A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty: Technical Note and Preliminary Report
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The functioning and survival of hip resurfacing arthroplasty depends on correct positioning and alignment of the implant. Correct positioning of the femoral alignment wire with respect to the femoral neck is the key to avoiding complications. Although the surgeon must align the wire in two planes, we can only control one plane at a time without changing position or relying on the indications of an assistant. Independent placement of two parallel alignment wires, one for varus-valgus orientation and another for version orientation, will help to determine two planes, the valgus sagittal plane and the version coronal plane, at the intersection of which both the optimum point of entry into the femoral head and the orientation line of the femoral alignment wire can be established. The marks on the neck and head and Kirschner wires following these marks define the planes. This simple technique allows us to reduce surgery time, minimize errors, and speed up the learning curve. It can be used with any type of resurfacing arthroplasty.
- Mont MA, Seyler TM, Ulrich SD, et al., Effect of changing indications and techniques on total hip resurfacing. Clin. Orthop. 2007; 465: 63–70.
- Amstutz HC, Ball ST, Le Duff MJ, et al., Resurfacing THA for patients younger than 50 years. Results of 2- to 9-year follow-up. Clin. Orthop. 2007; 460: 159–164.
- Mc Minn DJ, Daniel J, Pynsent PB, Pradhan C, Mini-incision resurfacing arthroplasty of hip through the posterior approach. Clin. Orthop. Relat. Res. 2005; 441: 91–98. CrossRef
- Wirth CJ, Gosse F, Improved implantation technique for resurfacing arthroplasty of the hip. Oper. Orthop. Traumatol. 2006; 18: 214–224. CrossRef
- Cobb JP, Kannan V, Brust K, et al., Navigation reduces the learning curve in resurfacing total hip arthroplasty. Clin. Orthop. 2007; 463: 90–97.
- Davis ET, Gallie P, Macgroarty K, et al., The accuracy of image-free computer navigation in the placement of the femoral component of the Birmingham Hip Resurfacing. A cadaver study. J. Bone Jt. Surg. 2007; 89: 557–560. CrossRef
- Seyler TM, Lai LP, Sprinkle DI, et al., Does computer-assisted surgery improve accuracy and decrease the learning curve in hip resurfacing? A radiographic analysis. J. Bone Jt. Surg. Am. 2008; 90(S3): 71–80. CrossRef
- Romanowski JR, Swank ML, Imageless navigation in hip resurfacing: Avoiding component malposition during the surgeon learning curve. J. Bone Jt. Surg. Am. 2008; 90: 65–70. CrossRef
- Shimmin AJ, Bare J, Back DL, Complications associated with hip resurfacing arthroplasty. Orthop. Clin. North Am. 2005; 36(2): 187–193. CrossRef
- Angling C, Masri B, Tonetti J, et al., Hip resurfacing femoral neck fracture influenced by valgus placement. Clin. Orthop. 2007; 465: 71–79.
- Marker DR, Seyler TM, Jinnah RH, et al., Femoral neck fractures after metal-on-metal total hip resurfacing. A prospective cohort study. J. Arthroplasty. 2007; 22: 66–71. CrossRef
- Shimmin AJ, Back D, Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J. Bone Jt. Surg. Br. 2005; 87: 463–464. CrossRef
- Vail TP, Glisson RR, Domínguez DE, et al., Position of hip resurfacing component affects strain and resistance to fracture in the femoral neck. J. Bone Jt. Surg. Am. 2008; 90: 1951–1960. CrossRef
- Davis ET, Olsen M, Zdero R, Waddell JP, Schemitsch EH, Femoral neck fracture following hip resurfacing: the effect of alignment of the femoral component. J. Bone Jt. Surg. Br. 2008; 90: 1522–1527. CrossRef
- De Haan R, Campbell PA, Su EP, et al., Revision of metal-on-metal resurfacing arthroplasty of the hip. The influence of malpositioning of the components. J. Bone Jt. Surg. Br. 2008; 90: 1158–1163. CrossRef
- Long JP, Bartel DL, Surgical variables affect the mechanics of a hip resurfacing system. Clin. Orthop. 2006; 453: 115–122. CrossRef
- Ong KL, Day JS, Kurtz SM, Field RE, Manley MT, Role of surgical position on interface stress and initial bone remodeling stimulus around hip resurfacing arthroplasty. J. Arthroplasty. 2009. doi:10.1016/j.arth.2008.08.005.
- Kim PR, Beaulé PE, Laflamme GY, Dunbar M, Causes of early failure in a multicenter clinical trial of hip resurfacing. J. Arthroplasty. 2008; 23(6 Suppl 1): 44–49.
- Hart R, Sváb P, Filan P, Intraoperative navigation in hip surface arthroplasty: a radiographic comparative analysis study. Arch. Orthop. Trauma Surg. 2008; 128: 429–434. CrossRef
- Krüger S, Zambelli PY, Leyvraz PF, et al., Computer-assisted placement technique in hip resurfacing arthroplasty: improvement in accuracy. Int. Orthop. (SICOT) 2009; 33(1): 27–33. doi:10.1007/s00264-007-0440-8. CrossRef
- Ganapathi M, Vendittoli PA, Lavigne M, Günther KP, Femoral component positioning in hip resurfacing with and without navigation. Clin. Orthop. Relat. Res. 2009; 467(5): 1341–1347. doi:10.1007/s11999-008-0299-z. CrossRef
- A Simple Technique for Alignment in Total Hip Resurfacing Arthroplasty: Technical Note and Preliminary Report
Volume 5, Issue 2 , pp 129-136
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- alignment technique
- hip arthroplasty
- Author Affiliations
- 1. Hospital General Universitario Gregorio Marañón, Madrid, Spain
- 2. Hospital USP-San Jose, Madrid, Spain
- 5. C/ Velayos nº 2, 1º C, 28035, Madrid, Spain
- 3. Hospital USP-Virgen del Mar, Almería, Spain
- 4. Departamento de Neurociencias y Ciencias de la Salud, Universidad de Almería, Almería, Spain