Functional Safe Zone Is Superior to the Lewinnek Safe Zone for Total Hip Arthroplasty: Why the Lewinnek Safe Zone Is Not Always Predictive of Stability
The Lewinnek “safe zone” is not always predictive of stability after total hip arthroplasty (THA). Recent studies have focused on functional hip motion as observed on lateral spine-pelvis-hip x-rays. The purpose of this study was to assess the correlation between the Lewinnek safe zone and the funct...
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| Vydáno v: | The Journal of arthroplasty Ročník 34; číslo 1; s. 3 - 8 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
Elsevier Inc
01.01.2019
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| ISSN: | 0883-5403, 1532-8406, 1532-8406 |
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| Abstract | The Lewinnek “safe zone” is not always predictive of stability after total hip arthroplasty (THA). Recent studies have focused on functional hip motion as observed on lateral spine-pelvis-hip x-rays. The purpose of this study was to assess the correlation between the Lewinnek safe zone and the functional safe zone based on hip and pelvic motion in the sagittal plane.
Three hundred twenty hips (291 patients) underwent primary THA using computer navigation. Two hundred ninety-six of these hips (92.5%) were within the Lewinnek safe zone as determined by inclination of 40° ± 10° and anteversion of 15° ± 10°. All patients had preoperative and postoperative standing and sitting lateral spinopelvic x-rays. The combined sagittal index (CSI), a combination of sagittal acetabular and femoral position, was measured for each patient and used to assess the functional safe zone. Data analysis was performed to identify hips in the Lewinnek safe zone inside and outside the sagittal functional safe zone. Predictive factors for hips outside the functional safe zone were identified.
Of the 296 hips within the Lewinnek safe zone, 254 (85.8%) were also in the functional safe zone. Forty-two patients were outside the functional safe zone based on CSI; 19 had an increased standing CSI and 23 had a decreased sitting CSI, all were considered at risk for dislocation. Predictive factors for falling outside the functional safe zone were increased femoral mobility (P < .001, r = 0.632), decreased spinopelvic mobility (P < .001, r = 0.455), and pelvic incidence (P < .001, r = 0.400).
In this study, 14.2% of hips within the Lewinnek safe zone were outside the functional safe zone, identifying a potential reason hips dislocate despite having “normal” cup angles. The best predictor for falling outside the functional safe zone, both preoperatively and postoperatively, was femoral mobility, not the sagittal cup position (ie, cup anteinclination).
Level III, retrospective review. |
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| AbstractList | The Lewinnek “safe zone” is not always predictive of stability after total hip arthroplasty (THA). Recent studies have focused on functional hip motion as observed on lateral spine-pelvis-hip x-rays. The purpose of this study was to assess the correlation between the Lewinnek safe zone and the functional safe zone based on hip and pelvic motion in the sagittal plane.
Three hundred twenty hips (291 patients) underwent primary THA using computer navigation. Two hundred ninety-six of these hips (92.5%) were within the Lewinnek safe zone as determined by inclination of 40° ± 10° and anteversion of 15° ± 10°. All patients had preoperative and postoperative standing and sitting lateral spinopelvic x-rays. The combined sagittal index (CSI), a combination of sagittal acetabular and femoral position, was measured for each patient and used to assess the functional safe zone. Data analysis was performed to identify hips in the Lewinnek safe zone inside and outside the sagittal functional safe zone. Predictive factors for hips outside the functional safe zone were identified.
Of the 296 hips within the Lewinnek safe zone, 254 (85.8%) were also in the functional safe zone. Forty-two patients were outside the functional safe zone based on CSI; 19 had an increased standing CSI and 23 had a decreased sitting CSI, all were considered at risk for dislocation. Predictive factors for falling outside the functional safe zone were increased femoral mobility (P < .001, r = 0.632), decreased spinopelvic mobility (P < .001, r = 0.455), and pelvic incidence (P < .001, r = 0.400).
