Tailor-made Surgical Guide Reduces Incidence of Outliers of Cup Placement

被引：42

作者：

Hananouchi, Takehito ^{[1
]}

Saito, Masanobu ^{[2
]}

Koyama, Tsuyoshi ^{[2
]}

Sugano, Nobuhiko ^{[3
]}

Yoshikawa, Hideki ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Orthopaed Surg, Suita, Osaka 5650871, Japan

[2] Osaka Minami Med Ctr, Dept Orthopaed Surg, Osaka, Japan

[3] Osaka Univ, Grad Sch Med, Dept Orthopaed Med Engn, Suita, Osaka 5650871, Japan

来源：

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH | 2010年 / 468卷 / 04期

基金：

日本学术振兴会;

关键词：

TOTAL HIP-ARTHROPLASTY; IMAGELESS NAVIGATION; COMPONENT; ACCURACY; TEMPLATES; INSERTION;

D O I：

10.1007/s11999-009-0994-4

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：

100224 [整形外科学];

摘要：

Malalignment of the cup in total hip arthroplasty (THA) increases the risks of postoperative complications such as neck cup impingement, dislocation, and wear. We asked whether a tailor-made surgical guide based on CT images would reduce the incidence of outliers beyond 10 degrees from preoperatively planned alignment of the cup compared with those without the surgical guide. We prospectively followed 38 patients (38 hips, Group 1) having primary THA with the conventional technique and 31 patients (31 hips, Group 2) using the surgical guide. We designed the guide for Group 2 based on CT images and fixed it to the acetabular edge with a Kirschner wire to indicate the planned cup direction. Postoperative CT images showed the guide reduced the number of outliers compared with the conventional method (Group 1, 23.7%; Group 2, 0%). The surgical guide provided more reliable cup insertion compared with conventional techniques.

引用

页码：1088 / 1095

页数：8

共 31 条

[1]

An overview of economic issues in computer-assisted total joint arthroplasty [J].

Beringer, Don C. ;

Patel, Jay J. ;

Bozic, Kevin J. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2007, (463) :26-30

[2]

Personalised image-based templates for intra-operative guidance [J].

Berry, E ;

Cuppone, M ;

Porada, S ;

Millner, PA ;

Rao, A ;

Chiverton, N ;

Seedhom, BB .

PROCEEDINGS OF THE INSTITUTION OF MECHANICAL ENGINEERS PART H-JOURNAL OF ENGINEERING IN MEDICINE, 2005, 219 (H2) :111-118

[3]

Computer-assisted orthopedic surgery with individual templates and comparison to conventional operation method [J].

Birnbaum, K ;

Schkommodau, E ;

Decker, N ;

Prescher, A ;

Klapper, U ;

Radermacher, K .

SPINE, 2001, 26 (04) :365-369

[4]

Poor accuracy of freehand cup positioning during total hip arthroplasty [J].

Bosker, B. H. ;

Verheyen, C. C. P. M. ;

Horstmann, W. G. ;

Tulp, N. J. A. .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2007, 127 (05) :375-379

[5]

Analysis of cover of the femoral head in normal and dysplastic hips NEW CT-BASED TECHNIQUE [J].

Dandachli, W. ;

Kannan, V. ;

Richards, R. ;

Shah, Z. ;

Hall-Craggs, M. ;

Witt, J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (11) :1428-1434

[6]

Comparison of a mechanical acetabular alignment guide with computer placement of the socket [J].

DiGioia, AM ;

Jaramaz, B ;

Plakseychuk, AY ;

Moody, JE ;

Nikou, C ;

LaBarca, RS ;

Levison, TJ ;

Picard, F .

JOURNAL OF ARTHROPLASTY, 2002, 17 (03) :359-364

[7]

DORR LD, 2006, HIP ARTHROPLASTY MIN, P30

[8]

POSTERIOR EXPOSURE OF THE HIP JOINT [J].

GIBSON, A .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1950, 32 (02) :183-186

[9]

Computer-assisted total knee arthroplasty using patient-specific templating [J].

Hafez, M. A. ;

Chelule, K. L. ;

Seedhom, B. B. ;

Sherman, K. P. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (444) :184-192

[10]

Tailor-made surgical guide based on rapid prototyping technique for cup insertion in total hip arthroplasty [J].

Hananouchi, Takehito ;

Saito, Masanobu ;

Koyama, Tsuyoshi ;

Hagio, Keisuke ;

Murase, Tsuyoshi ;

Sugano, Nobuhiko ;

Yoshikawa, Hideki .

INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2009, 5 (02) :164-169

← 1 2 3 4 →