital, Saint Mandé, France

Abstract

Changes in pelvic orientation after THA could alter the relationship between the femoral stem and the acetabular component and may be responsible of dislocation and implant degeneration. EOS™ technology allows three-dimensional analysis of the pelvis in functional position with low irradiation. The purpose of the study was to evaluate changes in pelvic orientation after THA in standing position with EOS™. In a prospective study, EOS™ was performed in standing position preoperatively and 3 months after computer assisted THA for primary hip osteoarthritis. Differences between pre- and postoperative pelvic parameters values were analyzed. 40 patients were included. Changes greater than 5° was noted in 12,5% of cases for pelvic incidence, 35% of cases for sacral slope and in 22,5% of cases for pelvic version. In conclusion, pelvic parameters could be modified after THA.