Advertisement

International Orthopaedics

, Volume 43, Issue 8, pp 1807–1814 | Cite as

Clinical accuracy and precision of hip resurfacing arthroplasty using computed tomography-based navigation

  • Ryuichi Sato
  • Masaki Takao
  • Hidetoshi Hamada
  • Takashi Sakai
  • Keishi Marumo
  • Nobuhiko SuganoEmail author
Original Paper

Abstract

Purpose

To avoid malalignment of components during hip resurfacing arthroplasty (HRA), we used a computed tomography (CT)-based navigation system for guidance. This study aimed to evaluate the clinical accuracy and precision of HRA performed using the CT-based navigation systems.

Methods

HRA was performed on 17 hips guided by the CT-based navigation systems. We measured cup alignment deviation, deviation of the stem position, and alignment from the plan by image matching between pre-operative and post-operative CT images.

Results

Cup anteversion was within 5° of that in the plan in all cases. Cup inclination was within 5° of that in the plan in 82.4% and within 10° in all cases. The angular difference of the stem was within 5° in all cases, and the entry point of the stem was within 4 mm in all cases.

Conclusion

The CT-based navigation system for HRA guided accurate component placement according to the plan.

Keywords

Hip resurfacing arthroplasty Computed tomography Navigation Computer-assisted orthopaedic surgery Accuracy 

Notes

Acknowledgments

We thank Prof. Hideki Yoshikawa from Osaka University for his advice and criticism.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Formal consent is not required for this type of retrospective cohort study.

