Greater accuracy in positioning of the acetabular cup by using an image-free navigation system

Kalteis, Thomas and Handel, M. and Herold, T. and Perlick, Lars and Baethis, H. and Grifka, Joachim (2005) Greater accuracy in positioning of the acetabular cup by using an image-free navigation system. INTERNATIONAL ORTHOPAEDICS, 29 (5). pp. 272-276. ISSN 0341-2695,

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Abstract

In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees-53 degrees; SD +/- 7.0 degrees) and an average anteversion of 24.0 degrees (range: -3 degrees to 51 degrees; SD +/- 15.0 degrees) were found in the control group, and an average inclination of 45.0 degrees (ranage: 40 degrees-50 degrees; SD +/- 2.8 degrees) and an average anteversion of 14.4 degrees (range: 5 degrees-25 degrees; SS +/- 5.0 degrees) in the computer-assisted study group. The deviations from the desired cup position (45 degrees inclination, 15 degrees anteversion) were significantly lower in the computer-assisted study group (p < 0.001 each). While only 11/22 of the cups in the control group were within the Lewinnek safe zone, 21/23 of the cups in the study group were placed in this target region (p=0.003).

Item Type: Article
Uncontrolled Keywords: TOTAL HIP-ARTHROPLASTY; DISLOCATION; PLACEMENT; REPLACEMENT; ORIENTATION; COMPONENT; WEAR;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 Apr 2021 09:54
Last Modified: 26 Apr 2021 09:54
URI: https://pred.uni-regensburg.de/id/eprint/35586

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