In this study, 14.2% of hips within the Lewinnek safe zone were outside the functional safe zone, identifying a potential reason hips dislocate despite having “normal” cup angles. The best predictor for falling outside the functional safe zone, both preoperatively and postoperatively, was femoral mobility, not the sagittal cup position (ie, cup anteinclination).
Level III, retrospective review. The Lewinnek "safe zone" is not always predictive of stability after total hip arthroplasty (THA). Recent studies have focused on functional hip motion as observed on lateral spine-pelvis-hip x-rays. The purpose of this study was to assess the correlation between the Lewinnek safe zone and the functional safe zone based on hip and pelvic motion in the sagittal plane.BACKGROUNDThe Lewinnek "safe zone" is not always predictive of stability after total hip arthroplasty (THA). Recent studies have focused on functional hip motion as observed on lateral spine-pelvis-hip x-rays. The purpose of this study was to assess the correlation between the Lewinnek safe zone and the functional safe zone based on hip and pelvic motion in the sagittal plane.Three hundred twenty hips (291 patients) underwent primary THA using computer navigation. Two hundred ninety-six of these hips (92.5%) were within the Lewinnek safe zone as determined by inclination of 40° ± 10° and anteversion of 15° ± 10°. All patients had preoperative and postoperative standing and sitting lateral spinopelvic x-rays. The combined sagittal index (CSI), a combination of sagittal acetabular and femoral position, was measured for each patient and used to assess the functional safe zone. Data analysis was performed to identify hips in the Lewinnek safe zone inside and outside the sagittal functional safe zone. Predictive factors for hips outside the functional safe zone were identified.METHODSThree hundred twenty hips (291 patients) underwent primary THA using computer navigation. Two hundred ninety-six of these hips (92.5%) were within the Lewinnek safe zone as determined by inclination of 40° ± 10° and anteversion of 15° ± 10°. All patients had preoperative and postoperative standing and sitting lateral spinopelvic x-rays. The combined sagittal index (CSI), a combination of sagittal acetabular and femoral position, was measured for each patient and used to assess the functional safe zone. Data analysis was performed to identify hips in the Lewinnek safe zone inside and outside the sagittal functional safe zone. Predictive factors for hips outside the functional safe zone were identified.Of the 296 hips within the Lewinnek safe zone, 254 (85.8%) were also in the functional safe zone. Forty-two patients were outside the functional safe zone based on CSI; 19 had an increased standing CSI and 23 had a decreased sitting CSI, all were considered at risk for dislocation. Predictive factors for falling outside the functional safe zone were increased femoral mobility (P < .001, r = 0.632), decreased spinopelvic mobility (P < .001, r = 0.455), and pelvic incidence (P < .001, r = 0.400).RESULTSOf the 296 hips within the Lewinnek safe zone, 254 (85.8%) were also in the functional safe zone. Forty-two patients were outside the functional safe zone based on CSI; 19 had an increased standing CSI and 23 had a decreased sitting CSI, all were considered at risk for dislocation. Predictive factors for falling outside the functional safe zone were increased femoral mobility (P < .001, r = 0.632), decreased spinopelvic mobility (P < .001, r = 0.455), and pelvic incidence (P < .001, r = 0.400).In this study, 14.2% of hips within the Lewinnek safe zone were