1. Greater accuracy in positioning of the acetabular cup by using an image-free navigation system
- Author
-
Joachim Grifka, Thomas Kalteis, H. Baethis, T. Herold, Lars Perlick, and M. Handel
- Subjects
Male ,medicine.medical_specialty ,Arthroplasty, Replacement, Hip ,medicine.medical_treatment ,Treatment outcome ,Osteoarthritis, Hip ,Statistics, Nonparametric ,Clinical study ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Prospective Studies ,Aged ,Hip surgery ,Orthodontics ,Original Paper ,business.industry ,Computer assistance ,Navigation system ,Acetabulum ,Middle Aged ,Arthroplasty ,Surgery ,Treatment Outcome ,Surgery, Computer-Assisted ,Cup position ,Female ,Hip Prosthesis ,business - Abstract
In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53 degrees ; SD+/-7.0 degrees ) and an average anteversion of 24.0 degrees (range: -3 degrees to 51 degrees ; SD+/-15.0 degrees ) were found in the control group, and an average inclination of 45.0 degrees (range: 40 degrees -50 degrees ; SD+/-2.8 degrees ) and an average anteversion of 14.4 degrees (range: 5 degrees -25 degrees ; SS+/-5.0 degrees ) in the computer-assisted study group. The deviations from the desired cup position (45 degrees inclination, 15 degrees anteversion) were significantly lower in the computer-assisted study group (p0.001 each). While only 11/22 of the cups in the control group were within the Lewinnek safe zone, 21/23 of the cups in the study group were placed in this target region (p=0.003).
- Published
- 2005