USE OF ACETABULAR MODELS IN PLANNING COMPLEX ACETABULAR RECONSTRUCTIONS

被引:8
作者
JOHN, JF [1 ]
TALBERT, RE [1 ]
TAYLOR, JK [1 ]
BARGAR, WL [1 ]
机构
[1] UNIV FRANKFURT,DEPT SURG RHEUMATOID ARTHRITIS,W-6000 FRANKFURT,GERMANY
关键词
PREOPERATIVE PLANNING; MODELS; COMPUTED TOMOGRAPHY; REVISION; ACETABULUM; ARTHROPLASTY;
D O I
10.1016/S0883-5403(05)80212-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The number of patients requiring revision total hip arthroplasty continues to increase each year. Accurate preoperative planning is a key factor in obtaining a good result. Radiographs provide little information concerning the actual extent of the acetabular defects. Computed tomography-generated models of the acetabulum can provide the surgeon with accurate information concerning the size and location of the defects. Evaluation of radiographs and models in 24 cases showed that radiographs alone failed to detect all 13 anterior wall defects (P < .001), 8 of 18 posterior wall defects (44.4%, P < .001), and 8 of 19 segmental central defects (42%, P < .001), all of which were easily identified with the models. This study showed that preoperative planning based on the foam models accurately predicted the actual implant used in 22 of 24 cases (92%).
引用
收藏
页码:661 / 666
页数:6
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