Comment on Mouzopoulos et al.: The four-year functional result after a displaced subcapital hip fracture treated with three different surgical options

Ar, Nataraj; Singhal, Deepak; Yadav, Chandrashekhar; Vp, Sharma

doi:10.1007/s00264-008-0631-y

Cited by 1 publication

(1 citation statement)

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“…Imageless navigation is relatively new technology which has been shown to increase accuracy in the placement of the acetabular component [ 7 – 11 ], and a meta-analysis has demonstrated a significant reduction in cup outliers [ 12 ]. The Australian joint registry [ 13 ] has shown navigation reduces long term revision rates in THA.…”

Section: Introductionmentioning

confidence: 99%

Imageless navigation total hip arthroplasty – an evaluation of operative time

Valsamis

Ricketts²,

Hussain

et al. 2018

SICOT-J

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Introduction: Imageless navigation has been successfully integrated in knee arthroplasty but its effectiveness in total hip arthroplasty (THA) has been debated. It has consistently been shown that navigation adds significant time and cost to the operation. Further, the relative success of traditional hip replacements has impeded the adoption of new techniques.Methods: We compared the operative time between fifty total hip replacements with and without the use of imageless navigation by a single senior surgeon in a retrospective study. We employed standard statistical tools to compare the two methods. A correlation-based analysis was used to delimit the “learned” phase of imageless navigation to make comparisons meaningful.Results: Contrary to what has previously been reported, there was no significant difference between operative time in navigated, when compared to traditional operations (p = 0.498). Only fourteen operations were required to delimit the learning phase of this operation.Discussion: This is the first study that demonstrates no added operative time when using imageless navigation in THA, achieved with an improved workflow. The results also demonstrate a very reasonable learning curve.

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Section: Introductionmentioning

confidence: 99%