{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T11:57:08Z","timestamp":1777636628116,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,3,22]],"date-time":"2020-03-22T00:00:00Z","timestamp":1584835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81572158"],"award-info":[{"award-number":["81572158"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81772361"],"award-info":[{"award-number":["81772361"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to investigate the optimal level of femoral neck for measuring femoral anteversion to predict postoperative stem anteversion in Crowe type I developmental dysplasia of the hip.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study analyzed 108 Crowe type I hips that underwent THA between January 2016 and December 2017, including 70 women and 19 men with a mean age of 63.08\u2009\u00b1\u20099.13 (range, 41\u201383) years. The single\u2010wedge stem was used in 37 hips, the double\u2010wedge stem was used in 71 hips. Computed tomography scans were performed pre\u2010 and post\u2010operation. Femoral anteversion at six levels of the proximal femur were measured via preoperative two\u2010dimensional computed tomography. Femoral anteversion at the level of the femoral neck osteotomy plane and postoperative stem anteversion were measured via three\u2010dimensional reconstructed models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up period was 18.5\u2009months (range, 12\u201327). The mean preoperative Harris Hip Score was 51.5\u2009\u00b1\u20098.7 and improved to 90.4\u2009\u00b1\u20097.8 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) by the last follow\u2010up. There were no intraoperative fractures, and no infections occurred during the follow\u2010up period. Two patients developed deep venous thrombosis. There was no sign of prosthetic loosening in all hips. No significant correlations were found between the height of the femoral neck osteotomy plane and postoperative stem anteversion (r = \u22120.119, <jats:italic>P<\/jats:italic> = 0.220). Femoral anteversion decreased gradually from 64.00\u00b0\u2009\u00b1\u200910.51\u00b0 at the center of lesser trochanter to 15.21\u00b0\u2009\u00b1\u200913.31\u00b0 at the head\u2013neck junction, which was changed from more to less than stem anteversion (24.37\u00b0\u2009\u00b1\u200913.86\u00b0). The femoral anteversion at femoral head\u2013neck junction (15.21\u00b0\u2009\u00b1\u200913.31\u00b0) was significantly less than postoperative stem anteversion (<jats:italic>P<\/jats:italic> = 0.000), with a difference of \u22129.16\u00b0\u2009\u00b1\u20099.27\u00b0. The femoral anteversion at the level of the osteotomy plane (28.48\u00b0\u2009\u00b1\u200915.34\u00b0) was significantly more than the postoperative stem anteversion (<jats:italic>P<\/jats:italic> = 0.000), with a difference of 4.11\u00b0\u2009\u00b1\u20099.56\u00b0. Among all six levels and the level of osteotomy, femoral anteversion at the 10\u2010mm level above the proximal base of lesser trochanter (22.65\u2009\u00b1\u200912.92) displayed the smallest difference (\u22121.72\u00b0\u2009\u00b1\u20098.90\u00b0) and a good correlation (r = 0.764) with postoperative stem anteversion for all 108 hips, with a moderate correlation of 0.465 for single\u2010wedge stem hips and an excellent correlation of 0.821 for double\u2010wedge stem hips.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For Crowe type I hips, femoral anteversion would be different if it was measured via different levels of the femoral neck. The 10\u2010mm level above the proximal base of the lesser trochanter could be an optimum choice for measuring femoral anteversion to predict postoperative stem anteversion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12647","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T03:39:40Z","timestamp":1584934780000},"page":"480-487","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Optimal Level of Femoral Neck for Predicting Postoperative Stem Anteversion in Total Hip Arthroplasty for Crowe Type I Dysplastic Hip"],"prefix":"10.1111","volume":"12","author":[{"given":"Degang","family":"Yu","sequence":"first","affiliation":[{"name":"Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital Shanghai Jiaotong University School of Medicine  Shanghai 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