Skip to main content

Advertisement

SpringerLink
Log in

Computer-assisted surgery prevents complications during peri-acetabular osteotomy

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Purpose

The aim of study is to evaluate the accuracy of a navigation system during curved peri-acetabular osteotomy (CPO).

Methods

Forty-seven patients (53 hips) with hip dysplasia were enrolled and underwent CPO with or without navigation during surgery. Clinical and radiographical evaluations were performed and compared between the navigation group and non-navigation group, post-operatively.

Results

The clinical outcomes were not significantly different between the navigation and non-navigation groups. Furthermore, post-operative reorientation of the acetabular fragment was similar between the navigation and non-navigation groups. However, the discrepancy between the pre-operative planning line and post-operative osteotomy line was significantly improved in the navigation group compared with that in the non-navigation group (p < 0.05). Further, the complication rate was significantly improved in the navigation group (p < 0.001).

Conclusion

The accuracy of the osteotomy’s position was significantly improved by using the navigation. Therefore, the use of navigation during peri-acetabular osteotomy can avoid complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Nakamura S, Ninomiya S, Nakamura T (1989) Primary osteoarthritis of the hip joint in Japan. Clin Orthop Relat Res 241:191–196

  2. Eppright RH (1975) Dial osteotomy of acetabulum in treatment of dysplasia of hip. J Bone Joint Surg Am 57:1172–1172

    Google Scholar 

  3. Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36

  4. Ninomiya S, Tagawa H (1984) Rotational acetabular osteotomy for the dysplastic hip. J Bone Joint Surg Am 66:430–436

    Article  CAS  Google Scholar 

  5. Schramm M, Pitto RP, Rohm E, Hohmann D (1999) Long-term results of spherical acetabular osteotomy. J Bone Joint Surg Br 81:60–66

    Article  CAS  Google Scholar 

  6. Naito M, Shiramizu K, Akiyoshi Y, Ezoe M, Nakamura Y (2005) Curved periacetabular osteotomy for treatment of dysplastic hip. Clin Orthop Relat Res 129–135

  7. Millis MB, Murphy SB, Poss R (1996) Osteotomies about the hip for the prevention and treatment of osteoarthrosis. Instr Course Lect 45:209–226

    CAS  PubMed  Google Scholar 

  8. Novais EN, Carry PM, Kestel LA, Ketterman B, Brusalis CM, Sankar WN (2017) Does surgeon experience impact the risk of complications after Bernese periacetabular osteotomy? Clin Orthop Relat Res 475:1110–1117. https://doi.org/10.1007/s11999-016-5010-1

    Article  PubMed  Google Scholar 

  9. Ito H, Tanino H, Sato T, Nishida Y, Matsuno T (2014) Early weight-bearing after periacetabular osteotomy leads to a high incidence of postoperative pelvic fractures. BMC Musculoskelet Disord 15:234. https://doi.org/10.1186/1471-2474-15-234

    Article  PubMed  PubMed Central  Google Scholar 

  10. Zaltz I, Baca G, Kim YJ, Schoenecker P, Trousdale R, Sierra R, Sucato D, Sink E, Beaule P, Millis MB, Podeszwa D, Clohisy JC (2014) Complications associated with the periacetabular osteotomy: a prospective multicenter study. J Bone Joint Surg Am 96:1967–1974. https://doi.org/10.2106/JBJS.N.00113

    Article  PubMed  Google Scholar 

  11. Mast JW, Brunner RL, Zebrack J (2004) Recognizing acetabular version in the radiographic presentation of hip dysplasia. Clin Orthop Relat Res 418:48–53

    Article  Google Scholar 

  12. Hipp JA, Sugano N, Millis MB, Murphy SB (1999) Planning acetabular redirection osteotomies based on joint contact pressures. Clin Orthop Relat Res 314:134–143

    Article  Google Scholar 

  13. Liu L, Ecker TM, Schumann S, Siebenrock KA, Zheng G (2016) Evaluation of constant thickness cartilage models vs. patient specific cartilage models for an optimized computer-assisted planning of periacetabular osteotomy. PLoS One 11:e0146452. https://doi.org/10.1371/journal.pone.0146452

    Article  PubMed  PubMed Central  Google Scholar 

  14. Pflugi S, Liu L, Ecker TM, Schumann S, Larissa Cullmann J, Siebenrock K, Zheng G (2016) A cost-effective surgical navigation solution for periacetabular osteotomy (PAO) surgery. Int J Comput Assist Radiol Surg 11:271–280. https://doi.org/10.1007/s11548-015-1267-1

