Fall risk in patient with dysplastic hip osteoarthritis.
Int Orthop
; 48(1): 221-227, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-37606767
ABSTRACT
PURPOSE:
Patients with dysplastic hip osteo arthritis (DHOA) often have a spinopelvic imbalance, and they are more likely to experience falls. This study aimed to evaluate the risk factors for falls in patients with DHOA, including spinopelvic parameters.METHODS:
In this cross-sectional study, a total of 103 patients with DHOA were included from 2019 to 2021. Fall risk was evaluated using the Fall Risk Index 5 items version (FRI-5). Demographics, functional outcomes, and spinopelvic parameters were compared between the high-risk group (FRI-5 ≥ 6) and the low-risk group (FRI-5 < 6). Multivariate analysis was performed using factors with significant differences in univariate analysis.RESULTS:
High-risk and low-risk groups comprised 54 and 49 patients, respectively. Females were significantly more common in the high-risk group than in the low-risk group. The Harris Hip Score was significantly lower in the high-risk group than in the low-risk group (p = 0.02). Pelvic incidence, tilt, and obliquity were significantly higher in the high-risk group than in the low-risk group (p < 0.01). In multivariate analysis, female sex (odds ratio [OR] 3.76, 95% confidence interval [CI] 1.11-12.64, p = 0.03), pelvic obliquity (OR 1.36, 95% CI 1.09-1.71, p < 0.01), and Harris hip score (OR 0.96, 95% CI 0.93-0.99, p = 0.02) were identified as risk factors.CONCLUSION:
Female sex, pelvic obliquity, and low Harris hip score were associated with an increased risk of falls among patients with DHOA.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Óseas
/
Osteoartritis de la Cadera
/
Artroplastia de Reemplazo de Cadera
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
Idioma:
En
Revista:
Int Orthop
Año:
2024
Tipo del documento:
Article
País de afiliación:
Japón