Navigated non-image-based registration of the position of the pelvis during THR. An accuracy and reproducibility study

Abstract

The precise recording of the position of the pelvis is a prerequisite for total hip replacement (THR). The anterior pelvic plane is an accepted reference for determining the 3D pelvic orientation. We hypothesized that cutaneous palpation of this plane was accurate and reproducible.Ten consecutive navigated implantations of THR prostheses were studied. In each case, four palpations of both anterior iliac spines and the pubic symphysis were performed with a navigated stylus. The first palpation was made on actual bone contours through a skin puncture and was considered as the reference. The other three palpations were made over the intact skin as a normal intra-operative procedure.There was no significant difference between the pelvic orientations measured by the three cutaneous palpations, or between the orientations measured by transcutaneous palpation and the mean result with cutaneous palpation.Cutaneous palpation can be considered as a reliable technique for the definition of pelvic orientation during THR with the non-image-based system employed.