title: Dynamic measurements of hip movement in deep bending activities after total hip arthroplasty using a 4-dimensional motion analysis system.
abstract: Although deep hip bending activities are often required in Asian populations because of traditional lifestyles and religious practices, few have examined the required hip range of motion (ROM) in these activities after total hip arthroplasty (THA). We performed postoperative motion analysis to evaluate the differences in required ROMs between Japanese-style and Western-style deep hip bending activities, to investigate whether prosthetic impingement would occur during these activities and to clarify the necessity for precautions in these activities after THA. Japanese-style activities did not require larger hip ROMs than Western-style ones, and all required hip flexion angles were less than 120°. Prosthetic impingement was not observed, with a safety margin 10° or higher until impingement in any directions of flexion, adduction, or internal rotation for any activities. Thus, particular postoperative precautions for Japanese-style activities are not required.
authors.affiliation: Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Sugano
authors.forename: Kosuke
authors.initials: K
authors.lastname: Tsuda
authors.forename: Hidenobu
authors.initials: H
authors.lastname: Miki
authors.forename: Masaki
authors.initials: M
authors.lastname: Takao
authors.forename: Naoki
authors.initials: N
authors.lastname: Suzuki
authors.forename: Nobuo
authors.initials: N
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D003466:Cultural Characteristics; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D007564:Japan; D008875:Middle Aged; D010808:Physical Examination / Q000379:methods; D016059:Range of Motion, Articular