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The value of computed tomography based navigation in revision total hip arthroplasty

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Abstract

Purpose

This study investigates the accuracy of a computed tomography (CT)-based navigation system for accurate acetabular component placement during revision total hip arthroplasty (THA).

Methods

We performed a retrospective review of 30 hips in 26 patients who underwent cementless revision THA using a CT-based navigation system; the control group consisted of 25 hips in 25 patients who underwent cementless primary THA using the same system. We analysed the deviation of anteversion and inclination angles among the pre-operative plan, intra-operative records from the navigation system and data from postoperative CT scans.

Results

There were no significant differences between groups (P < 0.05) in terms of mean deviation between pre-operative planning and postoperative measurements or between intraoperative records and postoperative measurements.

Conclusion

CT-based navigation in revision THA is a useful tool that enables the surgeon to implant the acetabular component at the precise angle determined in pre-operative planning.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan

    Kazunari Kuroda, Tamon Kabata, Toru Maeda, Yoshitomo Kajino, Shin Watanabe, Shintaro Iwai, Fujita Kenji, Kazuhiro Hasegawa, Daisuke Inoue & Hiroyuki Tsuchiya

Authors
  1. Kazunari Kuroda
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  2. Tamon Kabata
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  3. Toru Maeda
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  4. Yoshitomo Kajino
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  5. Shin Watanabe
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  6. Shintaro Iwai
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  7. Fujita Kenji
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  8. Kazuhiro Hasegawa
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  9. Daisuke Inoue
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  10. Hiroyuki Tsuchiya
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Corresponding author

Correspondence to Tamon Kabata.

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Kuroda, K., Kabata, T., Maeda, T. et al. The value of computed tomography based navigation in revision total hip arthroplasty. International Orthopaedics (SICOT) 38, 711–716 (2014). https://doi.org/10.1007/s00264-013-2166-0

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  • DOI: https://doi.org/10.1007/s00264-013-2166-0

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