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Computer Navigation for Revision Total Hip Arthroplasty Reduces Dislocation Rates

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Abstract

Purpose

Computer navigation in total hip arthroplasty (THA) offers potential for more accurate placement of acetabular components, avoiding impingement, edge loading, and dislocation, all of which can necessitate revision THA (rTHA). Therefore, the use of computer navigation may be particularly beneficial in patients undergoing rTHA. The purpose of this study was to determine if the use of computer-assisted hip navigation reduces the rate of dislocation in patients undergoing rTHA.

Methods

A retrospective review of 72 patients undergoing computer-navigated rTHA between February 2016 and May 2017 was performed. Demographics, indications for revision, type of procedure performed, and incidence of postoperative dislocation were collected for all patients. Clinical follow-up was recorded at 3 months, 1 year and 2 years.

Results

All 72 patients (48% female; 52% male) were included for analysis. The mean age was 70.4 ± 11.2 years and mean BMI was 26.4 ± 5.2 kg/m2. 22 of 72 patients (31%) required a rTHA procedure due to instability resulting in dislocation. At 3 months, 1 year, and 2 years, there were no dislocations (0%). There was a significant reduction in dislocation rate after computer-navigated rTHA (0%) relative to that following primary THA in the same patient cohort (31%; p < 0.05).

Conclusion

Our study demonstrates a significant reduction in dislocation rate following rTHA with computer navigation. Although the cause of postoperative dislocation is often multifactorial, the use of computer navigation may help to curtail femoral and acetabular malalignment in rTHA.

Level of Evidence

Level III: retrospective.

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Availability of Data and Material

The data that support the findings of this study are available on request from the corresponding author, A.K.S., upon reasonable request.

Code Availability

Not applicable.

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Acknowledgements

The authors have no acknowledgements to make for this study.

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California, Irvine, School of Medicine, 101 The City Drive South, Pavilion III, Building 29A, CA, 92868, Orange, USA

    Abhinav K. Sharma

  2. Department of Orthopaedic Surgery, Ascension Providence Hospital Southfield Campus, 16001 W Nine Mile Rd., Southfield, MI, 48075, USA

    Zlatan Cizmic

  3. Department of Orthopedic Surgery, Adult Reconstruction and Joint Replacement, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Kaitlin M. Carroll, Seth A. Jerabek, Peter K. Sculco, Alejandro Gonzalez Della Valle, David J. Mayman & Jonathan M. Vigdorchik

  4. Department of Orthopaedic Surgery, Section of Adult Joint Reconstruction, Rush Presbyterian-St. Luke’s Medical Center, 1653 W. Congress Parkway, Chicago, IL, 60612, USA

    Wayne G. Paprosky

  5. Department of Orthopedic Surgery, Division of Adult Reconstruction, NYU Langone Health, 301 E 17th St., New York, NY, 10010, USA

    Ran Schwarzkopf

Authors
  1. Abhinav K. Sharma
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Contributions

AKS: data curation, formal analysis, writing-original draft preparation, manuscript revision; ZC: formal analysis, writing—original draft preparation; KMC: data curation, writing—reviewing and editing; SAJ: data curation, writing—reviewing and editing; WGP: data curation, writing-reviewing and editing; PKS: data curation, writing—reviewing and editing; AGDV: data curation, writing—reviewing and editing; RS: data curation, writing-reviewing and editing; DJM: data curation, writing—reviewing and editing; JMV: conceptualization, data curation, writing—reviewing and editing.

Corresponding author

Correspondence to Abhinav K. Sharma.

Ethics declarations

Conflict of Interest

Abhinav K. Sharma declares that he has no conflict of interest. Zlatan Cizmic, M.D., declares that he has no conflict of interest. Kaitlin M. Carroll reports having stock ownership in Orthalign. Seth Jerabek, M.D., reports having stock ownership in Stryker and Imagen and receiving IP royalties, personal fees, and research funding from Stryker. Wayne Paprosky, M.D., reports having stock ownership in Intellijoint Surgical and receiving fees from Intellijoint Surgical, Zimmer Biomet, Microport, and Ceramtec. Peter Sculco, M.D., reports receiving fees from EOS Imaging, Intellijoint Surgical, and Lima Corp. Alejandro Gonzalez Della Valle, M.D., reports receiving IP royalties and fees from OrthoDevelopment, IP royalties, fees, and research support from OrthoSensor, and fees from Johnson & Johnson and Link Orthopaedics. Ran Schwarzkopf, M.D., reports having stock ownership in PSI and receiving fees and grants from Smith & Nephew and Intellijoint Surgical. David Mayman, M.D., reports having stock ownership in Imagen, Insight, Wishbone, and Orthalign, receiving IP royalties, fees, and research funding from Smith & Nephew, and receiving IP royalties from Orthalign. Jonathan M. Vigdorchik, M.D., reports stock ownership in Intellijoint Surgical and Motion Insights, fees and research funding from Corin Group, and fees from Intellijoint Surgical, Medacta, and Zimmer.

Ethics approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013.

Consent to participate

Informed consent was waived from all patients included in this study.

Consent for publication

Not applicable; no patient images, identifiers or identifiable individual data were used in this study.

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Sharma, A.K., Cizmic, Z., Carroll, K.M. et al. Computer Navigation for Revision Total Hip Arthroplasty Reduces Dislocation Rates. JOIO 56, 1061–1065 (2022). https://doi.org/10.1007/s43465-022-00606-7

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  • DOI: https://doi.org/10.1007/s43465-022-00606-7

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