Abstract
Dislocation rates after total hip arthroplasty can be significantly lowered with proper periprosthetic soft tissue balancing. Moreover, soft tissue balancing results in lower rates of wear and aseptic loosening and decreased prevalence of impingement. The soft tissues that contribute to the stability of the hip prosthesis are the joint capsule, ligaments, and muscles. Although hip adductors, flexors, and extensors also contribute to the balancing, abductors play the main role. Abductor muscle efficiency can be increased via increasing the femoral offset, thus increasing the abductor moment arm. The periprosthetic soft tissue balancing starts preoperatively with templating, and intraoperative measurements and tests help the surgeon determine the best suitable offset while maintaining the limb length equal.
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Yilgor, C., Demirkiran, G., Caglar, O. (2015). Periprosthetic Soft Tissue Balance in Hip Arthroplasty. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_204
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DOI: https://doi.org/10.1007/978-3-642-36569-0_204
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