Dynamic Hip Kinematics During the Golf Swing After Total Hip Arthroplasty

American Journal of Sports Medicine - Tập 44 Số 7 - Trang 1801-1809 - 2016
Daisuke Hara1, Yasuharu Nakashima1, Satoshi Hamai1, Hidehiko HIGAKI2, Satoru Ikebe2, Takeshi SHIMOTO3, Kensei Yoshimoto1, Yukihide Iwamoto1
1Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
2Department of Biorobotics, Faculty of Engineering, Kyushu Sangyo University, Fukuoka, Japan
3Department of Information and Systems Engineering, Faculty of Information Engineering, Fukuoka Institute of Technology, Fukuoka, Japan

Tóm tắt

Background: Although most surgeons allow their patients to play golf after total hip arthroplasty (THA), the effect on the implant during the golf swing is still unclear. Purpose: To evaluate hip kinematics during the golf swing after THA. Study Design: Descriptive laboratory study. Methods: Eleven hips in 9 patients who underwent primary THA were analyzed. All patients were right-handed recreational golfers, and these 11 hips included 6 right hips and 5 left hips. Periodic radiographic images of the golf swing were taken using a flat-panel x-ray detector. Movements of the hip joint and components were assessed using 3-dimensional–to–2-dimensional model-to-image registration techniques. Liner-to-neck contact and translation of the femoral head with respect to the acetabular cup (cup-head translation) were examined. Hip kinematics, orientation of components, and maximum cup-head translation were compared between patients with and without liner-to-neck contact. Results: On average, the golf swing produced approximately 50° of axial rotation in both lead and trail hips. Liner-to-neck contact was observed in 4 hips with elevated rim liners (2 lead hips and 2 trail hips) at maximum external rotation. Neither bone-to-bone nor bone-to-implant contact was observed at any phases of the golf swing in any of the hips. Four hips with liner-to-neck contact had significantly larger maximum external rotation (37.9° ± 7.0° vs 20.6° ± 9.9°, respectively; P = .01) and more cup anteversion (26.5° ± 6.1° vs 10.8° ± 8.9°, respectively; P = .01) than hips without liner-to-neck contact. No significant differences between hips with and without contact were found for cup inclination (42.0° ± 2.5° vs 38.1° ± 5.5°, respectively; P = .22), combined anteversion (45.3° ± 8.9° vs 51.4° ± 7.9°, respectively; P = .26), or maximum cup-head translation (1.3 ± 0.3 mm vs 1.5 ± 0.4 mm, respectively; P = .61). Conclusion: In this analysis, the golf swing did not produce excessive hip rotation or cup-head translation in any hips. However, liner-to-neck contact during the golf swing was observed in 36% of the hips, with unknown effects on the long-term results. Clinical Relevance: Golf is an admissible sport after THA because dynamic hip stability was observed. However, the implant position, especially cup anteversion and the use of elevated rim liners, promoted liner-to-neck contact.

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Tài liệu tham khảo

10.1007/s11999-009-1040-2

10.1054/arth.2001.28359

10.2106/00004623-199601000-00011

10.1016/S0021-9290(00)00239-6

10.1007/s11999-008-0598-4

10.2106/JBJS.H.01225

10.1002/jor.20671

Hara D, 2014, Biomed Res Int, 2014, 457573

10.2106/JBJS.H.00274

10.1007/s00264-014-2289-y

10.1016/j.arth.2013.03.006

10.1002/jor.22596

10.1302/0301-620X.93B7.26657

10.1054/arth.2002.30286

10.1002/jor.1100080310

10.1177/0363546514555698

10.1016/j.clinbiomech.2010.11.006

10.2165/00007256-200232070-00003

10.1016/S0140-6736(07)60457-7

10.2106/00004623-197860020-00014

10.1016/j.physio.2014.12.003

10.1016/j.otsr.2010.12.004

10.1007/s11999-010-1385-6

10.1016/j.arth.2008.02.008

10.1002/jor.1100180106

Meira EP, 2014, Int J Sports Phys Ther, 9, 839

10.1302/0301-620X.75B2.8444942

10.1302/0301-620X.74B3.1587881

10.1007/s00264-013-2091-2

10.1007/s00776-013-0456-4

10.1007/s11999-012-2362-z

10.1302/0301-620X.96B8.32813

10.3109/17453670902988378

10.1002/jor.22148

10.1016/j.clinbiomech.2012.12.011

10.1177/0363546511424386

10.1016/j.arth.2004.09.058

10.1054/arth.2002.30415

10.1016/j.arth.2009.05.014

10.2519/jospt.2010.3152

Wang Y, 2015, Jpn J Clin Biomech, 36, 247

10.1016/j.orthres.2003.11.001

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American Journal of Sports Medicine

Tập 44 Số 7

1801-1809

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