title: Effect of femoral offset on range of motion and abductor muscle strength after total hip arthroplasty.
abstract: At a minimum of one year after operation, we studied 64 patients with 86 total hip arthroplasties (THA) by standard anteroposterior hip and pelvic radiographs and measurement of range of motion and of isometric abduction strength. The femoral offset correlated positively with the range of abduction (p = 0.046). Abduction strength correlated positively with both femoral offset (p = 0.0001) and the length of the abductor lever arm (p = 0.005). Using multiple regression, abduction strength correlated with height (p = 0.017), gender (p = 0.0005), range of flexion (p = 0.047) and the abductor lever arm (p = 0.060). Our findings suggest that greater femoral offset after THA allows both an increased range of abduction and greater abductor strength.
authors.affiliation: Department of Orthopaedics, Mayo Clinic, Rochester, Minnesota 35905, USA.
authors.forename: B J
authors.initials: BJ
authors.lastname: McGrory
authors.forename: B F
authors.initials: BF
authors.lastname: Morrey
authors.forename: T D
authors.initials: TD
authors.lastname: Cahalan
authors.forename: K N
authors.initials: KN
authors.lastname: An
authors.forename: M E
authors.initials: ME
authors.lastname: Cabanela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D005260:Female; D005500:Follow-Up Studies; D006615:Hip / Q000000981:diagnostic imaging / Q000502:physiology*; D006622:Hip Prosthesis; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D018482:Muscle, Skeletal / Q000502:physiology*; D011184:Postoperative Period; D011474:Prosthesis Design; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D012044:Regression Analysis; D012307:Risk Factors