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Tytuł pozycji:

An accelerometer-based navigation system provides acetabular cup orientation accuracy comparable to that of computed tomography-based navigation during total hip arthroplasty in the supine position.

Tytuł:
An accelerometer-based navigation system provides acetabular cup orientation accuracy comparable to that of computed tomography-based navigation during total hip arthroplasty in the supine position.
Autorzy:
Tetsunaga T; Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan. tomonori_.
Yamada K; Department of Medical Materials for Musculoskeletal Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan.
Tetsunaga T; Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan.
Sanki T; Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan.
Kawamura Y; Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan.
Ozaki T; Department of Orthopaedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kitaku, Okayama, 700-8558, Japan.
Źródło:
Journal of orthopaedic surgery and research [J Orthop Surg Res] 2020 Apr 15; Vol. 15 (1), pp. 147. Date of Electronic Publication: 2020 Apr 15.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, 2006-
MeSH Terms:
Supine Position*/physiology
Accelerometry/*methods
Acetabulum/*diagnostic imaging
Arthroplasty, Replacement, Hip/*methods
Surgery, Computer-Assisted/*methods
Tomography, X-Ray Computed/*methods
Acetabulum/physiology ; Acetabulum/surgery ; Aged ; Aged, 80 and over ; Female ; Humans ; Imaging, Three-Dimensional/methods ; Male ; Middle Aged ; Neuronavigation/methods ; Retrospective Studies
References:
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Contributed Indexing:
Keywords: Hip; Navigation system; Retrospective study; Total hip replacement
Entry Date(s):
Date Created: 20200417 Date Completed: 20210129 Latest Revision: 20210129
Update Code:
20240104
PubMed Central ID:
PMC7161129
DOI:
10.1186/s13018-020-01673-y
PMID:
32295628
Czasopismo naukowe
Background: Inadequate acetabular component orientation is associated with postoperative impingement, dislocation, and accelerated polyethylene wear. Computed tomography (CT)-based navigation systems provide accuracy for total hip arthroplasty (THA) but are not available in all facilities. Accelerometer-based navigation systems are inexpensive, but their accuracy remains undetermined. This study compares the accuracy of cup orientation in THA using CT-based and accelerometer-based navigation systems.
Methods: This retrospective study included 35 consecutive patients (11 males, 24 females; mean age, 65 years) who underwent primary cementless THA via an anterolateral approach in the supine position. Both CT-based and accelerometer-based navigation systems were used simultaneously. The accuracy of cup orientation was compared between the two systems using postoperative CT.
Results: The accuracy of cup inclination was 2.7° ± 2.0° in the CT-based group and 3.3° ± 2.4° in the accelerometer-based group. The accuracy of cup anteversion was 2.8° ± 2.6° in the CT-based group and 3.4° ± 2.2° in the accelerometer-based group. No significant difference was observed in cup inclination (p = 0.29) or cup anteversion (p = 0.34) between CT-based and accelerometer-based navigation.
Conclusions: The accuracy of cup positioning did not differ significantly between CT-based and accelerometer-based navigation systems.
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