Leg length and offset measures with a pinless femoral reference array during THA.

The bony fixation of reference marker arrays used for computer-assisted navigation during total hip arthroplasty (THA) theoretically involves the risk of fracture, infection, and/or pin loosening. We asked whether intraoperative assessment of leg length (LL) and offset (OS) changes would be accurate...

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Publicado en:Clinical Orthopaedics & Related Research® Vol. 468; no. 7; pp. 1862 - 1869
Autores principales: Renkawitz T, Schuster T, Grifka J, Kalteis T, Sendtner E, Renkawitz, Tobias, Schuster, Tibor, Grifka, Joachim, Kalteis, Thomas, Sendtner, Ernst
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins Jul2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Leg length and offset measures with a pinless femoral reference array during THA.
      aug:
        au:
          Renkawitz T
          Schuster T
          Grifka J
          Kalteis T
          Sendtner E
          Renkawitz, Tobias
          Schuster, Tibor
          Grifka, Joachim
          Kalteis, Thomas
          Sendtner, Ernst
        affil: Department of Orthopaedic Surgery, Regensburg University Medical Center, Regensburg, Germany
      sug:
        subj:
          Arthroplasty, Replacement, Hip Methods
          Femur Anatomy and Histology
          Leg Anatomy and Histology
          Therapy, Computer Assisted Methods
          Algorithms
          Arthroplasty, Replacement, Hip Standards
          Cadaver
          Female
          Femur Radiography
          Human
          Leg Radiography
          Male
          Observer Bias
          Weights and Measures
          Reproducibility of Results
          Tomography, X-Ray Computed
          Female
          Male
      ab: The bony fixation of reference marker arrays used for computer-assisted navigation during total hip arthroplasty (THA) theoretically involves the risk of fracture, infection, and/or pin loosening. We asked whether intraoperative assessment of leg length (LL) and offset (OS) changes would be accurate using a novel pinless femoral reference system in conjunction with an imageless measurement algorithm based on specific realignment of the relationship between a dynamic femoral and pelvis reference array. LL/OS measurements were recorded during THA in 17 cadaver specimen hips. Preoperatively and postoperatively, specimens were scanned using CT. Linear radiographic LL/OS changes were determined by two investigators using visible fiducial landmarks and image processing software. We found a high correlation of repeated measurements within and between (both 0.95 or greater) the two examiners who did the CT assessments. Pinless LL/OS values showed mean differences less than 1 mm and correlations when compared with CT measurements.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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