scholarly journals Advances and innovations in total hip arthroplasty

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 26
Author(s):  
Andreas Fontalis ◽  
Jean-Alain Epinette ◽  
Martin Thaler ◽  
Luigi Zagra ◽  
Vikas Khanduja ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Three Dimensional ◽  
Young Patients ◽  
Cost Effective ◽  
Patient Specific ◽  
Three Dimensional Printing ◽  
Total Hip ◽  
Patient Specific Instrumentation ◽  
Dimensional Printing

Total hip arthroplasty (THA) has been quoted as one of the most successful and cost-effective procedures in Orthopaedics. The last decade has seen an exponential rise in the number of THAs performed globally and a sharp increase in the percentage of young patients hoping to improve their quality of life and return to physically demanding activities. Hence, it is imperative to review the various applications of technology in total hip arthroplasty for improving outcomes. The development of state-of-the-art robotic technology has enabled more reproducible and accurate acetabular positioning, while long-term data are needed to assess its cost-effectiveness. This opinion piece aims to outline and present the advances and innovations in total hip arthroplasty, from virtual reality and three-dimensional printing to patient-specific instrumentation and dual mobility bearings. This illustrates and reflects the debate that will be at the centre of hip surgery for the next decade.

Three-dimensional printing for preoperative planning of total hip arthroplasty revision: case report

2016 ◽  
Vol 45 (10) ◽  
pp. 1431-1435 ◽  
Author(s):  
Joseph Zerr ◽  
Yonatan Chatzinoff ◽  
Rajiv Chopra ◽  
Kenneth Estrera ◽  
Avneesh Chhabra
Keyword(s):  
Case Report ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Three Dimensional Printing ◽  
Total Hip ◽  
Dimensional Printing ◽  
Arthroplasty Revision

Use of Three-dimensional Printing and Patient-matched Implant in Total Hip Arthroplasty – a Case Study

2019 ◽  
Vol 21 (3) ◽  
pp. 207-216 ◽  
Author(s):  
Piotr Sypień ◽  
Paweł Łęgosz ◽  
Paweł Małdyk
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Three Dimensional ◽  
Revision Arthroplasty ◽  
Patient Specific ◽  
Oral Antibiotic ◽  
Precise Position ◽  
Total Hip ◽  
Custom Made ◽  
History Of

We present a case report of a 70-year-old female patient with a history of right hip dysplasia and total hip arthroplasty complicated by chronic periprosthetic hipction. Failure of oral antibiotic treatment was an indication for implant removal. A computed tomography scan performed during qualification for reimplantation revealed massive bone defects in the pelvis. A three-dimensional printed patient-specific anatomical model of the pelvis helped to determine the precise position and cup size in preoperative planning and prepare a patient-matched acetabulum. The custom-made endoprosthesis was implanted during revision arthroplasty.

Patient-specific instrumentation improves the accuracy of acetabular component placement in total hip arthroplasty

2016 ◽  
Vol 98-B (10) ◽  
pp. 1342-1346 ◽  
Author(s):  
L. Spencer-Gardner ◽  
J. Pierrepont ◽  
M. Topham ◽  
J. Baré ◽  
S. McMahon ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Patient Specific ◽  
Component Placement ◽  
Total Hip ◽  
Patient Specific Instrumentation

scholarly journals Three-dimensional printing in orthopaedic surgery: a scoping review

2020 ◽  
Vol 5 (7) ◽  
pp. 430-441
Author(s):  
Jasmine N. Levesque ◽  
Ajay Shah ◽  
Seper Ekhtiari ◽  
James R. Yan ◽  
Patrick Thornley ◽  
...  
Keyword(s):  
Orthopaedic Surgery ◽  
Temporal Trends ◽  
Three Dimensional ◽  
Patient Specific ◽  
Three Dimensional Printing ◽  
Operative Outcomes ◽  
Patient Specific Instrumentation ◽  
Wide Range ◽  
Operative Planning ◽  
Dimensional Printing

