The value of computed tomography based navigation in revision total hip arthroplasty

Kuroda, Kazunari; Kabata, Tamon; Maeda, Takeshi; Kajino, Yoshitomo; Watanabe, Shin; Iwai, Shintaro; Fujita, Kenji; Hara, Kazuhiro; Inoue, Dai; Tsuchiya, Hiroyuki

doi:10.1007/s00264-013-2166-0

Cited by 20 publications

(18 citation statements)

References 26 publications

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“…All reference points were manually copied from the preoperative plan onto the postoperative CT. Computer-aided design (CAD) models of the APS were manually superimposed onto the postoperative multiplanar reconstruction in CT images, as described in previous reports [10,11]. We measured the postoperative stem anteversion (Fig.…”

Section: Postoperative Evaluationmentioning

confidence: 99%

Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip

Inoue

Kabata

Maeda

et al. 2015

Journal of Orthopaedic Science

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Section: Postoperative Evaluationmentioning

confidence: 99%

Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip

Inoue

Kabata

Maeda

et al. 2015

Journal of Orthopaedic Science

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“…Furthermore, because of the problems that arise with the use of a navigation system in revision THA, it is uncertain whether the acetabular cup position achieves similar accuracy as that obtained in primary THA. However, Nakamura et al18) and Kuroda et al19) achieved the same accuracy with CT-based navigation for primary and revision THA. Additionally, in a study by Chang et al,20) the optimal cup position was achieved with a very high probability: achievements in radiographic abduction and that in combined anteversion were both 100%.…”

Section: Discussionmentioning

confidence: 90%

Efficacy of Computed Tomography-Based Navigation for Cup Placement in Revision Total Hip Arthroplasty

et al. 2019

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Background Navigation systems are an effective tool to improve the installation accuracy of the cup in primary total hip arthroplasty. This study aimed to evaluate the efficacy of a computed tomography-based navigation system in achieving optimal installation accuracy of implants in revision total hip arthroplasty and to clarify the usefulness of the navigation system. Methods We conducted a retrospective study of 23 hips in 23 patients who underwent revision total hip arthroplasty using a computed tomography-based navigation system; the control group comprised 33 hips in 33 patients who underwent revision total hip arthroplasty without a navigation system. Results The average cup position with the navigation system was 40.0° ± 3.7° in radiographic abduction angle, 18.8° ± 4.8° in radiographic anteversion, and 41.2° ± 8.9° in combined anteversion; without the navigation system, the average cup position was 38.7° ± 6.1°, 19.0° ± 9.1°, and 33.6° ± 20.5°, respectively. The achievement rate of cup positioning within the Lewinnek safe zone was not significantly different between the navigation group (82.6%) and control group (63.6%). In contrast, the achievement rate of cup positioning within the Widmer combined anteversion guidelines was significantly greater in the navigation group (78.3%) than in the control group (48.0%, p = 0.029). Furthermore, outlier cases in the navigation group had a smaller variance of deviation from the optimal cup position than those in the control group did. Conclusions The results show that the use of navigation for revision total hip arthroplasty improved cup positioning and reduced the range of outliers. Improvement of cup placement accuracy influenced the installation of the stem and also improved the achievement rate of combined anteversion. Thus, a computed tomography-based navigation system is very useful for surgeons when placing the cup within the target angle in revision total hip arthroplasty.

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“…Furthermore, the combination of the cemented cup and navigation system is more useful for revision cases [7] , [8] . A massive bone defect is sometimes caused by the removal of the primary implanted cup; in that case, the frequency of using a cemented cup has increased.…”

Section: Discussionmentioning

confidence: 99%

Novel cemented cup-holding technique while performing total hip arthroplasty with navigation system

Takai

Takahashi

2017

Arthroplasty Today

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Recently, navigation systems have been more widely utilized in total hip arthroplasty. However, almost all of these systems have been developed for cementless cups. In the case of cemented total hip arthroplasty using a navigation system, a special-ordered cemented holder is needed. We propose a novel cemented cup-holding technique for navigation systems using readily available articles. We combine a cementless cup holder with an inverted cementless trial cup. The resulting apparatus is used as a cemented cup holder. The upside-down cup-holding technique is useful and permits cemented cup users to utilize a navigation system for placement of the acetabular component.

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The value of computed tomography based navigation in revision total hip arthroplasty

Cited by 20 publications

References 26 publications

Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip

Value of computed tomography-based three-dimensional surgical preoperative planning software in total hip arthroplasty with developmental dysplasia of the hip

Efficacy of Computed Tomography-Based Navigation for Cup Placement in Revision Total Hip Arthroplasty

Novel cemented cup-holding technique while performing total hip arthroplasty with navigation system

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