Hippin: a semiautomatic computer program for selecting hip prosthesis femoral components

This work illustrates a computer program designed to aid surgeons in selecting the hip prosthesis femoral component during the preoperation planning stage of hip replacement surgery. Starting from the processing of the patient's coxo-femoral region X-ray image, the program, called Hippin, interacts with the user to outline the femoral region, including the head and the inner contour of the proximal femur. It automatically examines all possible couplings with the patient's femur outlines from a database containing the outlines of the available prostheses created by digitizing the templates normally used in preoperation planning. The resulting images enable the surgeon to visually compare all the alternatives. In addition, the program provides numerical values for the distances between the physiological rotation and prosthesis centers, helping the surgeon in selecting from among the possibilities. The program has been validated by comparing the computer results with actual surgeon selections. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.