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- Title
Fall risk in patient with dysplastic hip osteoarthritis.
- Authors
Asamoto, Takamune; Osawa, Yusuke; Takegami, Yasuhiko; Okamoto, Masanori; Iida, Hiroki; Imagama, Shiro
- 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.
- Subjects
HIP osteoarthritis; DISEASE risk factors; UNIVARIATE analysis; MULTIVARIATE analysis; ODDS ratio; CONGENITAL hip dislocation
- Publication
International Orthopaedics, 2024, Vol 48, Issue 1, p221
- ISSN
0341-2695
- Publication type
Article
- DOI
10.1007/s00264-023-05938-z