Acta Chir Orthop Traumatol Cech. 2006; 73(5):350-352 | DOI: 10.55095/achot2006/051

Our Experience with an Image Guided Navigation System for Accurate Alignment in Total Hip Replacement by Minimally Invasive Posterolateral SurgeryOriginal papers

V. ŠTIPČÁK*, R. HART, B. KUČERA
Ortopedicko-traumatologické oddělení Nemocnice Znojmo

PURPOSE OF THE STUDY:
The aim of the study was to compare a radiographic position of the acetabular component with a position guided by the navigation system in final acetabular cup alignment.

MATERIAL:
Between May and October 2005, 15 patients underwent implantation of a cementless acetabular component from the posterolateral minimally invasive approach with the use of kinematic navigation.

METHODS:
The final acetabular cup alignment was determined from the data saved in the navigation system. The radiographic measurement of acetabular cup inclination was made from an anteroposterior projection of both hips on one image, and anteversion was determined by the Ackland method.

RESULTS:
The average values for inclination and anteversion shown on radiographs were 41.8 degrees (range, 35-51) and 19.8 degrees (range, 5-32), respectively. The average values of cup alignment recorded at implantation by the navigation system were 27.6 degrees (range, 22-35) for inclination and 24.3 degrees (range, 17-28) for anteversion.

DISCUSSION:
The acetabular cup alignment is considered optimal when inclination is 45 degrees and anteversion 15 degrees. This is more difficult to achieve in minimally invasive surgery due to a limited view of the operating field. This disadvantage can be overcome by using various navigation systems the function of which depends on the accuracy of recorded data.

CONCLUSIONS:
Because the data recorded by the system used in our study were not accurate, we do not consider the OrthoPilot navigation system to be an effective aid in minimally invasive posterolateral surgery.

Keywords: posterolateral approach, minimally invasive technique, cementless acetabular component, kinematic navigation system

Accepted: April 18, 2006; Published: October 1, 2006  Show citation

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ŠTIPČÁK V, HART R, KUČERA B. Our Experience with an Image Guided Navigation System for Accurate Alignment in Total Hip Replacement by Minimally Invasive Posterolateral Surgery. Acta Chir Orthop Traumatol Cech. 2006;73(5):350-352. doi: 10.55095/achot2006/051. PubMed PMID: 17140518.
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    References

