Cup positioning in THA: current status and pitfalls. A systematic evaluation of the literature

Beckmann, J. and Luering, C. and Tingart, M. and Anders, S. and Grifka, J. and Koeck, F. X. (2009) Cup positioning in THA: current status and pitfalls. A systematic evaluation of the literature. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 129 (7). pp. 863-872. ISSN 0936-8051, 1434-3916

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Abstract

The correct determination of cup orientation in THA regarding the intraoperative as well as the postoperative assessment due to the pelvic tilt and rotation with inexact incorporation of the pelvis is uncertain. The anterior pelvic plane (APP) seems to be the most reliable reference frame and computer-assisted navigation systems seem to provide the best tool for correct implantation to date. For the intraoperative assessment of the APP, the exact determination of the bony landmarks is mandatory. For the standard plain radiography, standardized positioning of the patient and approximation of pelvic tilt by a lateral view are mandatory. An additional CT must be carried out for certain indications. More emphasis has to be given to the individuality of pelvic tilt and range of motion.

Item Type: Article
Uncontrolled Keywords: TOTAL HIP-ARTHROPLASTY; ACETABULAR COMPONENT ORIENTATION; 3-DIMENSIONAL COMPUTED-TOMOGRAPHY; PLAIN ANTEROPOSTERIOR RADIOGRAPHS; FRONTAL PELVIC PLANE; CT-BASED MEASUREMENT; NAVIGATION SYSTEM; FEMORAL-HEAD; POLYETHYLENE WEAR; IMAGELESS NAVIGATION; THA; Cup; Orientation; Pelvic tilt; Systematic review
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Petra Gürster
Date Deposited: 07 Nov 2024 06:58
Last Modified: 07 Nov 2024 06:58
URI: https://pred.uni-regensburg.de/id/eprint/28721

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