outside the functional safe zone, identifying a potential reason hips dislocate despite having "normal" cup angles. The best predictor for falling outside the functional safe zone, both preoperatively and postoperatively, was femoral mobility, not the sagittal cup position (ie, cup anteinclination).CONCLUSIONIn this study, 14.2% of hips within the Lewinnek safe zone were outside the functional safe zone, identifying a potential reason hips dislocate despite having "normal" cup angles. The best predictor for falling outside the functional safe zone, both preoperatively and postoperatively, was femoral mobility, not the sagittal cup position (ie, cup anteinclination).Level III, retrospective review.LEVEL OF EVIDENCELevel III, retrospective review. |
| Author | Heckmann, Nathanael D. Bodner, Russell J. Dorr, Lawrence D. Tezuka, Taro |
| Author_xml | – sequence: 1 givenname: Taro surname: Tezuka fullname: Tezuka, Taro organization: Department of Orthopaedic Surgery, Yokohama City University, Yokohama, Japan – sequence: 2 givenname: Nathanael D. orcidid: 0000-0003-1293-1702 surname: Heckmann fullname: Heckmann, Nathanael D. organization: Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL – sequence: 3 givenname: Russell J. surname: Bodner fullname: Bodner, Russell J. organization: Midwest Orthopedic Institute, Sycamore, IL – sequence: 4 givenname: Lawrence D. surname: Dorr fullname: Dorr, Lawrence D. organization: Department of Orthopaedic Surgery, Keck Medical Center of USC, Los Angeles, CA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30454867$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s11999-008-0598-4 10.1080/17453674.2016.1251255 10.2106/00004623-198567060-00002 10.1302/0301-620X.100B10.BJJ-2017-1336.R2 10.1007/s11999-010-1487-1 10.1302/0301-620X.99B1.BJJ-2016-0415.R1 10.2106/JBJS.M.00765 10.2106/00004623-197860020-00014 10.1007/s00276-003-0195-x 10.1016/j.arth.2016.08.008 10.1080/17453670510041501 10.1302/0301-620X.76B1.8300680 10.1007/s11999-015-4432-5 10.1016/j.clinbiomech.2014.05.002 10.1007/s11999-014-3818-0 10.1007/s11999-016-4787-2 10.1097/BLO.0b013e3181560c51 10.3928/01477447-20061201-05 10.1054/arth.2002.30286 10.1016/j.arth.2016.12.039 10.1016/j.arth.2016.07.049 10.1016/j.arth.2014.07.009 10.1016/j.otsr.2012.12.003 10.1007/s11999.0000000000000051 |
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| PublicationTitle | The Journal of arthroplasty |
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| References | Heckmann, Stefl, Trasolini, McKnight, Ike, Dorr (bib12) 2019; 34 Joules, Zangger, Leyvraz (bib24) 2002; 17 Elkins, Callaghan, Brown (bib22) 2015; 473 Kanawade, Dorr, Wan (bib11) 2014; 96 Lewinnek, Lewis, Tarr, Compere, Zimmerman (bib1) 1978; 60 Dorr, Malik, Dastane, Wan (bib14) 2009; 467 Komeno, Hasegawa, Sudo, Uchida (bib25) 2006; 29 Berliner, Esposito, Miller, Padgett, Mayman, Jerabek (bib26) 2018; 100B Bedard, Martin, Slaven, Pugely, Mendoza-Lattes, Callaghan (bib20) 2016; 31 DiGioia, Jaramaz, Colgan (bib6) 1998 Lazennec, Brusson, Rousseau (bib7) 2013; 99 Seagrave, Troelsen, Malchau, Husted, Gromov (bib17) 2017; 88 Espisito, Miller, Kim, Barlow, Wright, Padgett (bib18) 2016; 474 Coventry (bib21) 1985; 67 Callanan, Jarrett, Bragdon, Zurakowski, Rubash, Freiberg (bib3) 2011; 469 Lembeck, Mueller, Reize, Wuelker (bib10) 2005; 76 Sadhu, Nam, Coobs, Barrack, Nunley, Barrack (bib5) 2017; 32 Pierchon, Pasquier, Cotten, Fontaine, Clarisse, Duquennoy (bib15) 1994; 76 Esposito, Gladnick, Lee, Lyman, Wright, Mayman (bib16) 2015; 30 Murphy, Yun, Hayden, Kowal, Murphy (bib23) 2018; 476 Abdel, von Roth, Jennings, Hanssen, Pagnano (bib2) 2016; 