nach oben

Archives of Orthopaedic and Trauma Surgery

16.05.2024 | Hip Arthroplasty

A novel imageless accelerometer-based navigation system improves acetabular cup placement accuracy during total hip arthroplasty in the lateral decubitus position

verfasst von: Yohei Ohyama, Yukihide Minoda, Ryo Sugama, Sho Masuda, Yoichi Ohta, Hiroaki Nakamura

Erschienen in: Archives of Orthopaedic and Trauma Surgery

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The accuracy of acetabular cup placement using conventional portable imageless navigation systems in total hip arthroplasty (THA) in the lateral decubitus position remains challenging. Several novel portable imageless navigation systems have been developed recently to improve cup placement accuracy in THA. This study compared the accuracy of acetabular cup placement using a conventional accelerometer-based portable navigation (c-APN) system and a novel accelerometer-based portable navigation (n-APN) system during THA in the lateral decubitus position.

Materials and methods

This retrospective cohort study compared 45 THAs using the c-APN and 45 THAs using the n-APN system. The primary outcomes were the absolute errors between the intraoperative and postoperative values of acetabular cup radiographic inclination and anteversion angles and the percentage of cases with absolute errors within 5°. Intraoperative values were shown on navigation systems, and postoperative measurements were conducted using computed tomography images.

Results

The median absolute errors of the cup inclination angles were significantly smaller in the n-APN group than in the c-APN group (3.9° [interquartile range 2.2°–6.0°] versus 2.2° [interquartile range 1.0°–3.3°]; P = 0.002). Additionally, the median absolute errors of the cup anteversion angles were significantly smaller in the n-APN group than in the c-APN group (4.4° [interquartile range 2.4°–6.5°] versus 1.9° [interquartile range 0.8°–2.7°]; P < 0.001). Significant differences were observed in the percentage of cases with absolute errors within 5° of inclination (c-APN group 67% versus n-APN group 84%; P = 0.049) and anteversion angles (c-APN group 62% versus n-APN group 91%; P = 0.001).

Conclusions

The n-APN system improved the accuracy of the cup placement compared to the c-APN system for THA in the lateral decubitus position.

Wasterlain AS, Buza JA 3rd, Thakkar SC, Schwarzkopf R, Vigdorchik J (2017) Navigation and robotics in total hip arthroplasty. JBJS Rev 5:e2. https://doi.org/10.2106/JBJS.RVW.16.00046CrossRefPubMed

Danoff JR, Bobman JT, Cunn G, Murtaugh T, Gorroochurn P, Geller JA, Macaulay W (2016) Redefining the Acetabular component safe zone for posterior Approach Total Hip Arthroplasty. J Arthroplasty 31:506–511. https://doi.org/10.1016/j.arth.2015.09.010CrossRefPubMed

Vigdorchik JM, Sharma AK, Buckland AJ, Elbuluk AM, Eftekhary N, Mayman DJ, Carroll KM, Jerabek SA (2021) 2021 Otto Aufranc Award: a simple hip- spine classification for total hip arthroplasty: validation and a large multicentre series. Bone Joint J 103–B:17–24. https://doi.org/10.1302/0301-620X.103B7CrossRefPubMed

Hayashi S, Hashimoto S, Takayama K, Matsumoto T, Kamenaga T, Fujishiro T, Hiranaka T, Niikura T, Kuroda R (2020) Evaluation of the accuracy of acetabular cup orientation using the accelerometer-based portable navigation system. J Orthop Sci 25:612–617. https://doi.org/10.1016/j.jos.2019.09.012CrossRefPubMed

Tanino H, Nishida Y, Mitsutake R, Ito H (2020) Portable accelerometer-based Navigation System for Cup Placement of total hip arthroplasty: a prospective, randomized, controlled study. J Arthroplasty 35:172–177. https://doi.org/10.1016/j.arth.2019.08.044CrossRefPubMed

Tanino H, Nishida Y, Mitsutake R, Ito H (2021) Accuracy of a portable accelerometer-based navigation system for cup placement and intraoperative leg length measurement in total hip arthroplasty: a cross-sectional study. BMC Musculoskelet Disord 22:299. https://doi.org/10.1186/s12891-021-04167-yCrossRefPubMedPubMedCentral

Kiyohara M, Hamai S, Shiomoto K, Harada S, Harada T, Motomura G, Ikemura S, Fujii M, Kawahara S, Nakashima Y (2022) Does accelerometer-based portable navigation provide more accurate and precise cup orientation without prosthetic impingement than conventional total hip arthroplasty? A randomized controlled study. Int J Comput Assist Radiol Surg 17:1007–1015. https://doi.org/10.1007/s11548-022-02592-5CrossRefPubMed

Tetsunaga T, Yamada K, Tetsunaga T, Furumatsu T, Sanki T, Kawamura Y, Ozaki T (2021) Comparison of the accuracy of CT- and accelerometer-based navigation systems for cup orientation in total hip arthroplasty. Hip Int 31:603–608. https://doi.org/10.1177/1120700020904940CrossRefPubMed

Tetsunaga T, Yamada K, Tetsunaga T, Sanki T, Kawamura Y, Ozaki T (2020) An accelerometer-based navigation system provides acetabular cup orientation accuracy comparable to that of computed tomography-based navigation during total hip arthroplasty in the supine position. J Orthop Surg Res 15:147. https://doi.org/10.1186/s13018-020-01673-yCrossRefPubMedPubMedCentral

10.

