Table 4.
Predictive factors for conversion to THA, radiographic progression of OA, or Merle d’Aubigné-Postel score less than 15 points with corresponding hazard ratios
Category | Parameter | Crude hazard ratio | p value (hazard ratio) | Adjusted hazard ratio | p value (adjusted hazard ratio) |
---|---|---|---|---|---|
Demographic factors | Age > 30 years | 3.3 (2.5–4.1) | < 0.001 | 4.1 (3.3–4.9) | < 0.001 |
Preoperative Merle d’Aubigne-Postel score < 15 | 3.3 (2.5–4.1) | < 0.001 | 4.7 (3.9–5.6) | < 0.001 | |
Preoperative positive Trendelenburg sign | 2.0 (1.5–2.6) | 0.017 | 2.2 (1.6–2.9) | 0.015 | |
Preoperative radiographic factors | Nonspherical head | 2.0 (1.4–2.5) | 0.013 | 2.0 (1.5–2.6) | 0.010 |
Preoperative osteoarthritis ≥ Grade 1 | 5.8 (4.9–6.7) | < 0.001 | 3.7 (2.4–5.0) | 0.042 | |
Severin > Grade 3 | 1.9 (1.3–2.6) | 0.05 | 2.4 (1.6–3.3) | 0.047 | |
Postoperative factors related to surgical accuracy | Total femoral coverage of < 70% (undercoverage) | 2.6 (1.8–3.4) | 0.017 | NA | – |
Total femoral coverage of > 83% (overcoverage) | 2.5 (1.7–3.4) | 0.031 | NA | – | |
Anterior femoral coverage of > 27% (overcoverage) | 1.9 (1.3–2.5) | 0.045 | NA | – | |
Posterior femoral coverage of < 36% (undercoverage) | 1.9 (1.2–2.5) | 0.045 | NA | – | |
Excessive acetabular anteversion* | 2.2 (1.4–2.9) | 0.043 | 6.0 (4.5–7.5) | 0.019 | |
Acetabular retroversion† | 3.3 (2.8–3.8) | 0.013 | 3.7 (2.9–4.4) | < 0.001 | |
Extrusion index > 27% (undercoverage) | 2.2 (1.6–2.8) | 0.011 | NA | – | |
Acetabular index > 14° (undercoverage) | 2.5 (1.7–3.3) | 0.023 | NA | – | |
LCE < 22° (undercoverage) | 2.2 (1.6–2.9) | 0.013 | 2.2 (1.5–2.9) | 0.022 | |
No offset correction in a nonspherical femoral head | 2.4 (2.1–2.7) | 0.003 | 2.8 (2.2–3.4) | < 0.001 |
Values expressed as mean with 95% confidence interval in parentheses; * defined as deficient anterior acetabular coverage (< 15%) and excessive acetabular posterior coverage (> 47%); †defined as excessive anterior acetabular coverage (> 27%) and deficient posterior acetabular coverage (< 36%) [30]; LCE = lateral center-edge angle; NA = not applicable.