    Article  PubMed  Google Scholar 

  15. Murphy RJ, Armiger RS, Lepisto J, Mears SC, Taylor RH, Armand M (2015) Development of a biomechanical guidance system for periacetabular osteotomy. Int J Comput Assist Radiol Surg 10:497–508. https://doi.org/10.1007/s11548-014-1116-7

    Article  PubMed  Google Scholar 

  16. Radermacher K, Portheine F, Anton M, Zimolong A, Kaspers G, Rau G, Staudte HW (1998) Computer assisted orthopaedic surgery with image based individual templates. Clin Orthop Relat Res 354:28–38

    Article  Google Scholar 

  17. Otsuki B, Takemoto M, Kawanabe K, Awa Y, Akiyama H, Fujibayashi S, Nakamura T, Matsuda S (2013) Developing a novel custom cutting guide for curved peri-acetabular osteotomy. Int Orthop 37:1033–1038. https://doi.org/10.1007/s00264-013-1873-x

    Article  PubMed  PubMed Central  Google Scholar 

  18. Tonnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770

    Article  CAS  Google Scholar 

  19. Takao M, Nishii T, Sakai T, Sugano N (2017) Comparison of rotational acetabular osteotomy performed with navigation by surgeons with different levels of experience of osteotomies. Int J Comput Assist Radiol Surg 12:841–853. https://doi.org/10.1007/s11548-016-1494-0

    Article  PubMed  Google Scholar 

  20. Hasegawa Y, Iwata H, Mizuno M, Genda E, Sato S, Miura T (1992) The natural course of osteoarthritis of the hip due to subluxation or acetabular dysplasia. Arch Orthop Trauma Surg 111:187–191

    Article  CAS  Google Scholar 

  21. Cartiaux O, Banse X, Paul L, Francq BG, Aubin CE, Docquier PL (2013) Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis. Comput Aided Surg 18:19–26. https://doi.org/10.3109/10929088.2012.744096

    Article  PubMed  Google Scholar 

  22. Hsieh PH, Chang YH, Shih CH (2006) Image-guided periacetabular osteotomy: computer-assisted navigation compared with the conventional technique: a randomized study of 36 patients followed for 2 years. Acta Orthop 77:591–597. https://doi.org/10.1080/17453670610012656

    Article  PubMed  Google Scholar 

  23. Inaba Y, Kobayashi N, Ike H, Kubota S, Saito T (2016) Computer-assisted rotational acetabular osteotomy for patients with acetabular dysplasia. Clin Orthop Surg 8:99–105. https://doi.org/10.4055/cios.2016.8.1.99

    Article  PubMed  PubMed Central  Google Scholar 

  24. Albers CE, Steppacher SD, Ganz R, Tannast M, Siebenrock KA (2013) Impingement adversely affects 10-year survivorship after periacetabular osteotomy for DDH. Clin Orthop Relat Res 471:1602–1614. https://doi.org/10.1007/s11999-013-2799-8

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Shinya Hayashi, Shingo Hashimoto, Tomoyuki Matsumoto, Koji Takayama, Kotaro Nishida & Ryosuke Kuroda

  2. Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan

    Nao Shibanuma & Kazunari Ishida

Authors
  1. Shinya Hayashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shingo Hashimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomoyuki Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Koji Takayama
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Nao Shibanuma
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kazunari Ishida
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Kotaro Nishida
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Ryosuke Kuroda
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

S. Haya designed the study. S. Haya, S. Hashi, KT, TM, KI, and NS collected the data. S. Haya and TM interpreted the data. KN performed the statistical analysis. S. Haya drafted the article. RK conducted the critical review and made the final approval.

Corresponding author

Correspondence to Shinya Hayashi.

Ethics declarations

The study protocol was approved by our institutional ethics committee on September 8, 2011 (No. 1219), and informed consent for participation in the study was obtained from all participants.

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hayashi, S., Hashimoto, S., Matsumoto, T. et al. Computer-assisted surgery prevents complications during peri-acetabular osteotomy. International Orthopaedics (SICOT) 42, 2555–2561 (2018). https://doi.org/10.1007/s00264-018-3906-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-018-3906-y

Keywords

Search

Navigation