Patient-specific instrumentation improves the accuracy of acetabular component placement in total hip arthroplasty

被引:73
作者
Spencer-Gardner, L. [1 ,2 ]
Pierrepont, J. [1 ,3 ,4 ]
Topham, M. [1 ,3 ]
Bare, J. [1 ,2 ]
McMahon, S. [1 ,5 ]
Shimmin, A. J. [1 ]
机构
[1] Monash Univ, Melbourne Orthopaed Grp, 33 Ave, Windsor, Vic 3181, Australia
[2] Melbourne Orthopaed Grp, 33 Ave, Windsor, Vic 3181, Australia
[3] Optimized Ortho, 17 Bridge St, Pymble, NSW 2073, Australia
[4] Univ Sydney, Bldg J07,Level 4, Sydney, NSW 2006, Australia
[5] Monash Univ, Malabar Orthopaed Clin, 43 Ave, Windsor, Vic 3181, Australia
关键词
PELVIC OSTEOLYSIS; CUP PLACEMENT; NAVIGATION; REPLACEMENT; ORIENTATION; POSITION; WEAR; DISLOCATION; MIGRATION; QUALITY;
D O I
10.1302/0301-620X.98B10.37808
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
Aims Accurate placement of the acetabular component during total hip arthroplasty (THA) is an important factor in the success of the procedure. However, the reported accuracy varies greatly and is dependent upon whether free hand or navigated techniques are used. The aim of this study was to assess the accuracy of an instrument system that incorporates 3D printed, patient-specific guides designed to optimise the placement of the acetabular component. Patients and Methods A total of 100 consecutive patients were prospectively enrolled and the accuracy of placement of the acetabular component was measured using post-operative CT scans. Patients and Methods A total of 100 consecutive patients were prospectively enrolled and the accuracy of placement of the acetabular component was measured using post-operative CT scans. Conclusion Accurate placement of the acetabular component can be achieved using patient-specific guides and is superior to free hand techniques and comparable to navigated and robotic techniques.
引用
收藏
页码:1342 / 1346
页数:5
相关论文
共 29 条
  • [1] What Safe Zone? The Vast Majority of Dislocated THAs Are Within the Lewinnek Safe Zone for Acetabular Component Position
    Abdel, Matthew P.
    von Roth, Philipp
    Jennings, Matthew T.
    Hanssen, Arlen D.
    Pagnano, Mark W.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2016, 474 (02) : 386 - 391
  • [2] The John Charnley Award Risk Factors for Cup Malpositioning Quality Improvement Through a Joint Registry at a Tertiary Hospital
    Callanan, Mark C.
    Jarrett, Bryan
    Bragdon, Charles R.
    Zurakowski, David
    Rubash, Harry E.
    Freiberg, Andrew A.
    Malchau, Henrik
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2011, 469 (02) : 319 - 329
  • [3] Revision of metal-on-metal resurfacing arthroplasty of the hip - The influence of malpositioning of the components
    De Haan, R.
    Campbell, P. A.
    Su, E. P.
    De Smet, K. A.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (09): : 1158 - 1163
  • [4] Comparison of a mechanical acetabular alignment guide with computer placement of the socket
    DiGioia, AM
    Jaramaz, B
    Plakseychuk, AY
    Moody, JE
    Nikou, C
    LaBarca, RS
    Levison, TJ
    Picard, F
    [J]. JOURNAL OF ARTHROPLASTY, 2002, 17 (03) : 359 - 364
  • [5] Comparison of Robotic-assisted and Conventional Acetabular Cup Placement in THA: A Matched-pair Controlled Study
    Domb, Benjamin G.
    El Bitar, Youssef F.
    Sadik, Adam Y.
    Stake, Christine E.
    Botser, Itamar B.
    [J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (01) : 329 - 336
  • [6] Wear in alumina-on-alumina ceramic total hip replacements A RETRIEVAL ANALYSIS OF EDGE LOADING
    Esposito, C. I.
    Walter, W. L.
    Roques, A.
    Tuke, M. A.
    Zicat, B. A.
    Walsh, W. R.
    Walter, K.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (07): : 901 - 907
  • [7] Cup Position Alone Does Not Predict Risk of Dislocation After Hip Arthroplasty
    Esposito, Christina I.
    Gladnick, Brian P.
    Lee, Yuo-yu
    Lyman, Stephen
    Wright, Timothy M.
    Mayman, David J.
    Padgett, Douglas E.
    [J]. JOURNAL OF ARTHROPLASTY, 2015, 30 (01) : 109 - 113
  • [8] The use of the transverse acetabular ligament in total hip replacement: An analysis of the orientation of the trial acetabular component using a navigation system
    Fujita, K.
    Kabata, T.
    Maeda, T.
    Kajino, Y.
    Iwai, S.
    Kuroda, K.
    Hasegawa, K.
    Tsuchiya, H.
    [J]. BONE & JOINT JOURNAL, 2014, 96B (03) : 306 - 311
  • [9] The effect of orientation of the acetabular component on outcome following total hip arthroplasty with small diameter hard-on-soft bearings
    Grammatopoulos, G.
    Thomas, G. E. R.
    Pandit, H.
    Beard, D. J.
    Gill, H. S.
    Murray, D. W.
    [J]. BONE & JOINT JOURNAL, 2015, 97B (02) : 164 - 172
  • [10] Pelvic position and movement during hip replacement
    Grammatopoulos, G.
    Pandit, H. G.
    da Assunao, R.
    Taylor, A.
    McLardy-Smith, P.
    De Smet, K. A.
    Murray, D. W.
    Gill, H. S.
    [J]. BONE & JOINT JOURNAL, 2014, 96B (07) : 876 - 883