A Fluoroscopic Grid in Supine Total Hip Arthroplasty Improving Cup Position, Limb Length, and Hip Offset

被引：28

作者：

Gililland, Jeremy M. ^{[1
]}

Anderson, Lucas A. ^{[1
]}

Boffeli, Shannon L. ^{[1
]}

Pelt, Christopher E. ^{[1
]}

Peters, Christopher L. ^{[1
]}

Kubiak, Erik N. ^{[1
]}

机构：

[1] Univ Utah, Sch Med, Dept Orthopaed Surg, Salt Lake City, UT 84108 USA

来源：

JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 08期

关键词：

total hip arthroplasty; fluoroscopic grid; limb length; ACETABULAR COMPONENT; POLYETHYLENE WEAR; DISCREPANCY; REPLACEMENT; ORIENTATION;

D O I：

10.1016/j.arth.2012.03.027

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：

We hypothesized that use of a novel fluoroscopic grid would decrease operative time: and component positioning variability during anterior supine total hip arthroplasty (THA). We reviewed 99 anterior supine THAs: 39 using a fluoroscopic grid, and 60 using fluoroscopy alone.: Goals were cup abduction of 40 degrees +/- 10 degrees and limb length and hip offset within 10 mm of the contralateral side. Surgical time was decreased in the study group (79 vs 94 minutes, P = .002). In the study group, more components met the goal for cup abduction (97% vs 83%, P = .046), limb length (100% vs 88%, P = .04), hip offset (85% vs 67%, P = .047), and all 3 combined (82% vs 52%, P = .002). We demonstrated decreased component positioning variability during anterior supine THA with assistance of a fluoroscopic grid.

引用

页码：111 / 116

页数：6

共 18 条

[1] The transverse acetabular ligament: an aid to orientation of the acetabular component during primary total hip replacement - A preliminary study of 1000 cases investigating postoperative stability [J].

Archbold, H. A. P. ;

Mockford, B. ;

Molloy, D. ;

McConway, J. ;

Ogonda, L. ;

Beverland, D. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (07) :883-886

[2]

Berend KR, 2010, J BONE JOINT SURG AM, V92A, P2737

[3] Minimally invasive total hip arthroplasty - Development, early results, and a critical analysis [J].

Berry, DJ ;

Berger, RA ;

Callaghan, JJ ;

Dorr, LD ;

Duwelius, PJ ;

Hartzband, MA ;

Lieberman, JR ;

Mears, DC .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (11) :2235-2236

[4] The John Charnley Award Risk Factors for Cup Malpositioning Quality Improvement Through a Joint Registry at a Tertiary Hospital [J].

Callanan, Mark C. ;

Jarrett, Bryan ;

Bragdon, Charles R. ;

Zurakowski, David ;

Rubash, Harry E. ;

Freiberg, Andrew A. ;

Malchau, Henrik .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (02) :319-329

[5] Soft-tissue balancing of the hip - The role of femoral offset restoration [J].

Charles, MN ;

Bourne, RB ;

Davey, JR ;

Greenwald, AS ;

Morrey, BF ;

Rorabeck, CH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (05) :1078-1088

[6] Leg-length discrepancy after total hip arthroplasty [J].

Clark, CR ;

Huddleston, HD ;

Schoch, EP ;

Thomas, BJ .

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2006, 14 (01) :38-45

[7]

Devane PA, 1999, CLIN ORTHOP RELAT R, P59

[8] Effects of limb-length discrepancy on gait economy and lower-extremity muscle activity in older adults [J].

Gurney, B ;

Mermier, C ;

Robergs, R ;

Gibson, A ;

Rivero, D .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (06) :907-915

[9] Imageless navigation for insertion of the acetabular component in total hip arthroplasty -: Is it as accurate as CT-based navigation? [J].

Kalteis, T ;

Handel, A ;

Bäthis, H ;

Perlick, L ;

Tingart, M ;

Grifka, J .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (02) :163-167

[10] Effect of acetabular component orientation on recurrent dislocation, pelvic osteolysis, polyethylene wear, and component migration [J].

Kennedy, JG ;

Rogers, WB ;

Soffe, KE ;

Sullivan, RJ ;

Griffen, DG ;

Sheehan, LJ .

JOURNAL OF ARTHROPLASTY, 1998, 13 (05) :530-534

← 1 2 →