Ong CB, Chiu YF, Premkumar A, Gonzalez Della Valle A (2023) Use of a novel imageless navigation system reduced fluoroscopy exposure and improved acetabular positioning in anterior approach total hip arthroplasty: a case–control study. Arch Orthop Trauma Surg 143:2739–2745. https://doi.org/10.1007/s00402-022-04520-3CrossRefPubMed

11.

Hasegawa M, Naito Y, Tone S, Sudo A (2022) Accuracy of a novel accelerometer-based navigation (Naviswiss) for total hip arthroplasty in the supine position. BMC Musculoskelet Disord 23. https://doi.org/10.1186/s12891-022-05495-3

12.

Ohyama Y, Sugama R, Kim Y, Ohta Y, Minoda Y, Nakamura H (2023) A new accelerometer-based portable navigation system provides high accuracy of acetabular cup placement in total hip arthroplasty in both the lateral decubitus and supine positions. Arch Orthop Trauma Surg 143:4473–4480. https://doi.org/10.1007/s00402-022-04675-zCrossRefPubMed

13.

Kuribayashi M, Takahashi KA, Fujioka M, Ueshima K, Inoue S, Kubo T (2010) Reliability and validity of the Japanese orthopaedic association hip score. J Orthop Sci 15:452–458. https://doi.org/10.1007/s00776-010-1490-0CrossRefPubMed

14.

Higuchi F, Gotoh M, Yamaguchi N, Suzuki R, Kunou Y, Ooishi K, Nagata K (2003) Minimally invasive uncemented total hip arthroplasty through an anterolateral approach with a shorter skin incision. J Orthop Sci 8:812–817. https://doi.org/10.1007/s00776-003-0715-xCrossRefPubMed

15.

Murray DW (1993) The definition and measurement of acetabular orientation. J Bone Joint Surg Br 75:228–232. https://doi.org/10.1302/0301-620x.75b2.8444942CrossRefPubMed

16.

Ektas N, Scholes C, Ruiz AM, Ireland J (2020) Validity of intraoperative imageless navigation (Naviswiss) for component positioning accuracy in primary total hip arthroplasty: protocol for a prospective observational cohort study in a single-surgeon practice. BMJ Open 10:e037126. https://doi.org/10.1136/bmjopen-2020-037126CrossRefPubMedPubMedCentral

17.

Widmer KH, Zurfluh B (2004) Compliant positioning of total hip components for optimal range of motion. J Orthop Res 22:815–821. https://doi.org/10.1016/j.orthres.2003.11.001CrossRefPubMed

18.

Esposito CI, Miller TT, Kim HJ, Barlow BT, Wright TM, Padgett DE, Jerabek SA, Mayman DJ (2016) Does degenerative lumbar spine Disease Influence Femoroacetabular Flexion in patients undergoing total hip arthroplasty? Clin Orthop Relat Res 474:1788–1797. https://doi.org/10.1007/s11999-016-4787-2CrossRefPubMedPubMedCentral

19.

Tsukada S, Ogawa H, Hirasawa N, Nishino M, Aoyama H, Kurosaka K (2022) Augmented reality- vs accelerometer-based portable Navigation System to improve the Accuracy of Acetabular Cup Placement during Total Hip Arthroplasty in the lateral decubitus position. J Arthroplasty 37:488–494. https://doi.org/10.1016/j.arth.2021.11.004CrossRefPubMed

20.

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60:217–220. https://doi.org/10.1007/978-1-4471-5451-8_27CrossRefPubMed

21.

Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, Malchau H (2011) The John Charnley award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clin Orthop Relat Res 469:319–329. https://doi.org/10.1007/s11999-010-1487-1CrossRefPubMed

22.

Iwakiri K, Kobayashi A, Ohta Y, Takaoka K (2017) Efficacy of the anatomical-pelvic-plane positioner in total hip arthroplasty in the lateral decubitus position. J Arthroplasty 32:1520–1524. https://doi.org/10.1016/j.arth.2016.11.048CrossRefPubMed

23.

Schwarzkopf R, Muir JM, Paprosky WG, Seymour S, Cross MB, Vigdorchik JM (2017) Quantifying pelvic motion during total hip arthroplasty using a New Surgical Navigation device. J Arthroplasty 32:3056–3060. https://doi.org/10.1016/j.arth.2017.04.046CrossRefPubMed

24.

Hayashi S, Hashimoto S, Kuroda Y, Nakano N, Matsumoto T, Ishida K, Shibanuma N, Kamenaga T, Kuroda R (2021) Accuracy of cup position following robot-assisted total hip arthroplasty may be associated with surgical approach and pelvic tilt. Sci Rep 11:7578. https://doi.org/10.1038/s41598-021-86849-0CrossRefPubMedPubMedCentral

Titel: A novel imageless accelerometer-based navigation system improves acetabular cup placement accuracy during total hip arthroplasty in the lateral decubitus position
verfasst von: Yohei Ohyama
Yukihide Minoda
Ryo Sugama
Sho Masuda
Yoichi Ohta
Hiroaki Nakamura
Publikationsdatum: 16.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-024-05376-5

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

A novel imageless accelerometer-based navigation system improves acetabular cup placement accuracy during total hip arthroplasty in the lateral decubitus position

Abstract

Introduction

Materials and methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

Fehlerkultur in der Medizin – Offenheit zählt!

Mehr Frauen im OP – weniger postoperative Komplikationen

Update Orthopädie und Unfallchirurgie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

Fehlerkultur in der Medizin – Offenheit zählt!

Mehr Frauen im OP – weniger postoperative Komplikationen

Update Orthopädie und Unfallchirurgie