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How to perform correct templating in total hip replacement

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Abstract

Templating plays a key role in surgery that is often underestimated. There is a difference between planning and templating: in the first not only the hip is considered but involves the evaluation of the patient in its entirety. Templating instead consists of calculating the position of the implant in order to place it in the best possible position. Fundamental is a correct X-ray of the pelvis, which must follow certain standards. For traditional templating, drawings on appropriately enlarged transparent implants were provided by the prosthesis manufacturer. The implementation of digital software into clinical practice has improved the accuracy and reproducibility of templating, which in most surgical units is performed by standard 2D radiographic images. Thanks to digital preoperative templating in a digital radiology environment, the hip reconstructive surgeon can perform preoperative planning and implant sizing quickly, consistently, and affordably. Currently, 3D templating can also be performed by software used initially to create personalized stems for THA. Aim of the current review is to outline the essentials of correct templating in THA performance, and to report the updates since the introduction of digital and 3D technologies in this setting.

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The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. 1st Orthopaedic and Traumatologic Clinic, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy

    A. Di Martino, V. Rossomando, M. Brunello, C. D’Agostino, D. Pederiva, F. Pilla & C. Faldini

  2. Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, Bologna, Italy

    A. Di Martino, V. Rossomando, M. Brunello, C. D’Agostino, D. Pederiva & C. Faldini

  3. SC ATIPD (Anesthesia and Post-Operative Intensive Care and Pain Therapy), Department of Specialist Orthopedic-Traumatological Pathologies, IRCCS Rizzoli Orthopedic Institute, Via G.C. Pupilli 1, 40136, Bologna, Italy

    J. Frugiuele

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All authors contributed to the review. The first draft of the manuscript was written by Cesare Faldini and all authors commented on previous versions of the manuscript.

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Di Martino, A., Rossomando, V., Brunello, M. et al. How to perform correct templating in total hip replacement. Musculoskelet Surg 107, 19–28 (2023). https://doi.org/10.1007/s12306-023-00772-3

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