3D CT analysis of combined cup and stem anteversion in cases of cup navigation in hip arthroplasty.

نویسندگان

  • Georgi I Wassilew
  • Carsten Perka
  • Christian Koenig
  • Viktor Janz
  • Patrick Asbach
  • Olaf Hasart
چکیده

Navigation of the cup in total hip arthroplasty is well analyzed and shows accurate results, reducing cup outliers of Lewinnek's "safe zone." With regard to the combined anteversion of cup and stem, however, a "new" safe zone with a range of 25° to 50° has been published. The aim of this study was to analyze total anteversion (cup and stem) by postoperative 3D computed tomography in isolated cup navigation cases. In 46 patients, the mean combined anteversion was 34.4° (range, 16.3°-57.3°, SD ± 9.3°) with 10 outliers. The mean cup anteversion was 19.5° (range, 11°-27°, SD ± 3.7°). Regarding Lewinnek's "safe zone" (cup only), we observed 5 outliers. An improvement of technique of stem implantation or navigation may reduce outliers of combined anteversion.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Visual intraoperative estimation of cup and stem position is not reliable in minimally invasive hip arthroplasty

Background and purpose - In hip arthroplasty, acetabular inclination and anteversion-and also femoral stem torsion-are generally assessed by eye intraoperatively. We assessed whether visual estimation of cup and stem position is reliable. Patients and methods - In the course of a subgroup analysis of a prospective clinical trial, 65 patients underwent cementless hip arthroplasty using a minimal...

متن کامل

Combined anteversion of the total hip arthroplasty implanted with image-free cup navigation and without stem navigation

In total hip arthroplasty (THA), combined anteversion (CA), the sum of cup anteversion (AV) and stem antetorsion (AT) are used as parameters to assess the appropriateness of overall prosthetic alignment. In this study, we evaluated the CA value based on the post-operative computed tomography (CT) measurements in our patient population who underwent THA using the OrthoPilot™ image-free navigatio...

متن کامل

Accuracy of Combined Anteversion in the Combined Anteversion Technique with Image-free Navigated Total Hip Arthroplasty

In recent literatures dealing with optimization of prosthetic alignment in total hip arthroplasty (THA), the concept of combined anteversion (CA), which is the sum of acetabular anteversion (AV) and femoral antetorsion (AT), has been addressed. Widmer attempted to determine the optimal CA using a computer simulation study . He proposed the “new safe zone” for the CA value to achieve essential r...

متن کامل

Clinical Study for Measurement of Stem Antetorsion during Total Hip Arthroplasty. Ct Free Navigation Vs G-guide

Implant positioning is one of the critical factors influencing the postoperative outcome in total hip arthroplasty (THA) [1.2]. In our previous study, we evaluated the Combined anteversion (CA) value in patients who underwent THA using an image-free navigation for the cup with manual adjustment of the stem. Consequently, the AT value showed wide variability [3].Since March 2013, we have measure...

متن کامل

Femur first surgical technique: a smart non-computer-based procedure to achieve the combined anteversion in primary total hip arthroplasty

BACKGROUND The relevance of prosthetic component orientation to prevent dislocation and impingement following total hip arthroplasty (THA) has been widely accepted. We investigated the use of a non-computer-based surgery to address the reciprocal orientation of the acetabular and femoral components. METHODS In the femur first technique, the cup is positioned relative to the stem. When the def...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Orthopedics

دوره 33 10 Suppl  شماره 

صفحات  -

تاریخ انتشار 2010