474 Lazennec, Charlot, Gorin, Roger, Arafati, Bissery (bib8) 2004; 26 Dorr, Wolf, Chandler, Conaty (bib27) 1983 DelSole, Vigdorchik, Schwarzkopf, Errico, Buckland (bib4) 2017; 32 Dorr, Malik, Wan, Long, Harris (bib13) 2007; 465 Stefl, Lundergan, Heckmann, McKnight, Ike, Murgai (bib9) 2017; 99-B Miki, Kyo, Kuroda, Nakahara, Sugano (bib19) 2014; 29 DiGioia (10.1016/j.arth.2018.10.034_bib6) 1998 Lewinnek (10.1016/j.arth.2018.10.034_bib1) 1978; 60 Berliner (10.1016/j.arth.2018.10.034_bib26) 2018; 100B Lazennec (10.1016/j.arth.2018.10.034_bib7) 2013; 99 Esposito (10.1016/j.arth.2018.10.034_bib16) 2015; 30 Abdel (10.1016/j.arth.2018.10.034_bib2) 2016; 474 DelSole (10.1016/j.arth.2018.10.034_bib4) 2017; 32 Lazennec (10.1016/j.arth.2018.10.034_bib8) 2004; 26 Lembeck (10.1016/j.arth.2018.10.034_bib10) 2005; 76 Dorr (10.1016/j.arth.2018.10.034_bib13) 2007; 465 Seagrave (10.1016/j.arth.2018.10.034_bib17) 2017; 88 Dorr (10.1016/j.arth.2018.10.034_bib14) 2009; 467 Heckmann (10.1016/j.arth.2018.10.034_bib12) 2019; 34 Kanawade (10.1016/j.arth.2018.10.034_bib11) 2014; 96 Pierchon (10.1016/j.arth.2018.10.034_bib15) 1994; 76 Joules (10.1016/j.arth.2018.10.034_bib24) 2002; 17 Coventry (10.1016/j.arth.2018.10.034_bib21) 1985; 67 Sadhu (10.1016/j.arth.2018.10.034_bib5) 2017; 32 Stefl (10.1016/j.arth.2018.10.034_bib9) 2017; 99-B Elkins (10.1016/j.arth.2018.10.034_bib22) 2015; 473 Callanan (10.1016/j.arth.2018.10.034_bib3) 2011; 469 Miki (10.1016/j.arth.2018.10.034_bib19) 2014; 29 Komeno (10.1016/j.arth.2018.10.034_bib25) 2006; 29 Murphy (10.1016/j.arth.2018.10.034_bib23) 2018; 476 Bedard (10.1016/j.arth.2018.10.034_bib20) 2016; 31 Espisito (10.1016/j.arth.2018.10.034_bib18) 2016; 474 Dorr (10.1016/j.arth.2018.10.034_bib27) 1983 |
| References_xml | – volume: 99-B start-page: 37 year: 2017 end-page: 45 ident: bib9 article-title: Spinopelvic mobility and acetabular component position for total hip arthroplasty publication-title: J Bone Joint Surg Br – volume: 467 start-page: 119 year: 2009 end-page: 127 ident: bib14 article-title: Combined anteversion technique for total hip arthroplasty publication-title: Clin Orthop Relat Res – volume: 474 start-page: 1788 year: 2016 end-page: 1797 ident: bib18 article-title: Does degenerative lumbar spine disease influence femoral acetabular flexion in patients undergoing total hip arthroplasty publication-title: Clin Orthop Relat Res – volume: 473 start-page: 441 year: 2015 end-page: 452 ident: bib22 article-title: The 2014 Frank Stinchfield Award: the 'landing zone' for wear and stability in total hip arthroplasty is smaller than we thought: a computational analysis publication-title: Clin Orthop Relat Res – volume: 88 start-page: 10 year: 2017 end-page: 17 ident: bib17 article-title: Acetabular cup position and risk of dislocation in primary total hip arthroplasty publication-title: Acta Orthop – volume: 17 start-page: 282 year: 2002 end-page: 288 ident: bib24 article-title: Factors predisposing to dislocation after primary total hip Arthroplasty: a multivariate analysis publication-title: J.Arthroplasty – volume: 32 start-page: 987 year: 2017 end-page: 991 ident: bib5 article-title: Acetabular component position and the risk of dislocation following primary and revision total hip arthroplasty: a matched cohort analysis publication-title: J Arthroplasty – volume: 96 start-page: 978 year: 2014 end-page: 986 ident: bib11 article-title: Predictability of acetabular component angular change with postural shift from standing to sitting position publication-title: J Bone Joint Surg Am – volume: 76 start-page: 517 year: 2005 end-page: 523 ident: bib10 article-title: