Fluoroscopic imaging of acetabular cup position during THA through a direct anterior approach.
نویسندگان
چکیده
Mobile image intensifiers are more readily used to assess acetabular cup placement when performing a total hip arthroplasty through a direct anterior approach. However, patient positioning affects pelvic tilt and rotation, which in turn requires proper C-arm fluoroscopy adjustments for image interpretation. The authors provide insight into the interpretation of acetabular cup positioning based on the fluoroscopic images obtained to ensure appropriate cup positioning using the direct anterior approach for total hip arthroplasty.
منابع مشابه
Fluoroscopic Imaging of Acetabular Cup Position During THA Through a Direct Anterior Approach
Two main causes of postoperative total hip arthroplasty (THA) dislocation are malposition of the acetabular component within the prosthesis and soft tissue imbalances.1 The direct anterior approach for THA is viewed as advantageous compared with other approaches because, in addition to preserving many of the inherent restraints within the hip joint,2 it allows C-arm fluoroscopy image intensifie...
متن کاملAcetabular Placement Accuracy With the Direct Anterior Approach Freehand Technique.
BACKGROUND Acetabular cup placement in total hip arthroplasty (THA) has been recognized as an important factor in operative success, and accurate cup placement has been the impetus for novel medical technologies. METHODS This article examines the cup placement in 955 THAs using a freehand Direct Anterior Approach on a standard operating table. Acetabular anteversion and inclination were deter...
متن کاملComparison of dynamic pelvic tilt between patients with pelvic reclination and those with pelvic inclination after THA
INTRODUCTION: Malposition of the acetabular component (cup) in total hip arthroplasty (THA) leads to premature impingement of the implants during daily activities and it can cause dislocation and accelerated prosthetic wear, which reduces longevity. Computer navigation can theoretically reduce the variation in cup position; however, referencing the pelvic position in order to measure the orient...
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The position of the acetabular cup is a major factor in the long-term outcome of total hip arthroplasty (THA). Malpositioning of the acetabular cup frequently has been reported with the use of a minimally invasive implantation technique. It remains unclear whether the limited visibility or the increased retractor traction and thus tilting of the pelvis during cup implantation is the cause. This...
متن کاملAcetabular cup position and risk of dislocation in primary total hip arthroplasty
Background and purpose - Hip dislocation is one of the most common complications following total hip arthroplasty (THA). Several factors that affect dislocation have been identified, including acetabular cup positioning. Optimal values for cup inclination and anteversion are debatable. We performed a systematic review to describe the different methods for measuring cup placement, target zones f...
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ورودعنوان ژورنال:
- Orthopedics
دوره 37 1 شماره
صفحات -
تاریخ انتشار 2013