Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system
The purpose of this study was to determine the accuracy of acetabular cup insertion during total hip arthroplasty (THA) in a supine position using an accelerometer-based portable navigation system. A single-surgeon study was conducted in which 62 prospective patients with navigation and 42 retrospec...
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| Veröffentlicht in: | Journal of artificial organs 2021-03, Vol.24 (1), p.82-89 |
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| creator | Hasegawa, Masahiro Naito, Yohei Tone, Shine Wakabayashi, Hiroki Sudo, Akihiro |
| description | The purpose of this study was to determine the accuracy of acetabular cup insertion during total hip arthroplasty (THA) in a supine position using an accelerometer-based portable navigation system. A single-surgeon study was conducted in which 62 prospective patients with navigation and 42 retrospective patients without navigation as historical controls were compared. The patients underwent THA via an anterolateral supine approach. The absolute values of errors of radiographic inclination and anteversion were calculated. The navigation error was also calculated. The factors that affected the absolute values of errors of cup alignment were determined. The mean absolute error of the postoperative CT measurement from the target angle for radiographic inclination was 3.8° in the navigation group and 6.6° in the control group (
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| doi_str_mv | 10.1007/s10047-020-01206-8 |
| format | Article |
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P
< 0.001). The mean absolute error for anteversion was 3.3° in the navigation group and 5.9° in the control group (
P
< 0.001). The mean absolute values of navigation error were 3.7° ± 2.8° in inclination and 3.0° ± 2.6° in anteversion. Changes in the pelvic tilt angle among preoperative, intraoperative, and postoperative were the significant risk factors for the absolute values of navigation error of anteversion relative to the anterior pelvic plane. Other factors affecting the absolute values of errors in the navigation group were not found for radiographic inclination and anteversion. The portable navigation system significantly improved the accuracy of cup inclination and anteversion. Changes in the pelvic tilt were the risk factors for the error of anteversion relative to the anterior pelvic plane.</description><identifier>ISSN: 1434-7229</identifier><identifier>EISSN: 1619-0904</identifier><identifier>DOI: 10.1007/s10047-020-01206-8</identifier><identifier>PMID: 32880017</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Accelerometers ; Accuracy ; Acetabular components ; Acetabulum ; Attitude (inclination) ; Biomedical Engineering and Bioengineering ; Biomedical materials ; Cardiac Surgery ; Error analysis ; Inclination ; Insertion ; Mathematical analysis ; Medicine ; Medicine & Public Health ; Navigation systems ; Nephrology ; Original Article ; Portability ; Risk analysis ; Risk factors ; Supine position ; Surgical implants ; Total hip arthroplasty</subject><ispartof>Journal of artificial organs, 2021-03, Vol.24 (1), p.82-89</ispartof><rights>The Japanese Society for Artificial Organs 2020</rights><rights>The Japanese Society for Artificial Organs 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-9c5430eb1b3a05a9d3efc2298379c2cc81ec517ea765ad1027c193b8b24ea59c3</citedby><cites>FETCH-LOGICAL-c502t-9c5430eb1b3a05a9d3efc2298379c2cc81ec517ea765ad1027c193b8b24ea59c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10047-020-01206-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10047-020-01206-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32880017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasegawa, Masahiro</creatorcontrib><creatorcontrib>Naito, Yohei</creatorcontrib><creatorcontrib>Tone, Shine</creatorcontrib><creatorcontrib>Wakabayashi, Hiroki</creatorcontrib><creatorcontrib>Sudo, Akihiro</creatorcontrib><title>Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system</title><title>Journal of artificial organs</title><addtitle>J Artif Organs</addtitle><addtitle>J Artif Organs</addtitle><description>The purpose of this study was to determine the accuracy of acetabular cup insertion during total hip arthroplasty (THA) in a supine position using an accelerometer-based portable navigation system. A single-surgeon study was conducted in which 62 prospective patients with navigation and 42 retrospective patients without navigation as historical controls were compared. The patients underwent THA via an anterolateral supine approach. The absolute values of errors of radiographic inclination and anteversion were calculated. The navigation error was also calculated. The factors that affected the absolute values of errors of cup alignment were determined. The mean absolute error of the postoperative CT measurement from the target angle for radiographic inclination was 3.8° in the navigation group and 6.6° in the control group (
P
< 0.001). The mean absolute error for anteversion was 3.3° in the navigation group and 5.9° in the control group (
P
