Computer-assisted surgery prevents complications during peri-acetabular osteotomy
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The aim of study is to evaluate the accuracy of a navigation system during curved peri-acetabular osteotomy (CPO).
Forty-seven patients (53 hips) with hip dysplasia were enrolled and underwent CPO with or without navigation during surgery. Clinical and radiographical evaluations were performed and compared between the navigation group and non-navigation group, post-operatively.
The clinical outcomes were not significantly different between the navigation and non-navigation groups. Furthermore, post-operative reorientation of the acetabular fragment was similar between the navigation and non-navigation groups. However, the discrepancy between the pre-operative planning line and post-operative osteotomy line was significantly improved in the navigation group compared with that in the non-navigation group (p < 0.05). Further, the complication rate was significantly improved in the navigation group (p < 0.001).
The accuracy of the osteotomy’s position was significantly improved by using the navigation. Therefore, the use of navigation during peri-acetabular osteotomy can avoid complications.
KeywordsPeri-acetabular osteotomy Navigation Accuracy Complication
S. Haya designed the study. S. Haya, S. Hashi, KT, TM, KI, and NS collected the data. S. Haya and TM interpreted the data. KN performed the statistical analysis. S. Haya drafted the article. RK conducted the critical review and made the final approval.
Compliance with ethical standards
The study protocol was approved by our institutional ethics committee on September 8, 2011 (No. 1219), and informed consent for participation in the study was obtained from all participants.
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.Nakamura S, Ninomiya S, Nakamura T (1989) Primary osteoarthritis of the hip joint in Japan. Clin Orthop Relat Res 241:191–196Google Scholar
- 2.Eppright RH (1975) Dial osteotomy of acetabulum in treatment of dysplasia of hip. J Bone Joint Surg Am 57:1172–1172Google Scholar
- 3.Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36Google Scholar
- 6.Naito M, Shiramizu K, Akiyoshi Y, Ezoe M, Nakamura Y (2005) Curved periacetabular osteotomy for treatment of dysplastic hip. Clin Orthop Relat Res 129–135Google Scholar
- 10.Zaltz I, Baca G, Kim YJ, Schoenecker P, Trousdale R, Sierra R, Sucato D, Sink E, Beaule P, Millis MB, Podeszwa D, Clohisy JC (2014) Complications associated with the periacetabular osteotomy: a prospective multicenter study. J Bone Joint Surg Am 96:1967–1974. https://doi.org/10.2106/JBJS.N.00113 CrossRefPubMedGoogle Scholar
- 11.Mast JW, Brunner RL, Zebrack J (2004) Recognizing acetabular version in the radiographic presentation of hip dysplasia. Clin Orthop Relat Res 418:48–53Google Scholar
- 12.Hipp JA, Sugano N, Millis MB, Murphy SB (1999) Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res 314:134–143Google Scholar
- 13.Liu L, Ecker TM, Schumann S, Siebenrock KA, Zheng G (2016) Evaluation of constant thickness cartilage models vs. patient specific cartilage models for an optimized computer-assisted planning of periacetabular osteotomy. PLoS One 11:e0146452. https://doi.org/10.1371/journal.pone.0146452 CrossRefPubMedPubMedCentralGoogle Scholar
- 16.Radermacher K, Portheine F, Anton M, Zimolong A, Kaspers G, Rau G, Staudte HW (1998) Computer assisted orthopaedic surgery with image based individual templates. Clin Orthop Relat Res 354:28–38Google Scholar