Skip to main content

Advertisement

SpringerLink
Log in

Imageless navigation of hip resurfacing arthroplasty increases the implant accuracy

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Surface arthroplasty of the hip is increasingly popular. Optimising the position of the femoral component is essential to avoid early implant failures such as femoral neck fractures. Sixty hip surface replacements were retrospectively analysed. In 30 patients imageless navigation was used, and 30 patients were operated upon using conventional jigs. Accuracy, implant position, operating time, and complications have been recorded. The navigation device improved the implant position with high accuracy. Implant-shaft angles <130° and uncovered cancellous bone of the superior femoral neck could be safely avoided. After a significant learning curve, navigation took 15 minutes longer than conventional implantation. No complications were found in either group. Computer-assisted navigation allowed accurate implantation of the femoral component avoiding pitfalls of hip surface replacement. From our point of view the optimal placement of the femoral component outweighs the disadvantage of a longer operating time.

Résumé

Le resurfaçage de la hanche devient de plus en plus populaire. L’optimisation de la position du composant fémoral est importante afin d’éviter les échecs tels que les fractures du col. Matériel et méthode : 60 resurfaçages de hanche ont été analysés de façon rétrospective chez 30 patients en utilisant la même technique avec navigation, sans image et en comparant cette série à une série de 30 patients opérés de façon conventionnelle. La sécurité, la position de l’implant, le temps opératoire et les complications ont été rapportés. Résultats : le système de navigation améliore la position de l’implant de façon significative. Après la courbe d’apprentissage le temps de la navigation augmente de 15 minutes le temps opératoire. Aucune complication n’a été relevée dans les deux groupes. Conclusions : La technique chirurgicale assistée par la navigation permet une meilleure implantation du composant fémoral et évite les erreurs en cas de resurfaçage de hanche. Pour nous, l’amélioration de la position du composant fémoral contrebalance de façon avantageuse l’augmentation du temps opératoire.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Amstutz HC, Ball ST, Le Duff MJ, Dorey FJ (2007) Resurfacing THA for patients younger than 50 years: results of 2- to 9-year followup. Clin Orthop Relat Res 460:159–164

    Google Scholar 

  2. Amstutz HC, Beaule PE, Dorey FJ, Le Duff MJ, Campbell PA, Gruen TA (2004) Metal-on-metal hybrid surface arthroplasty: two to six-year follow-up study. J Bone Jt Surg Am 86-A:28–39

    Google Scholar 

  3. Anglin C, Masri BA, Tonetti J, Hodgson AJ, Greidanus NV (2007) Hip resurfacing femoral neck fracture influenced by valgus placement. Clin Orthop Relat Res 465:71–79

    Google Scholar 

  4. Beaule PE, Amstutz HC, Le DM, Dorey F (2004) Surface arthroplasty for osteonecrosis of the hip: hemiresurfacing versus metal-on-metal hybrid resurfacing. J Arthroplasty 19:54–58

    PubMed  Google Scholar 

  5. Beaule PE, Lee JL, Le Duff MJ, Amstutz HC, Ebramzadeh E (2004) Orientation of the femoral component in surface arthroplasty of the hip. A biomechanical and clinical analysis. J Bone Jt Surg Am 86-A:2015–2021

    Google Scholar 

  6. Beaule PE, Poitras P (2007) Femoral component sizing and positioning in hip resurfacing arthroplasty. Instr Course Lect 56:163–169

    PubMed  Google Scholar 

  7. Belei P, Skwara A, De La FM, Schkommodau E, Fuchs S, Wirtz DC, Kamper C, Radermacher K (2007) Fluoroscopic navigation system for hip surface replacement. Comput Aided Surg 12:160–167

    Article  PubMed  Google Scholar 

  8. Cobb JP, Kannan V, Brust K, Thevendran G (2007) Navigation reduces the learning curve in resurfacing total hip arthroplasty. Clin Orthop Relat Res 463:90–97

    Google Scholar 

  9. Daniel J, Pynsent PB, McMinn DJ (2004) Metal-on-metal resurfacing of the hip in patients under the age of 55 years with osteoarthritis. J Bone Jt Surg Br 86:177–184

