The Diagnosis of and Preoperative Planning for Rapidly Progressive Osteoarthritis of the Hip: The Role of Sagittal Spinopelvic Geometry and Anterior Acetabular Wall Deficiency—A Prospective Observational Study
Abstract
1. Introduction
2. Materials and Methods
2.1. Design and Enrollment
2.2. Imaging Analysis Measurements
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Feature/Symptom | Characteristics for RPOH |
---|---|
Hip pain | Started approx. 3 years ago, variable intensity, worsened in the last 6–9 months |
Functional joint mobility | Low/moderate limitation |
Osteophytes | Absent or reduced |
Geodes | Present in the femoral head and/or acetabulum |
Grade | Radiographic Features |
I | Partial joint space narrowing No femoral head deformation or ascension |
II | Complete disappearance of the joint space Deformed femoral head and acetabulum Ascension of the femoral head ≤ 0.5 cm above the radiologic teardrop |
III | Complete disappearance of the joint space Partial osteolysis of the femoral head Ascension of the femoral head > 0.5 cm above the radiologic teardrop |
Deficiency | Anterior Wall Index | Description |
---|---|---|
Mild | 0.67–0.70 | close to normative values but slightly reduced |
Moderate | 0.64–0.66 | notable reduction, likely affecting coverage and load distribution |
Severe | <0.64 | marked reduction, indicating significant structural compromise |
Characteristic | RPOH | Primary OA |
---|---|---|
Female, no (%) | 25 (62.5) | 30 (66.7) |
Weight, kg, mean ± SD | 78.5 ± 9.8 | 76.3 ± 8.7 |
Age, years, mean ± SD | 65.3 ± 8.7 | 64.1 ± 9.2 |
Smoker, >1 year, yes, (%) | 15 (37.5) | 12 (26.7) |
Oral NSAIDs used, yes (%) | 35 (87.5) | 33 (73.3) |
Intraarticular corticosteroid injections < 6 mo., yes, no (%) | 18 (45) | 10 (22.2) |
Imaging Feature | RPOH (Mean ± SD) | Primary OA (Mean ± SD) | p Value |
---|---|---|---|
Pelvic tilt, ° | 22.5 ± 4.3 | 18.9 ± 3.8 | 0.032 |
Sacral slope, ° | 37.8 ± 6.2 | 41.1 ± 5.7 | 0.041 |
Lumbar lordosis, ° | 47.5 ± 8.6 | 50.2 ± 7.4 | 0.148 |
Pelvic incidence, ° | 56.3 ± 7.1 | 58.5 ± 6.9 | 0.247 |
Sagittal vertical axis, mm | 38.6 ± 9.2 | 34.5 ± 8.8 | 0.089 |
T1 pelvic angle, ° | 14.3 ± 2.9 | 11.8 ± 3.2 | 0.018 |
Anterior Wall Characteristics | RPOH (Mean ± SD) | Primary OA (Mean ± SD) | p Value |
---|---|---|---|
Anterior center edge angle, ° | 25.3 ± 4.1 | 29.7 ± 3.8 | 0.035 |
Anterior acetabular surface area, cm2 | 19.6 ± 2.5 | 21.2 ± 2.9 | 0.062 |
Posterior acetabular surface area, cm2 | 25.6 ± 2.2 | 27.3 ± 2.5 | 0.069 |
Anterior wall index | 0.69 ± 0.12 | 0.73 ± 0.10 | 0.044 |
Parameter | Interobserver ICC | Intraobserver ICC |
---|---|---|
Pelvic tilt | 0.91 (0.88–0.94) | 0.94 (0.92–0.96) |
Sacral slope | 0.89 (0.85–0.92) | 0.93 (0.90–0.95) |
Lumbar lordosis | 0.87 (0.83–0.90) | 0.92 (0.89–0.94) |
Sagittal vertical axis | 0.88 (0.84–0.91) | 0.91 (0.88–0.93) |
T1 Pelvic Angle | 0.90 (0.86–0.93) | 0.93 (0.91–0.95) |
Anterior Center Edge Angle | 0.89 (0.85–0.92) | 0.92 (0.89–0.94) |
Anterior/Posterior Acetabular Surface Area (amputated head, RPOH) | 0.88 (0.84–0.91) | 0.91 (0.88–0.93) |
Anterior Wall Index (amputated head, RPOH) | 0.87 (0.83–0.90) | 0.90 (0.87–0.93) |
Anterior/Posterior Acetabular Surface Area (primary OA) | 0.84 (0.81–0.90) | 0.90 (0.87–0.94) |
Anterior Wall Index (primary OA) | 0.88 (0.84–0.91) | 0.88 (0.86–0.91) |
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Oprișan, A.; Feier, A.M.; Zuh, S.G.; Russu, O.M.; Pop, T.S. The Diagnosis of and Preoperative Planning for Rapidly Progressive Osteoarthritis of the Hip: The Role of Sagittal Spinopelvic Geometry and Anterior Acetabular Wall Deficiency—A Prospective Observational Study. Diagnostics 2025, 15, 1647. https://doi.org/10.3390/diagnostics15131647
Oprișan A, Feier AM, Zuh SG, Russu OM, Pop TS. The Diagnosis of and Preoperative Planning for Rapidly Progressive Osteoarthritis of the Hip: The Role of Sagittal Spinopelvic Geometry and Anterior Acetabular Wall Deficiency—A Prospective Observational Study. Diagnostics. 2025; 15(13):1647. https://doi.org/10.3390/diagnostics15131647
Chicago/Turabian StyleOprișan, Andrei, Andrei Marian Feier, Sandor Gyorgy Zuh, Octav Marius Russu, and Tudor Sorin Pop. 2025. "The Diagnosis of and Preoperative Planning for Rapidly Progressive Osteoarthritis of the Hip: The Role of Sagittal Spinopelvic Geometry and Anterior Acetabular Wall Deficiency—A Prospective Observational Study" Diagnostics 15, no. 13: 1647. https://doi.org/10.3390/diagnostics15131647
APA StyleOprișan, A., Feier, A. M., Zuh, S. G., Russu, O. M., & Pop, T. S. (2025). The Diagnosis of and Preoperative Planning for Rapidly Progressive Osteoarthritis of the Hip: The Role of Sagittal Spinopelvic Geometry and Anterior Acetabular Wall Deficiency—A Prospective Observational Study. Diagnostics, 15(13), 1647. https://doi.org/10.3390/diagnostics15131647