    1. ACKLAND, M. K., BOURNE, W. B., UHTHOFF, H. K.: Anteversion of the Acetabular cup: Measurment of Angle after Total Hip Replacment. J. Bone Jt Surg., 68-B: 409-413, 1986 Go to original source... Go to PubMed...
    2. BADER, R. J., STEINHAUSER, E., WILLMANN, G., GRADINGER, R.: The Effects of Implant Position, Design and Wear on the Range of Motion after Total Hip Arthroplasty. Hip International, 11: 80-90, 2001. Go to original source...
    3. BARRACK, R. L.: Dislocation After Total Hip Artrhoplasty: Implant Design and Orientation. J. Amer. Acad. Orthop. Surg., 11: 89-99, 2003. Go to original source... Go to PubMed...
    4. BERGER, R. A.: Total Hip Arthroplasty Using the Minimally Invasive Two-incision Approach. Clin. Orthop., 417: 232-241, 2003. Go to original source... Go to PubMed...
    5. BIEDERMANN, R., TONIN, A., KRISMER, M., RACHBAUER, F. Reducing the Risk of Dislocation after Total Hip Arthroplasty: Effect of Orientation of the Acetabular Component. J. Bone Jt Surg., 87-B: 762-769, 2005. Go to original source... Go to PubMed...
    6. ČECH, O., DŽUPA, V.:The European School of Total Hip Arthroplasty and 35 Years of Total Hip Arthroplasty in the Czech Republic. Acta Chir. orthop. Traum.čech., 72 : 57-76, 2005.
    7. ČECH, O., PAVLANSKÝ, R..: Aloplastika kyčelního kloubu. Praha, Avicenum 1983.
    8. DiGIOIA, A. M., JARAMAZ, B., BLACKWELL M.: Image Guided Navigation System to Measure Intraoperatively Acetabular Implant Aligment. Clin. Orthop., 355: 8-22, 1998. Go to original source... Go to PubMed...
    9. DiGIOIA, A. M., PLAKSEQCHUK, AQ.Y., LEVSION, T. J., JARAMAZ, B.: Mini-incision Technique for Total Hip Arthroplasty with Navigation. J. Arthroplasty, 18: 123-128, 2003. Go to original source... Go to PubMed...
    10. FACKLER, C.D., POSS, R.: Dislocation in Total Hip Arthroplasties. Clin. Orthop., 151: 169-178, 1980. Go to original source...
    11. HART, R., ŠTIPČÁK, V., JANEČEK, M., VIŠŇA, P.: Component Position Following Total Hip Arthroplasty through a Miniinvasive Posterolateral Approach. Acta orthop. belg., 71: 60-64, 2005.
    12. HART, R., ŠTIPČÁK, V., JANEČEK, M., VIŠŇA, P.:Radiological Study of THA after Mini-incision Technique. Hip International, 15: 98-101, 2005. Go to original source... Go to PubMed...
    13. JOLLES, D. M., GENOUD, P., HOFFMEYER, P.:Computer-assisted Cup Placement Techniques in Total Hip Arthroplasty Improve Accuracy of Placement. Clin. Orthop., 426: 174-179, 2004. Go to original source... Go to PubMed...
    14. KENNEDY, J. G., ROGERS, W. B., SOFFE, K. E., et al.: Effect of Acetabular Component Orientation on Reccurent Dislocation, Pelvic Osteolysis, Polyethylen Wear, and Component Migration. J. Arthroplasty, 13: 530-534, 1998. Go to original source... Go to PubMed...
    15. KIEFER, H.: OrthoPilot Cup Navigation. Int. Ortop., 27: S37-42, 2003.
    16. LEWINNEK, G. E., LEWIS, J. L., TARR, R., COMPERE, C. L., ZIMMERMAN, J. R.: Dislocations after Total Hip-replacement Arthroplasties. J. Bone Jt Surg., 60-A: 217-220, 1990. Go to original source...
    17. McCOLLUM, D. E., GRAY, W. J.: Dislocation after Total Hip Arthroplasty: Causes and Prevention. Clin. Orthop., 261: 159-170, 1990. Go to original source...
    18. NOGLER, M., KESSLER, O., PRASSL, A., DONNELLY, B., STREICHER, R., SLEDGE, J. B., KRISMER, M.: Reduced Variability of Acetabular Cup Positioning with Use of an Imageless Navigation System. Clin. Orthop., 426: 159-163, 2004. Go to original source... Go to PubMed...
    19. OGONDA, L., WILSON, °R., ARCHBOLD, P., LAWLOR, M., HUMPHREYS, P., O°BRIEN, S., BEVERLAND, D.: A Minimal-Incision Technique in Total Hip Arthroplasty Does Not Improve Early Postoperative Outcomes. A Prospective Randomized, Controled Trial. J. Bone Jt Surg., 87-A: 701-710, 2005. Go to original source... Go to PubMed...
    20. PATERNO, S. A., LACHIEWICZ, P. F., KELLEY, S. S.: The Influence of Patient-related Factors and the Position of the Acetabular Component on the Rate of Dislocation after Total Hip Replacement. J. Bone Jt Surg., 79-A: 1202-1210, 1997. Go to original source... Go to PubMed...
    21. PIERCHON, F., PASQUIER, G., COTTEN, A., FONTAINE, C., CLARISSE, J., DUQUENNOY, A.: Causes of Dislocation of Total Hip Arthroplasty: CT Study of Component Alignment. J. Bone Jt Surg., 76-B: 45-48, 1994. Go to original source...
    22. WOOLSON, S. T., MOW, CH. S., SYQUIA, J. F., LANNIN, J. V., SCHURMAN, D. J.: Comparison of Primary Total Hip Replacements with a Standart Incision or a Mini-Incision. J. Bone Jt Surg., 86-A: 1353-1358, 2004. Go to original source... Go to PubMed...

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