Computed tomography-based surgical navigation for hip arthroplasty

Ecker, Timo M; Tannast, Moritz; Murphy, Stephen B (2007). Computed tomography-based surgical navigation for hip arthroplasty. Clinical orthopaedics and related research, 465, pp. 100-105. Heidelberg: Springer 10.1097/BLO.0b013e3181591c7d

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Component malpositioning and postoperative leg length discrepancy are the most common technical problems associated with total hip arthroplasty (THA). Surgical navigation offers the potential to reduce the incidence of these problems. We reviewed 317 patients (344 hips) that underwent THA using computed tomography-based surgical navigation, including 112 THAs using a simplified method of measuring leg length. Guided by the navigation system, cups were placed in 40.8 degrees +/- 2 degrees of operative abduction (range, 35 degrees -50 degrees) and 30.8 degrees +/- 3.2 degrees (range, 19 degrees -43 degrees) of operative anteversion. We subsequently measured radiographic abduction on plain anteroposterior pelvic radiographs and calculated abduction and anteversion. Radiographically, 97.1 % of the cups were in the safe zone for abduction and 92.4% for anteversion. The mean incision length was less than 8 cm for 327 of the 344 hips. Leg length change measured intraoperatively was 6.6 +/- 4.1 mm (range, -2-22), similar to measurements from the pre- and postoperative magnification-corrected radiographs. Computer assistance during THA increased the consistency of component positioning and allowed reliable measurement of leg length change during surgery.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Ecker, Timo and Tannast, Moritz

ISSN:

0009-921X

ISBN:

17876286

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:57

Last Modified:

08 Jun 2016 10:43

Publisher DOI:

10.1097/BLO.0b013e3181591c7d

PubMed ID:

17876286

Web of Science ID:

000251444600016

URI:

https://boris.unibe.ch/id/eprint/24445 (FactScience: 50704)

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