ArticleInternational orthopaedics2016
Accuracy of combined anteversion in image-free navigated total hip arthroplasty: stem-first or cup-first technique?
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Clinical efficacy of OrthoPilot navigation system versus conventional manual total hip arthroplasty: A systematic review and meta-analysis.The Journal of international medical research · 2019Pooled it
- Article
- Comparison between accuracy of augmented reality computed tomography-based and portable augmented reality-based navigation systems for cup insertion in total hip arthroplasty.Scientific reports · 2024Article
- Accuracy comparison of cup positioning during total hip arthroplasty using Hip Align and AR-Hip in the supine position.Archives of orthopaedic and trauma surgery · 2023Article
- Comparing the accuracy of three-dimensional mini-optical portable navigation and accelerometer-based portable navigation system for acetabular cup placement during total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Image-Less THA Cup Navigation in Clinical Routine Setup: Individual Adjustments, Accuracy, Precision, and Robustness.Medicina (Kaunas, Lithuania) · 2022Article
- Accuracy of a novel accelerometer-based navigation (Naviswiss) for total hip arthroplasty in the supine position.BMC musculoskeletal disorders · 2022Article
- Measurement of operative femoral anteversion during cementless total hip arthroplasty and influencing factors for using neck-adjustable femoral stem.Journal of orthopaedic surgery and research · 2021Article
- Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2021Article
- New combined anteversion technique in hybrid THA: cup-first procedure with CT-based navigation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- A simple angle-measuring instrument for measuring cemented stem anteversion during total hip arthroplasty.BMC musculoskeletal disorders · 2020Article
- Clinical accuracy and precision of hip resurfacing arthroplasty using computed tomography-based navigation.International orthopaedics · 2019Article
- Influence of Spinopelvic Alignment on Pelvic Tilt after Total Hip Arthroplasty.Orthopaedic surgery · 2019Article
- Total hip arthroplasty using stem-first technique with navigation: the potential of achievement of the optimal combined anteversion being a risk factor for anterior cup protrusion.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Effect of improved navigation performance on the accuracy of implant placement in total hip arthroplasty with a CT-based navigation system.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018Article
- What do we get from navigation in primary THA?EFORT open reviews · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn total hip arthroplasty (THA), combined anteversion (CA) is used as a parameter for assessment of overall prosthetic alignment. The purpose of this study was to comparatively examine the CA value in patients who underwent primary THA using the image-free navigation system either with a cup-first or stem-first technique.
methodsEighty-three hips undergoing primary THA using the OrthoPilot® image-free navigation system (B. Braun-Aesculap, Tuttlingen, Germany) were included in this study. The patient population was divided into two groups depending on the procedure used: cup-first technique and stem-first technique. In the cup-first group, inclination and anteversion (AV) angles were targeted at 35-45° and 15-25°, respectively, while stem antetorsion (AT) was determined for each patient based on the amount of individual native femoral AT angle. In the stem-first group, the femur was prepared first with the target angle corresponding to the native femoral AT and the cup AV was decided considering the CA calculated with Widmer's formula (aiming at the optimal Widmer's CA of 37.3°).
resultsBetter consistency in Widmer's CA values was attained in the stem-first group as indicated by the smaller SD values. In the assessment of overall alignment, Widmer's CA values were within the satisfactory range (37 ± 5°) in 41.9 and 92.3 % of the subjects in the cup-first group and the stem-first group, respectively.
conclusionsThe stem-first technique with image-free navigated THA could effectively achieve accurate and consistent control of the CA value and thus is expected to improve the surgical outcome.
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