Inclination and Alsberg angle changes in hip degenerative arthritis
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Tarih
2021
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: To compare the inclination and Alsberg angles of both hips in patients with unilateral coxarthrosis andhealthy population.Methods: 89 patients who underwent total hip replacement due to end-stage unilateral idiopathic coxarthrosisbetween 2016 and 2019 in Bolu Abant Izzet Baysal University Orthopedics and Traumatology Departmentand had preoperative pelvic anteroposterior radiographs were included in the study. A total of 87 patients withpelvic radiographs taken due to low back pain or minor trauma were included in the study as control group.Patients with bilateral end-stage coxarthrosis, any lower extremity fractures, secondary coxarthrosis caused byany reasons like Perthes disease, trauma, avascular necrosis, hematologic disease etc. and unsuitableradiographs were excluded from the study. Two researchers took the measurements separately and the averageswere considered and the results were analyzed statistically.Results: Statistically significant differences were detected between the right side and the left side in terms ofboth Alsberg and hip inclination values in individuals of healthy control group. In patients with unilateralosteoarthritis, no significant differences were detected between right and left sides in terms of hip inclinationvalues. Similarly, no significant difference was found between the right and left sides in terms of Alsbergvalues in patients with unilateral osteoarthritis. The Alsberg angle was found to be higher at statisticallysignificant levels in patients with unilateral hip osteoarthritis, in both the osteoarthritis side and thecontralateral hip, compared to the values in healthy individuals.Conclusion: When compared with healthy individuals, it was concluded that the Alsberg and inclinationangles changed with the development of unilateral coxarthrosis. While significant differences were detectedbetween the sides for Alsberg and inclination angle in healthy individuals, this difference between the sideswas not observed in the coxarthrosis groups. With the development of unilateral coxarthrosis, it was concludedthat the asymmetry between the right and left sides of healthy individuals disappeared and a more symmetricalstructure emerged in terms of Alsberg and hip inclination angles.
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Kaynak
Experimental Biomedical Research
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Cilt
4
Sayı
2