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Mechanical and Anatomical Alignment Guide Techniques Are Superior to Freehand in Achieving Target Orientation of an Acetabular Component

التفاصيل البيبلوغرافية
العنوان: Mechanical and Anatomical Alignment Guide Techniques Are Superior to Freehand in Achieving Target Orientation of an Acetabular Component
المؤلفون: Christopher K J O'Neill, Janet C. Hill, Paul Magill, Paul N. Karayiannis, David E. Beverland, Robert Bruce-Brand
المصدر: Arthroplasty Today, Vol 11, Iss, Pp 222-228 (2021)
Arthroplasty Today
بيانات النشر: Elsevier, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Orthodontics, Orthopedic surgery, medicine.medical_specialty, business.industry, Orientation (computer vision), Cup anteversion, Target range, Hip arthroplasty, medicine.anatomical_structure, Acetabular component, Transverse acetabular ligament, Anteversion, medicine, Acetabular component positioning, Orthopedics and Sports Medicine, Surgery, Inclination, business, RD701-811, Total hip arthroplasty, Original Research
الوصف: Background: Achieving accurate and consistent acetabular component orientation remains a major challenge in total hip arthroplasty. Methods: We used a pelvic model to compare freehand techniques vs mechanical and anatomical alignment guides in achieving a target operative inclination (OI) and operative anteversion (OA). Thirty subjects comprising consultant orthopedic surgeons, orthopedic trainees, and nonsurgical staff positioned an acetabular component in a pelvic model using 3 different methods for guiding inclination and another 3 for guiding version. Results: Using either a standard mechanical alignment guide (MAG) or a spirit level MAG technique eliminated outliers from target OI, while the freehand method resulted in 46.7% of measurements outside the OI target range. The spirit level MAG technique significantly outperformed the standard MAG technique in median unsigned deviation from target OI (0.8° vs 2.1°, P < .001). Either method of referencing the transverse acetabular ligament for version yielded lower deviations from target OA than the freehand method and fewer outliers from the ±5° target range. Surgical experience was not a significant factor for accurately achieving target OI and OA. Conclusions: Even in an idealized in vitro model, a wide range of OI and OA is seen with the freehand technique of cup placement by subjects of all levels of surgical experience. Using either a standard MAG or a spirit level MAG reduces deviations in target OI, with the spirit level MAG method yielding the best accuracy. Using the transverse acetabular ligament to guide cup anteversion yields more accurate OA.
اللغة: English
تدمد: 2352-3441
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33f56e170e5380ff0d8bab0591033c40
http://www.sciencedirect.com/science/article/pii/S2352344121001576
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....33f56e170e5380ff0d8bab0591033c40
قاعدة البيانات: OpenAIRE
الوصف
تدمد:23523441