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Navigated total hip arthroplasty using a 3-D freehand ultrasound system : technical note and preliminary results

Hirschmann, Michael T. and Afifi, Faik K. and Helfrich, Carsten and Wirz, Dieter and Schwägli, Tobias and Overhoff, Heinrich Martin and Moser, Walter and Friederich, Niklaus F.. (2011) Navigated total hip arthroplasty using a 3-D freehand ultrasound system : technical note and preliminary results. Orthopedics, Vol. 34, H. 12 , e816-20.

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Official URL: http://edoc.unibas.ch/dok/A6004033

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Abstract

Ultrasound-navigated cementless total hip arthroplasty (THA) was performed in 10 consecutive patients with primary osteoarthritis of the hip between August 2008 and October 2009 (M:F, 6:4; median age, 61 years; age range, 30-86 years). The pelvic orientation was defined by preoperative digitization and registration of bony landmarks. Cup inclination and anteversion were documented for each patient intraoperatively (epidigitized vs ultrasound-assessed landmarks). The median difference between the palpated and ultrasound anterior pelvic plane was 8° (range, 4°-18°) for pelvic tilt (rotation around the transversal axis), 1° (range, -3° to 2°) for rotation around the longitudinal axis, and 0.25° (range, -2.0° to 5.0°) for rotation around the sagittal axis. The median difference in cup orientation resulting from pelvic tilt error was 6° (range, 3°-13°) for anteversion and 3° (range, -1° to 5°) for inclination. There were no intra- or postoperative complications. The measured width of soft tissue layer anterior to the pelvic symphysis correlated significantly with the measured difference in cup inclination and anteversion. One centimeter of soft tissue anterior to the symphysis resulted in a median 2° (range, 1.75°-2.3°) difference in pelvic tilt. Ultrasound-assisted navigation in THA is a promising technology able to eliminate systematic errors in anterior pelvic plane orientation, in contrast to conventionally navigated THA using percutaneous palpation of landmarks or THA without navigational support.
Faculties and Departments:03 Faculty of Medicine > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Operative Fächer (Klinik) > Bewegungsapparat und Integument
UniBasel Contributors:Friederich, Niklaus F.
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
ISSN:0147-7447
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:07 Jun 2018 14:07
Deposited On:25 Oct 2013 08:32

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