Pelvic tilt makes acetabular cup navigation inaccurate publication-title: Acta Orthop – volume: 76 start-page: 45 year: 1994 end-page: 48 ident: bib15 article-title: Causes of dislocation of total hip arthroplasty. CT study of component alignment publication-title: J Bone Joint Surg Br – volume: 474 start-page: 386 year: 2016 end-page: 391 ident: bib2 article-title: What safe zone? The vast majority of dislocated THAs are within the Lewinnek safe zone for acetabular component position publication-title: Clin Orthop Relat Res – volume: 31 start-page: 2884 year: 2016 end-page: 2885 ident: bib20 article-title: Abnormally high dislocation rates of total hip arthroplasty after spinal deformity surgery publication-title: J Arthroplasty – volume: 469 start-page: 319 year: 2011 end-page: 329 ident: bib3 article-title: The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital publication-title: Clin Orthop Relat Res – volume: 476 start-page: 325 year: 2018 end-page: 335 ident: bib23 article-title: The safe zone for cup anteversion is narrower than for inclination in THA publication-title: Clin Orthop Relat Res – volume: 34 start-page: 3 year: 2019 end-page: 8 ident: bib12 article-title: Late dislocation following total hip arthroplasty: spinopelvic motion as a causative factor publication-title: J. Bone Joint Surg Am – volume: 29 start-page: 607 year: 2014 end-page: 613 ident: bib19 article-title: Risk of edge-loading and prosthesis impingement due to posterior pelvic tilting after total hip arthroplasty publication-title: Clin Biomech – start-page: 151 year: 1983 end-page: 158 ident: bib27 article-title: Classification and treatment of dislocations of total hip arthroplasty publication-title: Clin Orthop Relat Res – volume: 30 start-page: 109 year: 2015 end-page: 113 ident: bib16 article-title: Cup position alone does not predict risk of dislocation after hip arthroplasty publication-title: J Arthroplasty – volume: 99 start-page: S87 year: 2013 end-page: S103 ident: bib7 article-title: Lumbar-pelvic-femoral balance on sitting and standing lateral radiographs publication-title: Orthop Traumatol Surg Res – volume: 26 start-page: 136 year: 2004 end-page: 144 ident: bib8 article-title: Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning publication-title: Surg Radiol Anat – volume: 29 start-page: 1104 year: 2006 end-page: 1108 ident: bib25 article-title: Computed tomographic evaluationof component position on dislocation after total hip arthroplasty publication-title: Orthopedics – volume: 465 start-page: 92 year: 2007 end-page: 99 ident: bib13 article-title: Precision and bias of imageless computer navigation and surgeon estimates for acetabular component position publication-title: Clin Orthop Relat Res – start-page: 8 year: 1998 end-page: 16 ident: bib6 article-title: Computer assisted orthopaedic surgery. Image guided and robotic assistive technologies publication-title: Clin Orthop Relat Res – volume: 67 start-page: 832 year: 1985 end-page: 841 ident: bib21 article-title: Late dislocations in patients with Charnley total hip arthroplasty publication-title: J Bone Joint Surg Am – volume: 100B start-page: 1289 year: 2018 end-page: 1296 ident: bib26 article-title: What preoperative factors predict postoperative sitting pelvic position one year following total hip arthroplasty publication-title: Bone Joint J – volume: 32 start-page: 1910 year: 2017 end-page: 1917 ident: bib4 article-title: Total hip arthroplasty in the spinal deformity population: does degree of sagittal deformity affect rates of safe zone placement, instability, or revision? publication-title: J Arthroplasty – volume: 60 start-page: 217 year: 1978 end-page: 220 ident: bib1 article-title: Dislocations after total hip-replacement arthroplasties publication-title: J Bone Joint Surg Am – volume: 467 start-page: 119 year: 2009 ident: 10.1016/j.arth.2018.10.034_bib14 article-title: Combined anteversion technique for total hip arthroplasty publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-008-0598-4 – volume: 88 start-page: 10 year: 2017 ident: 10.1016/j.arth.2018.10.034_bib17 article-title: Acetabular cup position and risk of dislocation in primary total hip arthroplasty publication-title: Acta Orthop doi: 10.1080/17453674.2016.1251255 – volume: 67 start-page: 832 year: 1985 ident: 10.1016/j.arth.2018.10.034_bib21 article-title: Late dislocations in patients with Charnley total hip arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-198567060-00002 – volume: 100B start-page: 1289 year: 2018 ident: 10.1016/j.arth.2018.10.034_bib26 article-title: What preoperative factors predict postoperative sitting pelvic position one year following total hip arthroplasty publication-title: Bone Joint J doi: 10.1302/0301-620X.100B10.BJJ-2017-1336.R2 – volume: 469 start-page: 319 year: 2011 ident: 10.1016/j.arth.2018.10.034_bib3 article-title: The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-010-1487-1 – volume: 99-B start-page: 37 issue: 1 Supple A year: 2017 ident: 10.1016/j.arth.2018.10.034_bib9 article-title: Spinopelvic mobility and acetabular component position for total hip arthroplasty publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.99B1.BJJ-2016-0415.R1 – volume: 96 start-page: 978 year: 2014 ident: 10.1016/j.arth.2018.10.034_bib11 article-title: Predictability of acetabular component angular change with postural shift from standing to sitting position publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.M.00765 – volume: 60 start-page: 217 year: 1978 ident: 10.1016/j.arth.2018.10.034_bib1 article-title: Dislocations after total hip-replacement arthroplasties publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-197860020-00014 – volume: 26 start-page: 136 year: 2004 ident: 10.1016/j.arth.2018.10.034_bib8 article-title: Hip-spine relationship: a radio-anatomical study for optimization in acetabular cup positioning publication-title: Surg Radiol Anat doi: 10.1007/s00276-003-0195-x – volume: 32 start-page: 987 year: 2017 ident: 10.1016/j.arth.2018.10.034_bib5 article-title: Acetabular component position and the risk of dislocation following primary and revision total hip arthroplasty: a matched cohort analysis publication-title: J Arthroplasty doi: 10.1016/j.arth.2016.08.008 – volume: 76 start-page: 517 year: 2005 ident: 10.1016/j.arth.2018.10.034_bib10 article-title: Pelvic tilt makes acetabular cup navigation inaccurate publication-title: Acta Orthop doi: 10.1080/17453670510041501 – volume: 76 start-page: 45 year: 1994 ident: 10.1016/j.arth.2018.10.034_bib15 article-title: Causes of dislocation of total hip arthroplasty. CT study of component alignment publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.76B1.8300680 – volume: 474 start-page: 386 year: 2016 ident: 10.1016/j.arth.2018.10.034_bib2 article-title: What safe zone? The vast majority of dislocated THAs are within the Lewinnek safe zone for acetabular component position publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-015-4432-5 – volume: 34 start-page: 3 year: 2019 ident: 10.1016/j.arth.2018.10.034_bib12 article-title: Late dislocation following total hip arthroplasty: spinopelvic motion as a causative factor publication-title: J. Bone Joint Surg Am – volume: 29 start-page: 607 