Abstract
Purpose: Aim of the study is to assess the contribution of peri-articular soft tissues to hip joint kinematics and their influence on hip stability. Methods: Four hemi-corpse specimens (3 males, average age 72 years) were studied using a custom navigation system. Hip kinematics (femoral head motion relative to the acetabulum and joint range of motion) were evaluated with the hip manually positioned in 36 different positions with (I) soft tissues intact, (II) after removal of the skin and muscles and (III) after partial capsulectomy. Each position was repeated 3 times in each state. Results: Excellent interclass correlation for each test was determined (ICC range, 0.84-0.96). Femoral head anatomical centre displacement relative to the acetabulum occurred in all 3 planes, even with all the soft tissue intact (average, 3.3 ± 2.8 mm lateral translation; 1.4 ± 1.8 mm posterior translation and 0.3 ± 1.5 mm distally). These translations increased as more soft tissue was removed, except medial-lateral displacement, with an average 4.6 ± 2.9 mm lateral translation, 0.7 ± 1.3 mm posterior translation and 1.5 ± 1.9 mm distal translation when partial capsulectomy was performed. Range of motion increased in all 3 planes with increasing removal of the soft tissues. Conclusions: This study showed that femoral head anatomical centre displacement within the acetabulum occurs and increases with increasing removal of peri-articular soft tissues, confirming their influence on hip stability. Hip kinematics was also influenced by peri-articular soft tissues; specifically range of motion increases with increasing removal of those tissues. From clinicians' point of view, they have therefore to consider the influence of their surgeries on peri-articular soft tissues, since excessive translations may promote hip arthritis.
| Original language | English |
|---|---|
| Pages (from-to) | 1655-1663 |
| Number of pages | 9 |
| Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
| Volume | 21 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Jul 2013 |
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Keywords
- Hip biomechanics
- Hip kinematics
- Hip navigation
- Hip stability
- Peri-articular soft tissues
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
In vitro analysis of peri-articular soft tissues passive constraining effect on hip kinematics and joint stability. / Safran, Marc R.; Lopomo, Nicola; Zaffagnini, Stefano; Signorelli, Cecilia; Vaughn, Zackary D.; Lindsey, Derek P.; Gold, Garry; Giordano, Giovanni; Marcacci, Maurilio.
In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 21, No. 7, 07.2013, p. 1655-1663.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - In vitro analysis of peri-articular soft tissues passive constraining effect on hip kinematics and joint stability
AU - Safran, Marc R.
AU - Lopomo, Nicola
AU - Zaffagnini, Stefano
AU - Signorelli, Cecilia
AU - Vaughn, Zackary D.
AU - Lindsey, Derek P.
AU - Gold, Garry
AU - Giordano, Giovanni
AU - Marcacci, Maurilio
PY - 2013/7
Y1 - 2013/7
N2 - Purpose: Aim of the study is to assess the contribution of peri-articular soft tissues to hip joint kinematics and their influence on hip stability. Methods: Four hemi-corpse specimens (3 males, average age 72 years) were studied using a custom navigation system. Hip kinematics (femoral head motion relative to the acetabulum and joint range of motion) were evaluated with the hip manually positioned in 36 different positions with (I) soft tissues intact, (II) after removal of the skin and muscles and (III) after partial capsulectomy. Each position was repeated 3 times in each state. Results: Excellent interclass correlation for each test was determined (ICC range, 0.84-0.96). Femoral head anatomical centre displacement relative to the acetabulum occurred in all 3 planes, even with all the soft tissue intact (average, 3.3 ± 2.8 mm lateral translation; 1.4 ± 1.8 mm posterior translation and 0.3 ± 1.5 mm distally). These translations increased as more soft tissue was removed, except medial-lateral displacement, with an average 4.6 ± 2.9 mm lateral translation, 0.7 ± 1.3 mm posterior translation and 1.5 ± 1.9 mm distal translation when partial capsulectomy was performed. Range of motion increased in all 3 planes with increasing removal of the soft tissues. Conclusions: This study showed that femoral head anatomical centre displacement within the acetabulum occurs and increases with increasing removal of peri-articular soft tissues, confirming their influence on hip stability. Hip kinematics was also influenced by peri-articular soft tissues; specifically range of motion increases with increasing removal of those tissues. From clinicians' point of view, they have therefore to consider the influence of their surgeries on peri-articular soft tissues, since excessive translations may promote hip arthritis.
AB - Purpose: Aim of the study is to assess the contribution of peri-articular soft tissues to hip joint kinematics and their influence on hip stability. Methods: Four hemi-corpse specimens (3 males, average age 72 years) were studied using a custom navigation system. Hip kinematics (femoral head motion relative to the acetabulum and joint range of motion) were evaluated with the hip manually positioned in 36 different positions with (I) soft tissues intact, (II) after removal of the skin and muscles and (III) after partial capsulectomy. Each position was repeated 3 times in each state. Results: Excellent interclass correlation for each test was determined (ICC range, 0.84-0.96). Femoral head anatomical centre displacement relative to the acetabulum occurred in all 3 planes, even with all the soft tissue intact (average, 3.3 ± 2.8 mm lateral translation; 1.4 ± 1.8 mm posterior translation and 0.3 ± 1.5 mm distally). These translations increased as more soft tissue was removed, except medial-lateral displacement, with an average 4.6 ± 2.9 mm lateral translation, 0.7 ± 1.3 mm posterior translation and 1.5 ± 1.9 mm distal translation when partial capsulectomy was performed. Range of motion increased in all 3 planes with increasing removal of the soft tissues. Conclusions: This study showed that femoral head anatomical centre displacement within the acetabulum occurs and increases with increasing removal of peri-articular soft tissues, confirming their influence on hip stability. Hip kinematics was also influenced by peri-articular soft tissues; specifically range of motion increases with increasing removal of those tissues. From clinicians' point of view, they have therefore to consider the influence of their surgeries on peri-articular soft tissues, since excessive translations may promote hip arthritis.
KW - Hip biomechanics
KW - Hip kinematics
KW - Hip navigation
KW - Hip stability
KW - Peri-articular soft tissues
UR - http://www.scopus.com/inward/record.url?scp=84879275497&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84879275497&partnerID=8YFLogxK
U2 - 10.1007/s00167-012-2091-6
DO - 10.1007/s00167-012-2091-6
M3 - Article
C2 - 22752414
AN - SCOPUS:84879275497
VL - 21
SP - 1655
EP - 1663
JO - Knee Surgery, Sports Traumatology, Arthroscopy
JF - Knee Surgery, Sports Traumatology, Arthroscopy
SN - 0942-2056
IS - 7
ER -