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Accuracy comparison of cup positioning during total hip arthroplasty using Hip Align and AR-Hip in the supine position

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

Abstract

Introduction

The aim of this study is to compare the accuracy of acetabular cup positioning between the accelerometer-based navigation system and the augmented reality-based navigation system during THA in the supine position.

Materials and methods

This retrospective study included 66 patients (70 hips) who underwent THA using two types of portable navigation system, Hip Align or AR-Hip, in the spine position. The absolute difference between the intraoperative navigation record and postoperative measurement using computed tomography data was evaluated. Preoperative clinical factors that decreased the accuracy of cup positioning by ≥ 3° were analyzed via multiple logistic regression analyses.

Results

The average absolute error of inclination was 2.8 ± 2.6° in Hip Align and 2.7 ± 1.8° in AR-Hip, and absolute anteversion error was 2.5 ± 2.0° in Hip Align and 2.6 ± 2.2° in AR-Hip, and there was no significantly different between the two navigation systems. There was a significant association between the absolute measurement error (≥ 3°) of cup inclination and patients’ BMI in the Hip Align group [odds ratio (OR) 1.350; 95% confidence interval (CI) 1.035–1.760; p = 0.027], but not in the AR-Hip group.

Conclusions

The accuracy of the acetabular cup positioning between the Hip Align and AR-Hip showed no difference during THA in the spine position. The high BMI could have negative influence on the accuracy of cup positioning in THA using Hip Align, thus AR-Hip could be designable for obesity patients.

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Data availability

The data are available upon request from the corresponding author.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan

    Masahiro Fujita, Shinya Hayashi, Yuichi Kuroda, Naoki Nakano, Toshihisa Maeda, Takehiko Matsushita, Tomoyuki Matsumoto & Ryosuke Kuroda

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  1. Masahiro Fujita
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  2. Shinya Hayashi
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All authors contributed to the present study equally.

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Correspondence to Shinya Hayashi.

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Fujita, M., Hayashi, S., Kuroda, Y. et al. Accuracy comparison of cup positioning during total hip arthroplasty using Hip Align and AR-Hip in the supine position. Arch Orthop Trauma Surg 143, 7229–7235 (2023). https://doi.org/10.1007/s00402-023-04975-y

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