year: 2014 ident: 10.1016/j.arth.2018.10.034_bib19 article-title: Risk of edge-loading and prosthesis impingement due to posterior pelvic tilting after total hip arthroplasty publication-title: Clin Biomech doi: 10.1016/j.clinbiomech.2014.05.002 – volume: 473 start-page: 441 year: 2015 ident: 10.1016/j.arth.2018.10.034_bib22 article-title: The 2014 Frank Stinchfield Award: the 'landing zone' for wear and stability in total hip arthroplasty is smaller than we thought: a computational analysis publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-014-3818-0 – start-page: 8 year: 1998 ident: 10.1016/j.arth.2018.10.034_bib6 article-title: Computer assisted orthopaedic surgery. Image guided and robotic assistive technologies publication-title: Clin Orthop Relat Res – volume: 474 start-page: 1788 year: 2016 ident: 10.1016/j.arth.2018.10.034_bib18 article-title: Does degenerative lumbar spine disease influence femoral acetabular flexion in patients undergoing total hip arthroplasty publication-title: Clin Orthop Relat Res doi: 10.1007/s11999-016-4787-2 – start-page: 151 year: 1983 ident: 10.1016/j.arth.2018.10.034_bib27 article-title: Classification and treatment of dislocations of total hip arthroplasty publication-title: Clin Orthop Relat Res – volume: 465 start-page: 92 year: 2007 ident: 10.1016/j.arth.2018.10.034_bib13 article-title: Precision and bias of imageless computer navigation and surgeon estimates for acetabular component position publication-title: Clin Orthop Relat Res doi: 10.1097/BLO.0b013e3181560c51 – volume: 29 start-page: 1104 year: 2006 ident: 10.1016/j.arth.2018.10.034_bib25 article-title: Computed tomographic evaluationof component position on dislocation after total hip arthroplasty publication-title: Orthopedics doi: 10.3928/01477447-20061201-05 – volume: 17 start-page: 282 year: 2002 ident: 10.1016/j.arth.2018.10.034_bib24 article-title: Factors predisposing to dislocation after primary total hip Arthroplasty: a multivariate analysis publication-title: J.Arthroplasty doi: 10.1054/arth.2002.30286 – volume: 32 start-page: 1910 year: 2017 ident: 10.1016/j.arth.2018.10.034_bib4 article-title: Total hip arthroplasty in the spinal deformity population: does degree of sagittal deformity affect rates of safe zone placement, instability, or revision? publication-title: J Arthroplasty doi: 10.1016/j.arth.2016.12.039 – volume: 31 start-page: 2884 year: 2016 ident: 10.1016/j.arth.2018.10.034_bib20 article-title: Abnormally high dislocation rates of total hip arthroplasty after spinal deformity surgery publication-title: J Arthroplasty doi: 10.1016/j.arth.2016.07.049 – volume: 30 start-page: 109 year: 2015 ident: 10.1016/j.arth.2018.10.034_bib16 article-title: Cup position alone does not predict risk of dislocation after hip arthroplasty publication-title: J Arthroplasty doi: 10.1016/j.arth.2014.07.009 – volume: 99 start-page: S87 issue: 1 Suppl year: 2013 ident: 10.1016/j.arth.2018.10.034_bib7 article-title: Lumbar-pelvic-femoral balance on sitting and standing lateral radiographs publication-title: Orthop Traumatol Surg Res doi: 10.1016/j.otsr.2012.12.003 – volume: 476 start-page: 325 year: 2018 ident: 10.1016/j.arth.2018.10.034_bib23 article-title: The safe zone for cup anteversion is narrower than for inclination in THA publication-title: Clin Orthop Relat Res doi: 10.1007/s11999.0000000000000051 |
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| Title | Functional Safe Zone Is Superior to the Lewinnek Safe Zone for Total Hip Arthroplasty: Why the Lewinnek Safe Zone Is Not Always Predictive of Stability |
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