The modern state of femoral, acetabular, and global offsets in total hip arthroplasty: a narrative review

Author:

Luca DiGiovanni Peter12ORCID,Gasparutto Xavier12,Armand Stéphane12,Hannouche Didier2

Affiliation:

1. Kinesiology Laboratory, Geneva University Hospitals and University of Geneva, Geneva, Switzerland

2. Division of Orthopaedic Surgery and Musculoskeletal Trauma Care, Surgery Department, Geneva University Hospitals and University of Geneva, Geneva, Switzerland

Abstract

Offsets in the frontal plane are important for hip function. Research on total hip arthroplasty (THA) surgery agrees that increasing femoral offset up to 5 mm could improve functional outcome measures. The literature indicates that global offset is a key parameter that physicians should restore within 5 mm during surgery and avoid decreasing. Substantiated findings on acetabular offset are lacking despite its recognized importance, and the medialization approach must be assessed in light of its shortcomings. Future research, possibly through improved measurement, unified definitions, patient-specific surgical planning, and technology-enhanced surgical control, with specific focus on acetabular offset, is needed to better understand its impact on THA outcomes.

Publisher

Bioscientifica

Subject

Orthopedics and Sports Medicine,Surgery

Reference44 articles.

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4. International Classification of Functioning, Disability and Health,2002

5. Recovery of physical functioning after total hip arthroplasty: systematic review and meta-analysis of the literature;Vissers,2011

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