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Retrospective study comparing the accuracies of handheld infrared stereo camera and augmented reality-based navigation systems for total hip arthroplasty

  • Hip Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

The use of portable navigation systems (PNS) in total hip arthroplasty (THA) has become increasingly prevalent, with second-generation PNS (sPNS) demonstrating superior accuracy in the lateral decubitus position compared to first-generation PNS. However, few studies have compared different types of sPNS. This study retrospectively compares the accuracy and clinical outcomes of two different types of sPNS instruments in patients undergoing THA.

Methods

A total of 158 eligible patients who underwent THA at a single institution between 2019 and 2022 were enrolled in the study, including 89 who used an accelerometer-based PNS with handheld infrared stereo cameras in the Naviswiss group (group N) and 69 who used an augmented reality (AR)-based PNS in the AR-Hip group (group A). Accuracy error, navigation error, clinical outcomes, and preparation time were compared between the two groups.

Results

Accuracy errors for Inclination were comparable between group N (3.5° ± 3.0°) and group A (3.5° ± 3.1°) (p = 0.92). Accuracy errors for anteversion were comparable between group N (4.1° ± 3.1°) and group A (4.5° ± 4.0°) (p = 0.57). The navigation errors for inclination (group N: 2.9° ± 2.7°, group A: 3.0° ± 3.2°) and anteversion (group N: 4.3° ± 3.5°, group A: 4.3° ± 4.1°) were comparable between the groups (p = 0.86 and 0.94, respectively). The preparation time was shorter in group A than in group N (p = 0.036). There were no significant differences in operative time (p = 0.255), intraoperative blood loss (p = 0.387), or complications (p = 0.248) between the two groups.

Conclusion

An Accelerometer-based PNS using handheld infrared stereo cameras and AR-based PNS provide similar accuracy during THA in the lateral decubitus position, with a mean error of 3°–4° for both inclination and anteversion, though the AR-based PNS required a shorter preparation time.

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Data availability

The datasets during and/or analyzed during the current study available from the corresponding author on reasonable request.

Abbreviations

ASIS:

Anterior superior iliac spines

FPP:

Functional pelvic plane

IMU:

Inertial measurement unit

PNS:

Portable navigation system

fPNS:

First-generation portable navigation system

RA:

Radiographic anteversion

RI:

Radiographic inclination

sPNS:

Second-generation portable navigation system

THA:

Total hip arthroplasty

ANCOVA:

Analysis of covariance

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Acknowledgements

We thank the following people for their contributions: Hiroki Iida, Hiroto Funahashi, Yuto Ozawa, Hiroaki Ido, Takamune Asamoto and Keiji Otaka.

Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya-Shi, 466-8550, Japan

    Shinya Tanaka, Yasuhiko Takegami, Yusuke Osawa & Shiro Imagama

  2. Yokkaichi Municipal Hospital, 2-2-37, Shibata, Yokkaichi-Shi, Mie, 510-8567, Japan

    Masanori Okamoto

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  1. Shinya Tanaka
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Correspondence to Yasuhiko Takegami.

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Tanaka, S., Takegami, Y., Osawa, Y. et al. Retrospective study comparing the accuracies of handheld infrared stereo camera and augmented reality-based navigation systems for total hip arthroplasty. Arch Orthop Trauma Surg (2024). https://doi.org/10.1007/s00402-024-05330-5

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