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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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*Email: haciba.khelifi@luc-voyages.comIntroductionRoutine radiological study <strong>of</strong> THA patients is based on standing AP radiographs. The EOS®system provides simultaneous AP and lateral with low dose high definition images. For <strong>the</strong> firsttime <strong>the</strong> authors report data on standing and sitting positions in THA patientsMaterial and methods200 asymptomatic THA patients were enrolled in <strong>the</strong> study. Two independent observersperformed <strong>the</strong> measurements in standing and sitting positions (frontal and sagittal cupinclinations , incidence angle , pelvic tilt angle, sacral slope angle, Lewinnek angle, cupanteversion according to Pradhan method). The axial torsion <strong>of</strong> <strong>the</strong> pelvis was assessed with adedicated s<strong>of</strong>tware.ResultsIntra and inter-oberver reproducibility was excellent for <strong>the</strong> different parameters . Newinformations could be obtained about <strong>the</strong> sitting position. Anterior pelvic plane or Lewinnekangle was 0° in standing position (SD: 7,6°) but 23,5° sitting ( SD: 9,9°) . Sacral slope standingwas 40,9° (SD:9,3°) and 19,9° sitting (SD: 11,2°) . Variations <strong>of</strong> cup inclination andanteversion could be clearly correlated to <strong>the</strong> pelvic tilt changes.6% <strong>of</strong> <strong>the</strong> patients were sitting in a femoral posterior version despite a standard femoralanteversion standing.31% <strong>of</strong> <strong>the</strong> patients demonstrated a reproducible axial torsion <strong>of</strong> <strong>the</strong> pelvisin standing position or in sitting position .ConclusionThe EOS® system allows <strong>the</strong> global assessment <strong>of</strong> functionnal anatomy <strong>of</strong> <strong>the</strong> pelvic area,providing new data on <strong>the</strong> cup-stem relationships .Such informations can be useful in case <strong>of</strong>recurrent dislocations or abnormal wear .Poster: 54Anatomic Gender Difference <strong>of</strong> Patellar Morphology in Total KneeArthroplasty; an Aid in Patellar Component Designfile:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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