Application of Computed Tomography-Based Navigation for Revision Total Hip Arthroplasty

被引:15
作者
Nakamura, Nobuo [1 ]
Nishii, Takashi [2 ]
Kitada, Makoto [1 ]
Iwana, Daiki [1 ]
Sugano, Nobuhiko [2 ]
机构
[1] Kyowakai Hosp, Ctr Arthroplasty, Suita, Osaka 5640001, Japan
[2] Osaka Univ, Sch Med, Dept Orthoped Surg, Suita, Osaka 565, Japan
关键词
revision total hip arthroplasty; CT-based; navigation; metal implant; METAL ARTIFACT REDUCTION; ACETABULAR COMPONENT; RISK;
D O I
10.1016/j.arth.2012.11.015
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
The usefulness of navigation systems for revision total hip arthroplasty (THA) remains unclear. The purpose of this study was to evaluate the accuracy of cup positioning using a navigation system in revision THA. Cup alignment of thirty revision cases was evaluated. Data were also compared with those of 30 navigated primary THA cases. In the revision THA group, mean difference in postoperative measurement from preoperative plan was 0.5 +/- 4 degrees (range, -9 degrees to 8 degrees) for inclination and -0.07 degrees +/- 5 degrees (-14 degrees to 13 degrees) for anteversion. Mean difference in postoperative measurement from intraoperative record was 0.7 degrees +/- 3 degrees (-5 degrees to 8 degrees) for inclination and -0.7 degrees +/- 3 degrees (-12 degrees to 5 degrees) for anteversion. Compared with the primary THA group, none of these parameters were significantly different. This navigation system was useful even in revision THA. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:1806 / 1810
页数:5
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