    Article  CAS  Google Scholar 

  10. Davis ET, Gallie P, Macgroarty K, Waddell JP, Schemitsch E (2007) 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 Br 89-B:557–560

    Article  Google Scholar 

  11. Hess T, Gampe T, Kottgen C, Szawlowski B (2004) Intraoperative navigation for hip resurfacing. Methods and first results. Orthopade 33:1183–1193

    Article  PubMed  CAS  Google Scholar 

  12. Hodgson AJ, Inkpen KB, Shekhman M, Anglin C, Tonetti J, Masri BA, Duncan CP, Garbuz DS, Greidanus NV (2005) Computer-assisted femoral head resurfacing. Comput Aided Surg 10:337–343

    Article  PubMed  Google Scholar 

  13. Kruger S, Zambelli PY, Leyvraz PF, Jolles BM (2007) Computer-assisted placement technique in hip resurfacing arthroplasty: improvement in accuracy? Int Orthop 24 Aug 2007. Epub ahead of print

  14. Laskin RS, Beksac B (2006) Computer-assisted navigation in TKA: where we are and where we are going. Clin Orthop Relat Res 452:127–131

    Article  PubMed  Google Scholar 

  15. Little JP, Taddei F, Viceconti M, Murray DW, Gill HS (2007) Changes in femur stress after hip resurfacing arthroplasty: response to physiological loads. Clin Biomech 22:440–448

    Article  CAS  Google Scholar 

  16. Long JP, Bartel DL (2006) Surgical variables affect the mechanics of a hip resurfacing system. Clin Orthop Relat Res 453:115–122

    Article  PubMed  Google Scholar 

  17. Martin A, Wohlgenannt O, Prenn M, Oelsch C, Strempel A (2007) Imageless navigation for TKA increases implantation accuracy. Clin Orthop Relat Res 460:178–184

    PubMed  Google Scholar 

  18. McMinn D, Treacy R, Lin K, Pynsent P (1996) Metal on metal surface replacement of the hip. Experience of the McMinn prosthesis. Clin Orthop Relat Res 329:S89–S98

    Article  PubMed  Google Scholar 

  19. Morlock MM, Bishop N, Ruther W, Delling G, Hahn M (2006) Biomechanical, morphological, and histological analysis of early failures in hip resurfacing arthroplasty. Proc Inst Mech Eng 220:333–344

    Article  CAS  Google Scholar 

  20. Radcliffe IA, Taylor M (2007) Investigation into the effect of varus-valgus orientation on load transfer in the resurfaced femoral head: a multi-femur finite element analysis. Clin Biomech 22:780–786

    Article  CAS  Google Scholar 

  21. Shimmin AJ, Back D (2005) Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases. J Bone Jt Surg Br 87:463–464

    Article  CAS  Google Scholar 

  22. Siston RA, Giori NJ, Goodman SB, Delp SL (2007) Surgical navigation for total knee arthroplasty: a perspective. J Biomech 40:728–735

    Article  PubMed  Google Scholar 

  23. Treacy RB, McBryde CW, Pynsent PB (2005) Birmingham hip resurfacing arthroplasty. A minimum follow-up of five years. J Bone Jt Surg Br 87:167–170

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Rheinische Klinik für Orthopädie, Horionstrasse 2, 41749, Viersen, Germany

    C. Schnurr & D. P. König

  2. Department of Orthopedic Surgery, University of Cologne, Joseph-Stelzmann-Str. 9, 50924, Cologne, Germany

    J. W. P. Michael & P. Eysel

Authors
  1. C. Schnurr
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. W. P. Michael
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Eysel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. P. König
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Schnurr.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schnurr, C., Michael, J.W.P., Eysel, P. et al. Imageless navigation of hip resurfacing arthroplasty increases the implant accuracy. International Orthopaedics (SICOT) 33, 365–372 (2009). https://doi.org/10.1007/s00264-007-0494-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-007-0494-7

Keywords

Search

Navigation