Three-dimensional printing (3DP) has become more frequently used in surgical specialties in recent years. These uses include pre-operative planning, patient-specific instrumentation (PSI), and patient-specific implant production. The purpose of this review was to understand the current uses of 3DP in orthopaedic surgery, the geographical and temporal trends of its use, and its impact on peri-operative outcomes One-hundred and eight studies (N = 2328) were included, published between 2012 and 2018, with over half based in China. The most commonly used material was titanium. Three-dimensional printing was most commonly reported in trauma (N = 41) and oncology (N = 22). Pre-operative planning was the most common use of 3DP (N = 63), followed by final implants (N = 32) and PSI (N = 22). Take-home message: Overall, 3DP is becoming more common in orthopaedic surgery, with wide range of uses, particularly in complex cases. 3DP may also confer some important peri-operative benefits. Cite this article: EFORT Open Rev 2020;5:430-441. DOI: 10.1302/2058-5241.5.190024

scholarly journals Patient specific surgical guide improve the accuracy of acetabular component placement in total hip arthroplasty with dysplastic acetabulum

10.29007/frjz ◽  
2019 ◽  
Author(s):  
Peihui Wu ◽  
Weiming Liao ◽  
Yan Kang
Keyword(s):  
Total Hip Arthroplasty ◽  
Acetabular Component ◽  
Hip Arthroplasty ◽  
Patient Specific ◽  
Absolute Deviation ◽  
Surgical Guide ◽  
Total Hip ◽  
Rotation Center ◽  
Patient Specific Instrumentation ◽  
3D Ct Scan

To investigate the accuracy of a novel 3D CT scan-based preoperative planning software linked to patient-specific instrumentation (PSI) for placing acetabular components planning in patients with acetabular dysplasia undergoing total hip arthroplasty (THA). A total of 30 consecutive patients were prospectively enrolled and the accuracy of placement of the acetabular component was measured using post- operative CT scans. There was good reproducibility of preoperative and postoperative position of reconstructed rotation center. The mean absolute deviation from the planned inclination and anteversion was 6.2° and 4.8°, respectively. In 90% of cases the planned target of +/-5° was achieved for both inclination and anteversion. And 95% of cases of planned target of +/-3mm were achieved for vertical height of rotation center. Accurate placement of the acetabular component can be achieved using patient-specific guides and is superior to free hand techniques.

scholarly journals The Accuracy of Patient-Specific Instrumentation with Laser Guidance in a Dynamic Total Hip Arthroplasty: A Radiological Evaluation

Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4232
Author(s):  
Andrea Ferretti ◽  
Ferdinando Iannotti ◽  
Lorenzo Proietti ◽  
Carlo Massafra ◽  
Attilio Speranza ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Patient Specific ◽  
X Rays ◽  
Surgical Time ◽  
Dynamic Planning ◽  
Total Hip ◽  
Patient Specific Instrumentation ◽  
Significant Difference ◽  
The Mean

The functional positioning of components in a total hip arthroplasty (THA) and its relationship with individual lumbopelvic kinematics and a patient’s anatomy are being extensively studied. Patient-specific kinematic planning could be a game-changer; however, it should be accurately delivered intraoperatively. The main purpose of this study was to verify the reliability and accuracy of a patient-specific instrumentation (PSI) and laser-guided technique to replicate preoperative dynamic planning. Thirty-six patients were prospectively enrolled and received dynamic hip preoperative planning based on three functional lateral spinopelvic X-rays and a low dose CT scan. Three-dimensional (3D) printed PSI guides and laser-guided instrumentation were used intraoperatively. The orientation of the components, osteotomy level and change in hip length and offset were measured on postoperative CT scans and compared with the planned preoperative values. The length of surgery was compared with that of a matched group of thirty-six patients who underwent a conventional THA. The mean absolute deviation from the planned inclination and anteversion was 3.9° and 4.4°, respectively. In 92% of cases, both the inclination and anteversion were within +/− 10° of the planned values. Regarding the osteotomy level, offset change and limb length change, the mean deviation was, respectively, 1.6 mm, 2.6 mm and 2 mm. No statistically significant difference was detected when comparing the planned values with the achieved values. The mean surgical time was 71.4 min in the PSI group and 60.4 min in the conventional THA group (p < 0.05). Patient-specific and laser-guided instrumentation is safe and accurately reproduces dynamic planning in terms of the orientation of the components, osteotomy level, leg length and offset. Moreover, the increase in surgical time is negligible.

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