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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-012-1516-7</identifier><identifier>PMID: 22434132</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>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</subject><ispartof>International orthopaedics, 2012-08, Vol.36 (8), p.1567-1573</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-925a1bef1216f2c9f0b439873b5ae3701014aa782fae4c3f93530ea203e6a8643</citedby><cites>FETCH-LOGICAL-c442t-925a1bef1216f2c9f0b439873b5ae3701014aa782fae4c3f93530ea203e6a8643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535022/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535022/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22434132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hausselle, Jerome</creatorcontrib><creatorcontrib>Moreau, Pierre Etienne</creatorcontrib><creatorcontrib>Wessely, Loic</creatorcontrib><creatorcontrib>de Thomasson, Emmanuel</creatorcontrib><creatorcontrib>Assi, Ayman</creatorcontrib><creatorcontrib>Parratte, Sebastien</creatorcontrib><creatorcontrib>Essig, Jerome</creatorcontrib><creatorcontrib>Skalli, Wafa</creatorcontrib><title>Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><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.</description><subject>Acetabulum - anatomy & histology</subject><subject>Acetabulum - surgery</subject><subject>Arthroplasty, Replacement, Hip - methods</subject><subject>Bone Malalignment - prevention & control</subject><subject>Cadaver</subject><subject>Female</subject><subject>Hip Joint - anatomy & histology</subject><subject>Hip Joint - surgery</subject><subject>Hip Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Reference Standards</subject><subject>Reproducibility of Results</subject><subject>Surgery, Computer-Assisted - methods</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1v1DAQtRCILoUfwAX5yMUwYzvJhgMSqvioVIkLnK3Z7LjrKmsHO0Hsv8fRlgounMbS-5jxe0K8RHiDAN3bAqBbqwC1wgZb1T0SG7RGqwb75rHYgLGodNs3F-JZKXcA2LVbfCoutLYVMnoj-DrOmZSkuJf8a31SnsOwjJTlNFLkIpOXmT1njgNLn7JcCssQ5ZxmGuUhTLJKDjlVeplP7yTJKfMYjiFSPskyL_vTc_HE01j4xf28FN8_ffx29UXdfP18ffXhRg3W6ln1uiHcsUeNrddD72FnTb_tzK4hNh0goCXqttoT28H43jQGmDQYbmnbWnMp3p99p2V35P3A6-dGN-VwrLe4RMH9i8RwcLfpp6tGDWhdDV7fG-T0Y-Eyu2MoA49rEmkpDsGAqen2faXimTrkVEpN6GENglvrced6XK3HrfW4rmpe_X3fg-JPH5Wgz4RSoXjL2d2lJcea2X9cfwMqpJxP</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Hausselle, Jerome</creator><creator>Moreau, Pierre Etienne</creator><creator>Wessely, Loic</creator><creator>de Thomasson, Emmanuel</creator><creator>Assi, Ayman</creator><creator>Parratte, Sebastien</creator><creator>Essig, Jerome</creator><creator>Skalli, Wafa</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120801</creationdate><title>Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study</title><author>Hausselle, Jerome ; Moreau, Pierre Etienne ; Wessely, Loic ; de Thomasson, Emmanuel ; Assi, Ayman ; Parratte, Sebastien ; Essig, Jerome ; Skalli, Wafa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-925a1bef1216f2c9f0b439873b5ae3701014aa782fae4c3f93530ea203e6a8643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acetabulum - anatomy & histology</topic><topic>Acetabulum - surgery</topic><topic>Arthroplasty, Replacement, Hip - methods</topic><topic>Bone Malalignment - prevention & control</topic><topic>Cadaver</topic><topic>Female</topic><topic>Hip Joint - anatomy & histology</topic><topic>Hip Joint - surgery</topic><topic>Hip Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Reference Standards</topic><topic>Reproducibility of Results</topic><topic>Surgery, Computer-Assisted - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hausselle, Jerome</creatorcontrib><creatorcontrib>Moreau, Pierre Etienne</creatorcontrib><creatorcontrib>Wessely, Loic</creatorcontrib><creatorcontrib>de Thomasson, Emmanuel</creatorcontrib><creatorcontrib>Assi, Ayman</creatorcontrib><creatorcontrib>Parratte, Sebastien</creatorcontrib><creatorcontrib>Essig, Jerome</creatorcontrib><creatorcontrib>Skalli, Wafa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hausselle, Jerome</au><au>Moreau, Pierre Etienne</au><au>Wessely, Loic</au><au>de Thomasson, Emmanuel</au><au>Assi, Ayman</au><au>Parratte, Sebastien</au><au>Essig, Jerome</au><au>Skalli, Wafa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>36</volume><issue>8</issue><spage>1567</spage><epage>1573</epage><pages>1567-1573</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22434132</pmid><doi>10.1007/s00264-012-1516-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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