< 0.001). The mean absolute values of navigation error were 3.7° ± 2.8° in inclination and 3.0° ± 2.6° in anteversion. Changes in the pelvic tilt angle among preoperative, intraoperative, and postoperative were the significant risk factors for the absolute values of navigation error of anteversion relative to the anterior pelvic plane. Other factors affecting the absolute values of errors in the navigation group were not found for radiographic inclination and anteversion. The portable navigation system significantly improved the accuracy of cup inclination and anteversion. Changes in the pelvic tilt were the risk factors for the error of anteversion relative to the anterior pelvic plane.</description><subject>Accelerometers</subject><subject>Accuracy</subject><subject>Acetabular components</subject><subject>Acetabulum</subject><subject>Attitude (inclination)</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedical materials</subject><subject>Cardiac Surgery</subject><subject>Error analysis</subject><subject>Inclination</subject><subject>Insertion</subject><subject>Mathematical analysis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Navigation systems</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Portability</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Supine position</subject><subject>Surgical implants</subject><subject>Total hip arthroplasty</subject><issn>1434-7229</issn><issn>1619-0904</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU-LFDEQxYO4uOvqF_AgAS9eopWku9M5Lsu6Cgte3HOorqkZe-l_Jh1hbn50MzO7Ch6EUKmQX7288IR4o-GDBnAfU6mVU2BAgTbQqPaZuNCN9go8VM9LX9lKOWP8uXiZ0gOAdrWDF-LcmrY9nC7EryuiHJH2ct5KJF6xywNGSXmR_ZQ4rv08lU7iYa0c5wFLxUGmvPQTS1yWOCN9lzn10-6IEfFQwJELqDpMvJHLHIvywHLCn_0Oj6Jpn1YeX4mzLQ6JXz_ul-L-082368_q7uvtl-urO0U1mFV5qisL3OnOItToN5a3VH7WWufJELWaqdaO0TU1bjQYR9rbru1MxVh7spfi_Um32P2ROa1h7FMxOuDEc07BVNZ71xjQBX33D_ow5zgVd4Xy0DTOm7ZQ5kRRnFOKvA1L7EeM-6AhHPIJp3xCyScc8wmHobeP0rkbefNn5CmQAtgTkMrVtOP49-3_yP4GHS-dDw</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Hasegawa, Masahiro</creator><creator>Naito, Yohei</creator><creator>Tone, Shine</creator><creator>Wakabayashi, Hiroki</creator><creator>Sudo, Akihiro</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20210301</creationdate><title>Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system</title><author>Hasegawa, Masahiro ; Naito, Yohei ; Tone, Shine ; Wakabayashi, Hiroki ; Sudo, Akihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-9c5430eb1b3a05a9d3efc2298379c2cc81ec517ea765ad1027c193b8b24ea59c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accelerometers</topic><topic>Accuracy</topic><topic>Acetabular components</topic><topic>Acetabulum</topic><topic>Attitude (inclination)</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedical materials</topic><topic>Cardiac Surgery</topic><topic>Error analysis</topic><topic>Inclination</topic><topic>Insertion</topic><topic>Mathematical analysis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Navigation systems</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Portability</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Supine position</topic><topic>Surgical implants</topic><topic>Total hip arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasegawa, Masahiro</creatorcontrib><creatorcontrib>Naito, Yohei</creatorcontrib><creatorcontrib>Tone, Shine</creatorcontrib><creatorcontrib>Wakabayashi, Hiroki</creatorcontrib><creatorcontrib>Sudo, Akihiro</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of artificial organs</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasegawa, Masahiro</au><au>Naito, Yohei</au><au>Tone, Shine</au><au>Wakabayashi, Hiroki</au><au>Sudo, Akihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system</atitle><jtitle>Journal of artificial organs</jtitle><stitle>J Artif Organs</stitle><addtitle>J Artif Organs</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>24</volume><issue>1</issue><spage>82</spage><epage>89</epage><pages>82-89</pages><issn>1434-7229</issn><eissn>1619-0904</eissn><abstract>The purpose of this study was to determine the accuracy of acetabular cup insertion during total hip arthroplasty (THA) in a supine position using an accelerometer-based portable navigation system. A single-surgeon study was conducted in which 62 prospective patients with navigation and 42 retrospective patients without navigation as historical controls were compared. The patients underwent THA via an anterolateral supine approach. The absolute values of errors of radiographic inclination and anteversion were calculated. The navigation error was also calculated. The factors that affected the absolute values of errors of cup alignment were determined. The mean absolute error of the postoperative CT measurement from the target angle for radiographic inclination was 3.8° in the navigation group and 6.6° in the control group (
P
< 0.001). The mean absolute error for anteversion was 3.3° in the navigation group and 5.9° in the control group (
P
< 0.001). The mean absolute values of navigation error were 3.7° ± 2.8° in inclination and 3.0° ± 2.6° in anteversion. Changes in the pelvic tilt angle among preoperative, intraoperative, and postoperative were the significant risk factors for the absolute values of navigation error of anteversion relative to the anterior pelvic plane. Other factors affecting the absolute values of errors in the navigation group were not found for radiographic inclination and anteversion. The portable navigation system significantly improved the accuracy of cup inclination and anteversion. Changes in the pelvic tilt were the risk factors for the error of anteversion relative to the anterior pelvic plane.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>32880017</pmid><doi>10.1007/s10047-020-01206-8</doi><tpages>8</tpages></addata></record> |
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| subjects | Accelerometers Accuracy Acetabular components Acetabulum Attitude (inclination) Biomedical Engineering and Bioengineering Biomedical materials Cardiac Surgery Error analysis Inclination Insertion Mathematical analysis Medicine Medicine & Public Health Navigation systems Nephrology Original Article Portability Risk analysis Risk factors Supine position Surgical implants Total hip arthroplasty |
| title | Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system |
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