Reliable acetabular cup orientation with a new gravity-assisted guidance system

被引:19
作者
Echeverri, S [1 ]
Leyvraz, PF [1 ]
Zambelli, PY [1 ]
Jolles, BM [1 ]
机构
[1] Univ Lausanne, Ctr Hosp Univ Vaudois, Hop Orthoped Suisse Romande, CH-1005 Lausanne, Switzerland
关键词
precision; accuracy; cup orientation; total hip arthroplasty; alignment guides; navigation;
D O I
10.1016/j.arth.2005.04.015
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
Acetabular CLIP orientation is a key factor determining hip stability, and standard mechanical guides have shown little help in improving alignment. An in vitro study was carried Out to compare the accuracy and precision of a new gravity-assisted guidance system with a standard mechanical guide. Three hundred ten cups were impacted by 5 Surgeons, and the final CLIP orientation was measured. With the new guide, the average error in anteversion was 0.4 degrees, compared with 10.4 degrees with the standard guide and 0.3 degrees and -4.7 degrees, respectively, for abduction angles. The average time required for orienting the cups was similar for both guides. The accuracy and reproducibility obtained with the new guide were better ( P < .0001). These good results would require a clinical validation.
引用
收藏
页码:413 / 419
页数:7
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