Leg Length and Offset Measures with a Pinless Femoral Reference Array during THA

Renkawitz, Tobias and Schuster, Tibor and Grifka, Joachim and Kalteis, Thomas and Sendtner, Ernst (2010) Leg Length and Offset Measures with a Pinless Femoral Reference Array during THA. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 468 (7). pp. 1862-1868. ISSN 0009-921X,

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Abstract

The bony fixation of reference marker arrays used for computer-assisted navigation during total hip arthroplasty (THA) theoretically involves the risk of fracture, infection, and/or pin loosening. We asked whether intraoperative assessment of leg length (LL) and offset (OS) changes would be accurate using a novel pinless femoral reference system in conjunction with an imageless measurement algorithm based on specific realignment of the relationship between a dynamic femoral and pelvis reference array. LL/OS measurements were recorded during THA in 17 cadaver specimen hips. Preoperatively and postoperatively, specimens were scanned using CT. Linear radiographic LL/OS changes were determined by two investigators using visible fiducial landmarks and image processing software. We found a high correlation of repeated measurements within and between (both 0.95 or greater) the two examiners who did the CT assessments. Pinless LL/OS values showed mean differences less than 1 mm and correlations when compared with CT measurements.

Item Type: Article
Uncontrolled Keywords: TOTAL HIP-ARTHROPLASTY; TOTAL KNEE ARTHROPLASTY; IMAGELESS NAVIGATION; ACCURATE; FRACTURE; SYSTEM; JOINT; DISCREPANCY; VALIDATION; INEQUALITY;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 27 Jul 2020 08:16
Last Modified: 27 Jul 2020 08:16
URI: https://pred.uni-regensburg.de/id/eprint/24483

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