Abstract
Three-dimensional printing technique has been adapted for orthopedic surgery, and a patient-specific surgical guide (PSG) has been introduced as a convenient surgical instrument and implicated in the ideal positioning of the components, including acetabular and femoral components in total hip arthroplasty (THA). PSG is designed and manufactured based on preoperative imaging data, mainly computed tomography (CT) data. PSGs for implantation in THA are classified into three types: PSG for guidewire insertion, PSG for bone cutting, and PSG for bone reaming and implant fixation. PSG positioning accuracy depends on the PSG design and surgical preparation in contact area on the bone surface. PSGs for the acetabular component, for the conventional femoral component, and for the resurfacing femoral component have been clinically used. To achieve precise implantation, precise PSG setting needs and careful surgical preparation of soft tissues are important.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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 354:28–38
Widmer KH, Zurfluh B (2004) Compliant positioning of total hip components for optimal range of motion. J Orthop Res 22:815–821
Miki H, Yamanashi W, Nishii T, Sato Y, Yoshikawa H, Sugano N (2007) Anatomic hip range of motion after implantation during total hip arthroplasty as measured by a navigation system. J Arthroplast 22:946–952
Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip prosthesis. J Arthroplast 17:282–288
Kennedy JG, Rogers WB, Soffe KE, Sullivan RJ, Griffen DG, Sheehan LJ (1998) Effect of acetabular component orientation on recurrent dislocation, pelvic osteolysis, polyethylene wear, and component migration. J Arthroplast 13:530–534
Hananouchi T, Saito M, Koyama T, Hagio K, Murase T, Sugano N, Yoshikawa H (2009) Tailor-made surgical guide based on rapid prototyping technique for cup insertion in total hip arthroplasty. Int J Med Robot 5:164–169
Hananouchi T, Saito M, Koyama T, Sugano N, Yoshikawa H (2010) Tailor-made surgical guide reduces incidence of outliers of cup placement. Clin Orthop Relat Res 468:1088–1095
Kunz M, Rudan JF, Xenoyannis GL, Ellis RE (2010) Computer-assisted hip resurfacing using individualized drill templates. J Arthroplast 25:600–606
Raaijmaakers M, Gelaude F, De Smedt K, Clijmans T, Dille J, Mulier M (2010) A custom-made guide-wire positioning device for hip surface replacement arthroplasty: description and first results. BMC Musculoskelet Disord 11:161–167
Zhang YZ, Chen B, Lu S, Yang Y, Zhao JM, Liu R, Li YB, Pei GX (2011) Preliminary application of computer-assisted patient-specific acetabular navigational template for total hip arthroplasty in adult single development dysplasia of the hip. Int J Med Robot Comput Assist Surg 7:469–474
Andenaert E, De Smedt K, Gelaude F, Clijmans T, Pattyn C, Geebelen B (2011) A custom-made guide for femoral component positioning in hip resurfacing arthroplasty: development and validation study. Comput Aided Surg 16:304–309
Buller L, Smith T, Bryan J, Klika A, Barsoum W, Ianntti JP (2013) The use of patient-specific instrumentation improves the accuracy of acetabular component placement. J Arthroplast 28:631–636
Kitada M, Sakai T, Murase T, Hanada T, Nakamura N, Sugano N (2013) Validation of the femoral component placement during hip resurfacing: a comparison between the conventional jig, patient-specific template, and CT-based navigation. Int J Med Robot 9:223–229
Sakai T, Hanada T, Murase T, Kitada M, Hamada H, Yoshikawa H, Sugano N (2014) Validation of patient specific surgical guides in total hip arthroplasty. Int J Med Robot 10:113–120
Small T, Krebs V, Molloy R, Bryan J, Klika AK, Barsoum WK (2014) Comparison of acetabular shell position using patient specific instruments vs. standard surgical instruments: a randomized clinical trial. J Arthroplast 29:1030–1037
Steppacher SD, Kowal JH, Murphy SB (2011) Improving cup positioning using a mechanical navigation instrument. Clin Orthop Relat Res 469: 423–428
Kitada M, Nakamura N, Iwana D, Kakimoto A, Nishii T, Sugano N (2011) Evaluation of the accuracy of computed tomography–based navigation for femoral stem orientation and leg length discrepancy. J Arthroplast 26:674–679
Sakai T, Hamada H, Takao M, Murase T, Yoshikawa H, Sugano N (2017) Validation of patient-specific surgical guides for femoral neck cutting in total hip arthroplasty through the anterolateral approach. Int J Med Robot 13(3). https://doi.org/10.1002/rcs.1830 Epub 2017 May 8
Murase T, Oka K, Moritomo H, Goto A, Yoshikawa H, Sugamoto K (2008) Three-dimensional corrective osteotomy of malunited fractures of the upper extremity with use of a computer simulation system. J Bone Joint Surg Am 90:2375–2389
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Sakai, T. (2018). Patient-Specific Surgical Guide for Total Hip Arthroplasty. In: Zheng, G., Tian, W., Zhuang, X. (eds) Intelligent Orthopaedics. Advances in Experimental Medicine and Biology, vol 1093. Springer, Singapore. https://doi.org/10.1007/978-981-13-1396-7_23
Download citation
DOI: https://doi.org/10.1007/978-981-13-1396-7_23
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-1395-0
Online ISBN: 978-981-13-1396-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)