NDLI: Computer-assisted placement technique in hip resurfacing arthroplasty: improvement in accuracy?

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Computer-assisted placement technique in hip resurfacing arthroplasty: improvement in accuracy?

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Computer-assisted placement technique in hip resurfacing arthroplasty: improvement in accuracy?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Krüger, S. Zambelli, P. Y. Leyvraz, P-F Jolles, B. M.
Description	Country affiliation: Switzerland Author Affiliation: Krüger S ( Hôpital Orthopédique de la Suisse Romande, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland.)
Abstract	Freehand positioning of the femoral drill guide is difficult during hip resurfacing and the surgeon is often unsure of the implant position achieved peroperatively. The purpose of this study was to find out whether, by using a navigation system, acetabular and femoral component positioning could be made easier and more precise. Eighteen patients operated on by the same surgeon were matched by sex, age, BMI, diagnosis and ASA score (nine patients with computer assistance, nine with the regular ancillary). Pre-operative planning was done on standard AP and axial radiographs with CT scan views for the computer-assisted operations. The final position of implants was evaluated by the same radiographs for all patients. The follow-up was at least 1 year. No difference between both groups in terms of femoral component position was observed (p > 0.05). There was also no difference in femoral notching. A trend for a better cup position was observed for the navigated hips, especially for cup anteversion. There was no additional operating time for the navigated hips. Hip navigation for resurfacing surgery may allow improved visualisation and hip implant positioning, but its advantage probably will be more obvious with mini-incisions than with regular incision surgery.
File Format	HTM / HTML
ISSN	03412695
e-ISSN	14325195
Journal	International Orthopaedics
Issue Number	1
Volume Number	33
Language	English
Publisher	Springer
Publisher Date	2009-02-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Hip Surgery, Computer-assisted Adverse Effects Body Mass Index Hip Joint Surgery Tomography, X-ray Computed Comparative Study
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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