Efficacy of the Use of Templating in Total Hip Arthroplasty

Abstract

Objective The aim was to evaluate the effectiveness of traditional preoperative planning with the use of templating. Method Forty-three anteroposterior X-rays were analyzed by three experienced surgeons (A, B, C) and compared. Cohen's Kappa concordance test and weighted Kappa indexes using quadratic weighting were used for statistical analysis with a confidence interval of 95%. Results The preoperative evaluations were divided into the analysis of the sizes of the acetabular cup, stem and plug of the distal femoral canal. Surgeon A obtained a moderate agreement in relation to the acetabular component and substantial agreements in relation to the stem and plug. Surgeon B had moderate agreement in relation to both the acetabulum and the stem and substantial agreement in relation to the plug. Surgeon C obtained moderate agreement in relation to the analysis of the acetabulum and the plug and substantial agreement for the stem. The intraobserver agreement test demonstrated a prevalence of slight agreement in relation to the acetabulum and substantial agreement in relation to the stem and to the plug. Conclusion Templating used in preoperative planning proved effective; however, there was a prevalence of slight and moderate agreement in relation to the size of the acetabular component.

Factors that interfere with quality of life after total hip arthroplasty

“…The diseases cause the impaired mobility of the social system patient, to improve the functional status, to reduce the morbidity associated with immobility, to improve the quality of life, to restore the level of physical activity and to relieve pain as a surgical goal. Thus, having a good clinical result of the surgical procedure (6)(7)(8)(9) .…”