Computer-assisted surgery prevents complications during peri-acetabular osteotomy

被引：20

作者：

Hayashi, Shinya ^{[1
]}

Hashimoto, Shingo ^{[1
]}

Matsumoto, Tomoyuki ^{[1
]}

Takayama, Koji ^{[1
]}

Shibanuma, Nao ^{[2
]}

Ishida, Kazunari ^{[2
]}

Nishida, Kotaro ^{[1
]}

Kuroda, Ryosuke ^{[1
]}

机构：

[1] Kobe Univ, Grad Sch Med, Dept Orthopaed Surg, Chuo Ku, 7-5-1 Kusunoki Cho, Kobe, Hyogo 6500017, Japan

[2] Kobe Kaisei Hosp, Dept Orthopaed Surg, Kobe, Hyogo, Japan

来源：

INTERNATIONAL ORTHOPAEDICS | 2018年 / 42卷 / 11期

关键词：

Peri-acetabular osteotomy; Navigation; Accuracy; Complication; PERIACETABULAR OSTEOTOMY; NAVIGATION; HIP; OSTEOARTHRITIS; EXPERIENCE;

D O I：

10.1007/s00264-018-3906-y

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：

PurposeThe aim of study is to evaluate the accuracy of a navigation system during curved peri-acetabular osteotomy (CPO).MethodsForty-seven patients (53 hips) with hip dysplasia were enrolled and underwent CPO with or without navigation during surgery. Clinical and radiographical evaluations were performed and compared between the navigation group and non-navigation group, post-operatively.ResultsThe clinical outcomes were not significantly different between the navigation and non-navigation groups. Furthermore, post-operative reorientation of the acetabular fragment was similar between the navigation and non-navigation groups. However, the discrepancy between the pre-operative planning line and post-operative osteotomy line was significantly improved in the navigation group compared with that in the non-navigation group (p<0.05). Further, the complication rate was significantly improved in the navigation group (p<0.001).ConclusionThe accuracy of the osteotomy's position was significantly improved by using the navigation. Therefore, the use of navigation during peri-acetabular osteotomy can avoid complications.

引用

页码：2555 / 2561

页数：7

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