Pennington, N, Redmond, A, Stewart, T et al. (1 more author) (2014) The impact of surgeon handedness in total hip replacement. Annals of the Royal College of Surgeons of England, 96 (6). 437 - 441 (5). ISSN 0035-8843
Abstract
Introduction: Total hip replacement (THR) is successful and performed commonly. Component placement is a determinant of outcome. Influence of surgeon handedness on component placement has not been considered previously. This study was a radiographic assessment of component positioning with respect to handedness. Early data from 160 patients are reported. Methods: Overall, 160 primary THRs for osteoarthritis were included. Equal numbers of left and right THRs were performed by four surgeons, two right-handed and two left-handed. Postoperative radiography was assessed for THR component position by measurement of leg length inequality, acetabular inclination and centre of rotation. Surgeons' handedness was assessed using the Edinburgh inventory. Results: For leg length inequality, no significant interaction was seen between hip side and surgeon handedness. Acetabular inclination angles showed a statistically significant difference, however, depending on hand dominance, with higher inclination angles recorded when operating on the dominant side. There was a trend towards greater medialisation of the centre of rotation on the non-dominant side although this did not reach statistical significance. Conclusions: Surgeon handedness appears to influence acetabular component position during THR but it is one factor of many that interact to achieve a successful outcome.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Keywords: | Acetabulum; arthroplasty; hip; leg length inequality; surgeon handedness |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Engineering & Physical Sciences (Leeds) > School of Mechanical Engineering (Leeds) > Institute of Medical and Biological Engineering (iMBE) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 12 Dec 2014 11:29 |
Last Modified: | 22 Apr 2015 10:32 |
Published Version: | http://dx.doi.org/10.1308/003588414X13946184902488 |
Status: | Published |
Publisher: | Royal College of Surgeons of England |
Identification Number: | 10.1308/003588414X13946184902488 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:81612 |