References

  1. 1.
    McMinn DJ, Daniel J, Ziaee H, Pradhan C (2011) Indications and results of hip resurfacing. Int Orthop 35(2):231–237.  https://doi.org/10.1007/s00264-010-1148-8 CrossRefGoogle Scholar
  2. 2.
    Kishida Y, Sugano N, Nishii T, Miki H, Yamaguchi K, Yoshikawa H (2004) Preservation of the bone mineral density of the femur after surface replacement of the hip. J Bone Joint Surg 86-B:185–189.  https://doi.org/10.1302/0301-620X.86B2 CrossRefGoogle Scholar
  3. 3.
    Uemura K, Takao M, Hamada H, Sakai T, Ohzono K, Sugano N (2017) Long-term results of Birmingham hip resurfacing arthroplasty in Asian patients. J Artif Organs.  https://doi.org/10.1007/s10047-017-0981-6
  4. 4.
    Cobb JP, Kannan V, Dandachli W, Iranpour F, Brust KU, Hart AJ (2008) Learning how to resurface cam-type femoral heads with acceptable accuracy and precision: the role of computed tomography-based navigation. J Bone Joint Surg Am 90(Suppl 3):57–64.  https://doi.org/10.2106/JBJS.H.00606 CrossRefGoogle Scholar
  5. 5.
    Kohan L, Field CJ, Kerr DR (2012) Early complications of hip resurfacing. J Arthroplast 27(6):997–1002.  https://doi.org/10.1016/j.arth.2012.01.030 CrossRefGoogle Scholar
  6. 6.
    Abe H, Sakai T, Nishii T, Takao M, Nakamura N, Sugano N (2014) Jogging after total hip arthroplasty. Am J Sports Med 42(1):131–137.  https://doi.org/10.1177/0363546513506866 CrossRefGoogle Scholar
  7. 7.
    Beaulé PE, Lee JL, Le Duff MJ, Amstutz HC, Ebramzadeh E (2004) Orientation of the femoral component in surface arthroplasty of the hip. A biomechanical and clinical analysis. J Bone Joint Surg 86-A(9):2015–2021CrossRefGoogle Scholar
  8. 8.
    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(2):223–229.  https://doi.org/10.1002/rcs.1490 CrossRefGoogle Scholar
  9. 9.
    Olsen M, Davis ET, Waddell JP, Schemitsch EH (2009) Imageless computer navigation for placement of the femoral component in resurfacing arthroplasty of the hip. J Bone Joint Surg (Br) 91(B):310–315CrossRefGoogle Scholar
  10. 10.
    Sugano N, Ochi T, Noble PC, Kamaric E, Salama JK, Tullos HS (1998) The morphology of the femur in developmental dysplasia of the hip. J Bone Joint Surg Am Vol 80-B:711–719CrossRefGoogle Scholar
  11. 11.
    Noble PC, Kamaric E, Sugano N, Matsubara M, Harada Y, Ohzono K, Paravic V (2003) The three- dimensional shape of the dysplastic femur. Clin Orthop Relat Res 417:27–40Google Scholar
  12. 12.
    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(5):674–679.  https://doi.org/10.1016/j.arth.2010.08.001 CrossRefGoogle Scholar
  13. 13.
    Iwana D, Nakamura N, Miki H, Kitada M, Hananouchi T, Sugano N (2013) Accuracy of angle and position of the cup using computed tomography-based navigation systems in total hip arthroplasty. Comput Aided Surg 18(5–6):187–194.  https://doi.org/10.3109/10929088.2013.818713 CrossRefGoogle Scholar
  14. 14.
    Sugano N, Sasama T, Sato Y, Nakajima Y, Nishii T, Yonenobu K, Tamura S, Ochi T (2010) Accuracy evaluation of surface-based registration methods in a computer navigation system for hip surgery performed through a posterolateral approach. Comput Aided Surg 6(4):195–203.  https://doi.org/10.3109/10929080109146083 CrossRefGoogle Scholar
  15. 15.
    Grammatopoulos G, Pandit H, Glyn-Jones S, McLardy-Smith P, Gundle R, Whitwell D, Gill HS, Murray DW (2010) Optimal acetabular orientation for hip resurfacing. J Bone Joint Surg 92(B):1072–1078.  https://doi.org/10.1302/0301-620X.92B8 CrossRefGoogle Scholar
  16. 16.
    Hagio K, Sugano N, Takashina M, Nishii T, Yoshikawa H, Ochi T (2003) Embolic events during total hip arthroplasty: an echocardiographic study. J Arthroplast 18(2):186–192.  https://doi.org/10.1054/arth.2003.50027 CrossRefGoogle Scholar
  17. 17.
    Nakamura N, Nishii T, Kitada M, Iwana D, Sugano N (2013) Application of computed tomography-based navigation for revision total hip arthroplasty. J Arthroplast 28(10):1806–1810.  https://doi.org/10.1016/j.arth.2012.11.015 CrossRefGoogle Scholar
  18. 18.
    Kuroda K, Kabata T, Maeda T, Kajino Y, Watanabe S, Iwai S, Kenji F, Hasegawa K, Inoue D, Tsuchiya H (2014) The value of computed tomography based navigation in revision total hip arthroplasty. Int Orthop 38(4):711–716.  https://doi.org/10.1007/s00264-013-2166-0 CrossRefGoogle Scholar
  19. 19.
    Nakasone S, Takao M, Sakai T, Nishii T, Sugano N (2013) Does the extent of osteonecrosis affect the survival of hip resurfacing? Clin Orthop Relat Res 471(6):1926–1934.  https://doi.org/10.1007/s11999-013-2833-x CrossRefGoogle Scholar
  20. 20.
    Takao M, Nishii T, Sakai T, Yoshikawa H, Sugano N (2014) Iliosacral screw insertion using CT-3D-fluoroscopy matching navigation. Injury 45(6):988–994.  https://doi.org/10.1016/j.injury.2014.01.015 CrossRefGoogle Scholar
  21. 21.
    Resubal JR, Morgan DA (2009) Computer-assisted vs conventional mechanical jig technique in hip resurfacing arthroplasty. J Arthroplast 24(3):341–350.  https://doi.org/10.1016/j.arth.2007.12.013 CrossRefGoogle Scholar
  22. 22.
    Ganapathi M, Vendittoli PA, Lavigne M, Gunther KP (2009) Femoral component positioning in hip resurfacing with and without navigation. Clin Orthop Relat Res 467(5):1341–1347.  https://doi.org/10.1007/s11999-008-0299-z CrossRefGoogle Scholar
  23. 23.
    Fukunishi S, Nishio S, Fujihara Y, Okahisa S, Takeda Y, Fukui T, Yoshiya S (2016) Accuracy of combined anteversion in image-free navigated total hip arthroplasty: stem-first or cup-first technique? Int Orthop 40(1):9–13.  https://doi.org/10.1007/s00264-015-2784-9 CrossRefGoogle Scholar
  24. 24.
    Woerner M, Weber M, Sendtner E, Springorum R, Worlicek M, Craiovan B, Grifka J, Renkawitz T (2017) Soft tissue restricts impingement-free mobility in total hip arthroplasty. Int Orthop 41(2):277–282.  https://doi.org/10.1007/s00264-016-3216-1 CrossRefGoogle Scholar
  25. 25.
    Tsuda K, Haraguchi K, Koyanagi J, Takahashi S, Sugama R, Fujiwara K (2016) A forty millimetre head significantly improves range of motion compared with a twenty eight millimetre head in total hip arthroplasty using a computed tomography-based navigation system. Int Orthop 40(10):2031–2039.  https://doi.org/10.1007/s00264-015-3095-x CrossRefGoogle Scholar
  26. 26.
    Hayashi S, Hashimoto S, Matsumoto T, Takayama K, Shibanuma N, Ishida K, Nishida K, Kuroda R (2018) Computer-assisted surgery prevents complications during peri-acetabular osteotomy. Int Orthop.  https://doi.org/10.1007/s00264-018-3906-y
  27. 27.
    Kyo T, Nakahara I, Kuroda Y, Miki H (2015) Effects of coordinate-system construction methods on postoperative computed tomography evaluation of implant orientation after total hip arthroplasty. Comput Aided Surg 20(1):52–60.  https://doi.org/10.3109/10929088.2015.1076047 CrossRefGoogle Scholar
  28. 28.
    Shimmin AJ, Back D (2005) Femoral neck fractures following Birmingham hip resurfacing a national review of 50 cases. J Bone Joint Surg 87-B(3):463–464.  https://doi.org/10.1302/0301-620X.87B4 CrossRefGoogle Scholar
  29. 29.
    Langton DJ, Joyce TJ, Jameson SS, Lord J, Orsouw MV, Holland JP, Nargol AVF, Smet KAD (2011) Adverse reaction to metal debris following hip resurfacing the influence of component type, orientation and volumetric wear. J Bone Joint Surg 93(B):164–171.  https://doi.org/10.1302/0301-620X.93B2 CrossRefGoogle Scholar

Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Ryuichi Sato
    • 1
    • 2
  • Masaki Takao
    • 1
    • 3
  • Hidetoshi Hamada
    • 3
  • Takashi Sakai
    • 3
  • Keishi Marumo
    • 2
  • Nobuhiko Sugano
    • 1
    • 3
    Email author
  1. 1.Department of Orthopaedic Medical EngineeringOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Department of Orthopaedic SurgeryThe Jikei University School of MedicineTokyoJapan
  3. 3.Department of Orthopaedic SurgeryOsaka University Graduate School of MedicineSuitaJapan

Personalised recommendations