ArticleCureus2019
Accuracy of Acetabular Component Positioning Using Computer-assisted Navigation in Direct Anterior Total Hip Arthroplasty.
Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Radiographic outcomes of CT-based robotic-assisted versus manual direct anterior total hip arthroplasty with an acetabular-only registration workflow: a retrospective cohort study.Journal of robotic surgery · 2026Article
- Evaluating Alternative Registration Planes in Imageless, Computer-Assisted Navigation Systems for Direct Anterior Total Hip Arthroplasty.Sensors (Basel, Switzerland) · 2024Article
- Robotic-assisted total hip arthroplasty utilizing a fluoroscopy-guided system produced similar cup accuracy and precision relative to a computerized tomography-based robotic platform.Journal of robotic surgery · 2024Article
- Use of Computer Navigation for Optimal Acetabular Cup Placement in Revision Total Hip Arthroplasty: Case Reports and Surgical Techniques.Arthroplasty today · 2024Article
- Intraoperative Fluoroscopy Versus Navigation to Determine Cup Anteversion in Direct Anterior Total Hip Replacement: A Technical Trick for Obtaining "True" Anteversion.Arthroplasty today · 2024Article
- An Intraoperative Method to Minimize Leg Length Discrepancy in Anterior Minimally Invasive Total Hip Arthroplasty-A Prospective Study.Journal of personalized medicine · 2024Article
- Article
- Accuracy of portable navigation during THA in patients with severe developmental dysplasia of hip.Archives of orthopaedic and trauma surgery · 2024Article
- Joint Replacement Technology in the Ambulatory Surgery Center: Current and Future Applications.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Imageless navigation system (Naviswiss) provides accurate component position in total hip arthroplasty with lateral decubitus position for end-stage hip osteoarthritis: a prospective cohort study with CT-validation.Arthroplasty (London, England) · 2024Article
- CT validation of intraoperative imageless navigation (Naviswiss) for component positioning accuracy in primary total hip arthroplasty in supine patient position: a prospective observational cohort study in a single-surgeon practice.Arthroplasty (London, England) · 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
- Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- Accuracy of acetabular component alignment with surgical guidance systems during hip arthroplasty.SICOT-J · 2023Article
- Handheld Navigation Improves Accuracy in Direct Anterior Total Hip Replacement.Arthroplasty today · 2022Article
- The direct anterior approach to the hip: a useful tool in experienced hands or just another approach?Arthroplasty (London, England) · 2022Review
- Intraoperative measurement of acetabular component position using imageless navigation during revision total hip arthroplasty.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- A Surgeon's handedness in direct anterior approach-hip replacement.BMC musculoskeletal disorders · 2020Article
- Radiographic assessment of the cup orientation after total hip arthroplasty: a literature review.Annals of translational medicine · 2020Review
- Periacetabular osteotomy using an imageless computer-assisted navigation system: a new surgical technique.Journal of hip preservation surgery · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Appropriate component positioning in total hip arthroplasty (THA) is imperative for long-term survivorship. C-arm fluoroscopy provides visual guidance in the direct anterior approach (DAA), but it is limited by qualitative properties. Conversely, imageless computer-assisted navigation systems (CAS) provide surgeons with intraoperative, three-dimensional (3D) quantitative measurements for cup position, although the accuracy of such systems has not been extensively addressed in the DAA. We evaluated the ability of an imageless CAS to deliver measurements for acetabular cup position with accuracy in the DAA. Materials and methods A retrospective analysis of 69 primary THA procedures was conducted. Acetabular cup position measurements (anteversion and inclination) obtained intraoperatively by imageless navigation were compared to standard, postoperative anteroposterior pelvic radiographic measurements. Statistical comparisons were made using the Bland-Altman technique. Results The mean difference between device and radiographic measurements for anteversion was 3.4° (standard deviation (SD): 4.1°; absolute mean difference (ABS): 4.2°), and 4.0° for inclination (SD: 3.6°; ABS: 4.3°). Bland-Altman analysis demonstrated excellent agreement; 93% (64/69) and 97% (67/69) of anteversion pairings fell within the statistical and clinical limits of agreement, whereas 94% (65/69) and 100% (69/69) of inclination pairings were within the statistical and clinical limits, respectively. Conclusions Measurements obtained intraoperatively for acetabular cup position using imageless navigation in the DAA are agreeable with the current clinical standard.
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