Novel radiographic hip fat thickness ratio correlates with early re-operation following total hip arthroplasty

dc.authorid0000-0001-5869-6571
dc.authorid0000-0002-9876-2438
dc.authorid0000-0001-7508-135X
dc.authorid0000-0003-1039-8430
dc.authorid0000-0003-0434-5850
dc.contributor.authorSezgin, Erdem Aras
dc.contributor.authorAli, Ali Khalil
dc.contributor.authorAtaoğlu, M. Baybars
dc.contributor.authorOrhan, Özlem
dc.contributor.authorOdluyurt, Mustafa
dc.contributor.authorEsen, Erdinç
dc.date.accessioned2021-07-06T11:04:58Z
dc.date.available2021-07-06T11:04:58Z
dc.date.issued2022
dc.departmentTıp Fakültesi
dc.description*Sezgin, ?Erdem Aras ( Aksaray, Yazar )
dc.description.abstractIntroduction: Obesity is thought to lead to increased failure rates following total hip arthroplasty (THA). Site-specific fat distribution has been suggested to be a better indicator of risk, compared to body mass index. Fat thickness measurement methods were developed for total knee arthroplasty, however, there is limited data on the methods for THA. The aim of this study was to assess the interobserver and intraobserver reliability of a newly defined radiographic subcutaneous fat thickness ratio and investigate the correlation of this ratio with early failure following THA. Methods: 321 patients who underwent primary THA at a single institution between 2014 and 2017, with at least 1-year of follow-up and a preoperative pelvis anteroposterior x-ray radiograph were included in this study. A high hip fat thickness ratio (HFTR) was arbitrarily defined as ?2. Early failure was defined as revision or re-operation for any reason and death related to operation first year following THA. Results: The HFTR was shown to have excellent intraobserver and interobserver reliability. High HFTR was associated with higher risk of early failure following THA (odds ratio 3.8, [95% confidence interval, 1.2–12.1], p < 0.05). The same association persisted when HFTR was analysed as a continuous variable (p < 0.01) and in multivariate analysis (p < 0.05). Conclusions: HFTR can be used to assess periarticular soft tissue distribution and may be regarded as a useful and reproducible tool for assessing risk of early failure following THA.
dc.identifier.doi10.1177/1120700021991783
dc.identifier.endpage-en_US
dc.identifier.issn1120-7000
dc.identifier.issue-en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.1177/1120700021991783
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8342
dc.identifier.volume-en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofHIP International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectComplications
dc.subjectFat Thickness
dc.subjectObesity
dc.subjectPreoperative Risk Radiographic Measurement
dc.subjectTotal Hip Arthroplasty
dc.titleNovel radiographic hip fat thickness ratio correlates with early re-operation following total hip arthroplasty
dc.typeArticle

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