ArticleArthroplasty today2025
Imageless vs Image-Based Computer Navigation in Total Hip Arthroplasty: An Intracase Comparison Shows Variability Between Technologies.
Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The use of computer navigation in total hip arthroplasty (THA) is on the rise. Computer navigation has 2 commonly utilized modalities, imageless (ILCN) and image-based (IBCN). The aim of this study was to compare ILCN and IBCN inclination and anteversion measurements when utilized in the same THA case. Methods: One-hundred consecutive primary or revision posterior THAs in which both ILCN and IBCN were utilized in the same case were included. Intraoperative ILCN and IBCN acetabular component inclination and anteversion measurements were recorded. Mean inclination and anteversion measurements from intracase ILCN and IBCN were compared. Discordant cases (>5° differences) were recorded; linear regression was used to determine if any confounding factors were associated with an increased risk of discordance. Results: There was no significant difference in mean inclination or anteversion between ILCN and IBCN. However, in 21% and 32% of cases, inclination and anteversion measurements, respectively, were discordant between ILCN and IBCN. Body mass index ( Conclusions: This intracase comparison of ILCN and IBCN demonstrates that in over 20% of cases, measurements between the 2 technologies are discordant. Risk factors for discordance include lumbar spine fusion and increased body mass index.
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Registered trials
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