Initial Results of an Acetabular Center Axis Registration Technique in Navigated Hip Arthroplasty with Deformed Acetabular Rims
Hiroshi Wada1, Hajime Mishima2, *, Tomohiro Yoshizawa1, Hisashi Sugaya3, Tomofumi Nishino2, Masashi Yamazaki2
Identifiers and Pagination:Year: 2016
First Page: 26
Last Page: 35
Publisher Id: TOORTHJ-10-26
Article History:Received Date: 2/7/2015
Revision Received Date: 4/12/2015
Acceptance Date: 7/12/2015
Electronic publication date: 22/3/2016
Collection year: 2016
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
In cementless total hip arthroplasty, imageless computer-assisted navigation is usually used to register the anterior pelvic plane (APP). The accuracy of this method is influenced by the subcutaneous tissues overlying the registration landmarks. On the other hand, the acetabular center axis (ACA) is determined from the acetabular rim. Precise registration of the ACA is possible because of direct palpation using a pointer. Imageless navigation using the ACA usually targets patients with normal acetabular morphology. The aim of this study was to investigate the accuracy of imageless navigation using the ACA instead of the APP in patients with normal or deformed acetabular rims.
The intraoperative cup position was compared with that obtained from the postoperative computed tomography (CT) images in 18 cases.
The inclination angle derived from the navigation system was 3.4 ± 5.3 degrees smaller and the anteversion angle was 1.4 ± 3.1 degrees larger than those derived from the CT images.
The inclination cup angle of the navigation system was significantly inferior to the true value, particularly in cases with large anterior osteophytes.