The impact of a total hip replacement on jaw position, upper body posture and body sway

Ohlendorf, Daniela; Lehmann, Christoph; Heil, Daniel; Hörzer, Stefan; Kopp, Stefan
May 2015
CRANIO: The Journal of Craniomandibular & Sleep Practice;May2015, Vol. 33 Issue 2, p107
Academic Journal
Objectives: The purpose of this study was to examine whether, and to what extent, a total hip replacement can influence the position and the movement of the jaw, the upper body posture and body sway. Methods: Twenty test subjects (6 females, 14 males) participated in this study pre- and post-total hip replacement, in addition to a healthy control group of 20 subjects (5 females, 15 males). The measurements were conducted by means of an ultrasound system to measure jaw condyle position and movement of the lower jaw, a three-dimensional back scan to analyze upper back posture, and a static and dynamic force plate to measure body sway. For statistical analysis the Wilcoxon-Matched-Pairs-Test or Man-Whitney-UTest, including a Bonferroni-Holm correction, respectively, was used. Results: After surgery, the mean values of the left and right jaw condyles of the test group moved posterior, and the left condyle position was located more caudally. There were no significant differences concerning the jaw position between the two groups. There was little change in upper body posture in both groups. The test group had a more anteriorly inclined thoracic spine and a less pronounced lumbar lordosis. During static body sway measurements, increased fluctuations in the test group after surgery could be seen. Conclusion: Differences between both groups in the pre- and post-surgical condition could be detected. These differences were more prominent when the measured body segments were more distally located with respect to the hip region.


Related Articles

  • Verwendungsraten von Prothesen der unteren Extremität in Deutschland und der Schweiz. Falbrede, I.; Widmer, M.; Kurtz, S.; Schneidmüller, D.; Dudda, M.; Röder, C. // Der Orthopäde;Sep2011, Vol. 40 Issue 9, p793 

    Background: In the United States the use of total hip arthroplasty (THA) has substantially increased over the last decade. It is not known, however, if this trend can be applied to other countries as well. The aim of the current study was therefore a detailed comparison of hip, knee, and ankle...

  • Influence of Preoperative Functional Status on Outcome After Total Hip Arthroplasty. Röder, Christoph; Staub, Lukas P.; Eggli, Stefan; Dietrich, Daniel; Busato, Andre; Müller, Urs // Journal of Bone & Joint Surgery, American Volume;Jan2007, Vol. 89-A Issue 1, p11 

    Background: International registries with large, heterogeneous patient populations provide excellent research opportunities for studying factors that influence treatment outcomes after total hip arthroplasty. In the present study, we used a European multinational database to investigate whether...

  • Hybrid Total Hip Arthroplasty with a Precoated Offset Stem. Cannestra, Vincent P.; Berger, Richard A.; Quigley, Laura R.; Jacobs, Joshua J.; Rosenberg, Aaron G.; Galante, Jorge O. // Journal of Bone & Joint Surgery, American Volume;Sep2000, Vol. 82-A Issue 9, p1291 

    Background: Use of modern cementing techniques for fixation of femoral components in total hip arthroplasty has had excellent clinical and radiographic results in most patients. However, several authors have described early loosening of femoral components with roughened and precoated finishes....

  • Reattachment of the Ununited Greater Trochanter Following Total Hip Arthroplasty. Hamadouche, Moussa; Zniber, Boubker; Dumaine, Valerie; Kerboull, Marcel; Courpied, Jean Pierre // Journal of Bone & Joint Surgery, American Volume;Jul2003, Vol. 85-A Issue 7, p1330 

    Background: The purpose of this retrospective study was to analyze the utility of a trochanteric claw plate in the treatment of an ununited greater trochanter following total hip arthroplasty. Methods: From 1986 through 1999, seventy-two consecutive procedures to reattach an ununited greater...

  • Waiting for hip revision surgery: the impact on patient disability. Davis, Aileen M.; Agnidis, Zoe; Badley, Elizabeth; Davey, J. Roderick; Gafni, Amiram; Gollish, Jeffrey; Mahomed, Nizar N.; Saleh, Khaled J.; Schemitsch, Emil H.; Szalai, John Paul; Waddell, James P.; Gross, Allan E. // Canadian Journal of Surgery;Apr2008, Vol. 51 Issue 2, p92 

    Objective: Increased wait times for total joint arthroplasty (TJA) are a concern nationally and provincially. Additionally, the number of patients requiring revision of their initial TJA is increasing. The purpose of this study was to evaluate the wait times and impact of waiting for revision...

  • Cementless Acetabular Revision with the Harris-Galante Porous Prosthesis. Hallstrom, Brian R.; Golladay, Gregory J.; Vittetoe, David A.; Harris, William H. // Journal of Bone & Joint Surgery, American Volume;May2004, Vol. 86-A Issue 5, p1007 

    Revisions of the acetabular component of a total hip arthroplasty have a higher rate of complications, particularly loosening and dislocation, than do primary procedures. The purpose of this study, in which the results of a consecutive series of revisions performed with the Harris-Galante Porous...

  • REVISION OF THE ACETABULAR COMPONENT WITHOUT CEMENT AFTER TOTAL HIP ARTHROPLASTY. Della Valle, Craig J.; Shuaipaj, Tasin; Berger, Richard A.; Rosenberg, Aaron G.; Shott, Susan; Jacobs, Joshua J.; Galante, Jorge O. // Journal of Bone & Joint Surgery, American Volume;Aug2005, Vol. 87-A Issue 8, p1795 

    Abstract: We previously reported our results at a minimum of three and seven years after use of a porous-coated acetabular metal shell in a consecutive series of 138 revision total hip arthroplasties. The current report presents the longer-term outcomes of these procedures, at fifteen to...

  • The influence of obesity on perioperative morbidity and mortality in revision total hip arthroplasty. Perka, Carsten; Labs, Karsten; Muschik, Michael; Buttgereit, Frank // Archives of Orthopaedic & Trauma Surgery;May2000, Vol. 120 Issue 5/6, p267 

    The significance of obesity as a risk factor for postoperative complications was determined in a consecutive series of 229 cases of revision total hip replacement. The body mass index (BMI) was used as an objective measure to classify the patients. The group-wise analysis of data included all...

  • Obesity Tied to Early Failure of Primary THA. MCKEE, JENNIE // AAOS Now;Dec2015, Vol. 9 Issue 12, p11 

    The article discusses a research conducted by Ali J. Electricwala, a research fellow at the Stanford Hospital and Clinics, Redwood City, California, on total hip arthroplasty. The study reveals that the patients who are obese have a higher rate of postoperative complications after undergoing...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics