In-vivo 3-Dimensional gait symmetry analysis in patients with bilateral total hip arthroplasty

2018 ◽  
Vol 77 ◽  
pp. 131-137 ◽  
Author(s):  
Paul Arauz ◽  
Yun Peng ◽  
John MacAuliffe ◽  
Young-Min Kwon
2015 ◽  
Vol 48 (4) ◽  
pp. 555-559 ◽  
Author(s):  
Tsung-Yuan Tsai ◽  
Dimitris Dimitriou ◽  
Jing-Sheng Li ◽  
Kwang Woo Nam ◽  
Guoan Li ◽  
...  

2018 ◽  
Vol 28 (4) ◽  
pp. 415-421 ◽  
Author(s):  
Willem van IJperen ◽  
Damien Van Quickenborne ◽  
Ronald Buyl ◽  
Thierry Scheerlinck

Introduction: We investigated the in vivo gentamicin elution kinetics of Hi-Fatigue Gentamicin Bone Cement (AAP Biomaterials GmbH) in serum and drain fluid after hybrid hip arthroplasty and the relationship with cement mantle thickness. Methods: We compared in a randomised, non-blinded prospective study, the local and systemic gentamicin concentrations in 2 groups. The thin cement mantle group ( n = 16) received a stem implanted line-to-line with the broach, whereas the thick group ( n = 14) had an undersized stem. Gentamicin concentrations were measured in drain fluid and serum at set intervals for 3 days postoperatively. Results: In both groups, local gentamicin concentrations were similar. After a high initial burst above the minimal inhibitory concentration (thin: 57.2 mg/L (SD 34.4), thick: 54.9 mg/L (SD 19.9), p = 0.823) local gentamicin concentrations declined rapidly. In both groups, serum concentrations never exceeded toxic levels (maximum 1.08 mg/L). Conclusion: In hybrid total hip arthroplasty, Hi-Fatigue Gentamicin Bone Cement resulted in effective and safe gentamicin concentrations. Clinical trial protocol number: PMCI 12/02.


2018 ◽  
Vol 29 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Erik Schiffner ◽  
David Latz ◽  
Pascal Jungbluth ◽  
Jan P Grassmann ◽  
Stephan Tanner ◽  
...  

Introduction: The aim of this study was to compare the accuracy of preoperative templating in total hip arthroplasty (THA) using conventional 2-dimensional (2D) and computed tomography (CT)-based 3-dimensional (3D) measures. Methods: One hundred and sixteen consecutive primary THAs were analysed. The preoperative diagnosis was primary osteoarthritis in all cases. The 2D templating and the 3D templating were performed by two different residents. All templating results were available for the orthopaedic surgeon performing the procedure. Accuracies with regard to the predicted and actual implant sizes were determined for each procedure. Implantation of the size as planned was defined as “exact”, whereas the use of components within one size larger or smaller (±1) as planned were defined as “accurate.” Results: The 3D templating was significantly more accurate in predicting implant sizing compared to 2D templating for primary total hip arthroplasty (THA). The difference was statistically significant for the cup templating (‘‘exact’’ p = 0.02; ‘‘accurate’’ p = 0.01) and for the stem templating (‘‘exact’’ p = 0.04; ‘‘accurate’’ p = 0.01). Conclusion: Our results support the superiority of 3D templating over 2D templating in predicting implant size.


2020 ◽  
Vol 25 (3) ◽  
pp. 452-459 ◽  
Author(s):  
Kyohei Shiomoto ◽  
Satoshi Hamai ◽  
Daisuke Hara ◽  
Hidehiko Higaki ◽  
Hirotaka Gondo ◽  
...  

Orthopedics ◽  
2017 ◽  
Vol 41 (1) ◽  
pp. e46-e51 ◽  
Author(s):  
Yong Nie ◽  
HaoYang Wang ◽  
ZeYu Huang ◽  
Bin Shen ◽  
Virginia Byers Kraus ◽  
...  

2019 ◽  
Vol 30 (3) ◽  
pp. 288-295
Author(s):  
Takuro Ueno ◽  
Tamon Kabata ◽  
Yoshitomo Kajino ◽  
Tomoharu Takagi ◽  
Takaaki Ohmori ◽  
...  

Background: In total hip arthroplasty with computer navigation assistance, cup orientation is generally determined according to the coordinate system relative to the functional pelvic plane (FPP). However, there is a large difference in the cup anteversion between a posterior pelvic tilt relative to the computed tomography (CT) table in the sagittal plane and anterior pelvic tilt, even when the cup is set at the same orientation angle according to each FPP. The present study analysed this difference from the viewpoint of 3-dimensional (3D) coverage of the acetabular component (3D coverage) to determine how the 3D acetabular coverage is altered with changes in pelvic sagittal tilt. Methods: We analysed 3D-simulated acetabular coverage measured in 3D pelvic models reconstructed from the preoperative CT data of 50 patients. In each patient, we created 5 pelvic models with a sagittal tilt of 10° increments between 20° anterior tilt and 20° posterior tilt relative to the CT table. Results: We found that 3D coverage decreased as the pelvis tilted posteriorly. Particularly, there were significant differences between the pelvis with 20° anterior tilt and that with neutral tilt ( p < 0.001). There was also a difference between the pelvis with neutral tilt and that with a 20° posterior tilt ( p < 0.01). The mean decrease in 3D coverage between the pelvis with neutral tilt and that with 20° posterior tilt was 7.2 ± 1.6%. Conclusions: We found that 3D coverage differed among pelvis with different sagittal tilts when the cup orientation angle was determined according to FPP.


2011 ◽  
Vol 26 (5) ◽  
pp. 477-483 ◽  
Author(s):  
Junichiro Koyanagi ◽  
Takashi Sakai ◽  
Takaharu Yamazaki ◽  
Tetsu Watanabe ◽  
Keisuke Akiyama ◽  
...  

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