A new system of computer-assisted navigation leading to reduction in operating time in uncemented total hip replacement in a matched population

被引：3

作者：

Chaudhry F.A. ^{[1
]}

Ismail S.Z. ^{[1
]}

Davis E.T. ^{[1
]}

机构：

[1] Department of Trauma and Orthopaedics Surgery, Russells Hall Hospital, Dudley

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2018年 / 28卷 / 4期

关键词：

Computer-assisted navigation; Operating time; Uncemented total hip replacement;

D O I：

10.1007/s00590-018-2133-y

中图分类号：

学科分类号：

摘要：

Computer-assisted navigation techniques are used to optimise component placement and alignment in total hip replacement. It has developed in the last 10 years but despite its advantages only 0.3% of all total hip replacements in England and Wales are done using computer navigation. One of the reasons for this is that computer-assisted technology increases operative time. A new method of pelvic registration has been developed without the need to register the anterior pelvic plane (BrainLab hip 6.0) which has shown to improve the accuracy of THR. The purpose of this study was to find out if the new method reduces the operating time. This was a retrospective analysis of comparing operating time in computer navigated primary uncemented total hip replacement using two methods of registration. Group 1 included 128 cases that were performed using BrainLab versions 2.1-5.1. This version relied on the acquisition of the anterior pelvic plane for registration. Group 2 included 128 cases that were performed using the newest navigation software, BrainLab hip 6.0 (registration possible with the patient in the lateral decubitus position). The operating time was 65.79 (40–98) minutes using the old method of registration and was 50.87 (33–74) minutes using the new method of registration. This difference was statistically significant. The body mass index (BMI) was comparable in both groups. The study supports the use of new method of registration in improving the operating time in computer navigated primary uncemented total hip replacements. © 2018, Springer-Verlag France SAS, part of Springer Nature.

引用

页码：645 / 648

页数：3

共 20 条

[11]

9th Annual report 2012

[12]

Davis E., Schubert M., Wegner M., Haimerl M., A new method of registration in navigated hip arthroplasty without the need to register the anterior pelvic plane, J Arthroplasty, 30, 1, pp. 55-60, (2015)

[13]

Haimerl M., Schubert M., Wegner M., Kling S., Anatomical relationships of human pelvises and their application to registration techniques, Comput Aided Surg, 17, 5, pp. 232-239, (2012)

[14]

Sugano N., Nishii T., Miki H., Yoshikawa H., Sato Y., Tamura S., Mid-term results of cementless total hip replacement using a ceramic-on-ceramic bearing with and without computer navigation, J Bone Joint Surg Br, 89, 4, pp. 455-460, (2007)

[15]

Barrett W., Turner S., Leopold J., Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty, J Arthroplasty, 28, 9, pp. 1634-1638, (2013)

[16]

Rodriguez J., Deshmukh A., Rathod P., Greiz M., Deshmane P., Hepinstall M., Et al., Does the direct anterior approach in THA offer faster rehabilitation and comparable safety to the posterior approach?, Clin Orthop Relat Res, 472, 2, pp. 455-463, (2014)

[17]

Ji H., Kim K., Lee Y., Ha Y., Koo K., Dislocation after total hip arthroplasty: a randomized clinical trial of a posterior approach and a modified lateral approach, J Arhtroplasty, 27, 3, pp. 378-385, (2012)

[18]

Martin C., Pugely A., Gao Y., Clark C., A comparison of hospital length of stay and short-term morbidity between the anterior and the posterior approaches to total hip arthroplasty, J Arthroplasty, 28, 5, pp. 849-854, (2013)

[19]

Olson M., Davis E., Waddell J., Schemitsch E., Imageless computer navigation for placement of the femoral component in resurfacing arthroplasty of the hip, J Bone Joint Surgery Br, 91, 3, pp. 310-315, (2009)

[20]

Billaud A., Verdier N., de Bartolo R., Lavoinne N., Chauveaux D., Fabre T., Acetabular component navigation in lateral decubitus based on EOS imaging: a preliminary study of 13 cases, Orthop Traumatol Surg Res, 101, 3, pp. 271-275, (2015)

← 1 2 →