Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study

Purpose Acetabular component malalignment in total hip arthroplasty can lead to potential complications such as dislocation, component impingement and excessive wear. Computer-assisted orthopaedic surgery systems generally use the anterior pelvic plane (APP). Our aim was to investigate the reliabili...

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Veröffentlicht in:International orthopaedics 2012-08, Vol.36 (8), p.1567-1573
Hauptverfasser: Hausselle, Jerome, Moreau, Pierre Etienne, Wessely, Loic, de Thomasson, Emmanuel, Assi, Ayman, Parratte, Sebastien, Essig, Jerome, Skalli, Wafa
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container_end_page 1573
container_issue 8
container_start_page 1567
container_title International orthopaedics
container_volume 36
creator Hausselle, Jerome
Moreau, Pierre Etienne
Wessely, Loic
de Thomasson, Emmanuel
Assi, Ayman
Parratte, Sebastien
Essig, Jerome
Skalli, Wafa
description Purpose Acetabular component malalignment in total hip arthroplasty can lead to potential complications such as dislocation, component impingement and excessive wear. Computer-assisted orthopaedic surgery systems generally use the anterior pelvic plane (APP). Our aim was to investigate the reliability of anatomical landmarks accessible during surgery and to define new potential planes of reference. Methods Three types of palpations were performed: virtual, on dry bones and on two cadaveric specimens. Four landmarks were selected, the reproducibility of their positioning ranging from 0.9 to 2.3 mm. We then defined five planes and tested them during palpations on two cadaveric specimens. Results Two planes produced a mean orientation error of 5.0° [standard deviation (SD 3.3°)] and 5.6° (SD 2.7°). Conclusions Even if further studies are needed to test the reliability of such planes on a larger scale in vivo during surgery, these results demonstrated the feasibility of defining a new plane of reference as an alternative to the APP.
doi_str_mv 10.1007/s00264-012-1516-7
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Computer-assisted orthopaedic surgery systems generally use the anterior pelvic plane (APP). Our aim was to investigate the reliability of anatomical landmarks accessible during surgery and to define new potential planes of reference. Methods Three types of palpations were performed: virtual, on dry bones and on two cadaveric specimens. Four landmarks were selected, the reproducibility of their positioning ranging from 0.9 to 2.3 mm. We then defined five planes and tested them during palpations on two cadaveric specimens. Results Two planes produced a mean orientation error of 5.0° [standard deviation (SD 3.3°)] and 5.6° (SD 2.7°). 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subjects Acetabulum - anatomy & histology
Acetabulum - surgery
Arthroplasty, Replacement, Hip - methods
Bone Malalignment - prevention & control
Cadaver
Female
Hip Joint - anatomy & histology
Hip Joint - surgery
Hip Prosthesis
Humans
Male
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Reference Standards
Reproducibility of Results
Surgery, Computer-Assisted - methods
title Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study
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