ArticleArchives of orthopaedic and trauma surgery2022
Component placement accuracy of two digital intraoperative fluoroscopy supplementation systems in direct anterior total hip arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Leg length discrepancy after total hip arthroplasty performed by direct anterior approach: a systematic review comparing surgical approaches and strategies for prevention.EFORT open reviews · 2024Article
- Radiographic study of direct anterior approach hip arthroplasty: a 10-15 year follow-up of Chinese patients.Arthroplasty (London, England) · 2024Article
- Extended offset stems are infrequently required in anterior approach total hip arthroplasty and low usage does not compromise stability.Archives of orthopaedic and trauma surgery · 2024Article
- Influence of obesity and intra-operative imaging guidance technology on acetabular cup positioning in total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Accuracy of Leg Length and Hip Offset Measurements Using a Fluoroscopic Grid During Anterior Approach Total Hip Arthroplasty.Arthroplasty today · 2023Article
- Achieving Precise Cup Positioning in Direct Anterior Total Hip Arthroplasty: A Narrative Review.Medicina (Kaunas, Lithuania) · 2023Review
- Impact of intraoperative fluoroscopic beam positioning relative to the hip and pelvis on perceived acetabular component position.Journal of orthopaedics · 2023Article
- Geometric Transformation Algorithm for Acetabular Cup Orientation: Converting 2D Radiographic Projections to 3D Spatial Positioning.In vivo (Athens, Greece)Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntraoperative fluoroscopy (IF) may increase accuracy of component placement when performing direct anterior approach total hip arthroplasty (THA), however, unguided IF continues to produce inconsistent results. Supplementation of IF, with a digital grid (Grid) system or digital overlay (Overlay), may increase component placement accuracy. The purpose of this study was to compare component placement accuracy following THA when IF was supplemented with the Grid or Overlay technique. MATERIALS AND
methodsAcetabular abduction and anteversion, with leg length discrepancy (LLD) and global hip offset (GHO) were retrospectively evaluated for unilateral and bilateral THA patients from 6-week post-operative radiographs. Target component placement were GHO and LLD < 10 mm, abduction 45° ± 10° and anteversion 15° ± 10° for Overlay and 17° ± 10° for Grid. Differences between the Overlay and Grid were determined by univariate analyses.
resultsThe Overlay and Grid groups included 178 patients (217 hips) and 262 patients (317 hips), respectively. Target placement with the Overlay and Grid was achieved for GHO in 98.3% and 95.7% of cases (p = 0.108), LLD in 100% and 98.4% of cases (p = 0.121), cup abduction in 98.2% and 97.4% of cases (p = 0.384), and cup anteversion in 97.7% and 71.1% of cases (p < 0.001), respectively. Surgical time was significantly longer in Overlay compared to Grid (Unilateral 77.5 ± 14.1 min and 68.8 ± 12.2; p < 0.001; Bilateral 184.6 ± 27.0 min and 165.5 ± 23.1; p < 0.001, respectively).
conclusionAlthough no difference was found between the Grid and the Overlay cohorts for LLD, GHO or abduction angle, the Overlay resulted in greater accuracy for acetabular component anteversion angle, with only a slight decrease in surgical efficiency.
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