Nogler Michael, Putzer David, Mayr Eckart
Department of Orthopaedic Surgery, Medical University Innsbruck, Austria.
Surg Technol Int. 2012 Dec;22:269-71.
Hip resurfacing is a popular procedure among patients and surgeons. The principal concepts of hip resurfacing are simple, yet demanding, as the procedure has limited tolerance to placement errors, especially for the femoral component. In current technical manuals, the placement of a guide wire seated in the neck is crucial. This guide wire is usually applied by the use of jigs that are intended to align to the neck axis. After evaluating the position of the guide wire, it is necessary to reposition it in many cases. We propose the use of a specially designed readjustment jig that takes advantage of the first guide wire, and gives defined offset and angulations for the placement of a second guide wire. A simple set of disks with different offsets and angulations in relation to a central hole has been developed to serve as a tool to readjust the positioning of the central guide wire in hip resurfacing.
髋关节表面置换术在患者和外科医生中是一种流行的手术。髋关节表面置换术的主要概念很简单,但要求很高,因为该手术对放置误差的耐受性有限,尤其是对于股骨部件。在当前的技术手册中,置于颈部的导丝的放置至关重要。该导丝通常通过旨在与颈部轴线对齐的夹具来应用。在评估导丝的位置后,在许多情况下有必要重新定位它。我们建议使用一种专门设计的重新调整夹具,该夹具利用第一根导丝,并为第二根导丝的放置提供确定的偏移量和角度。已经开发出一组简单的圆盘,它们相对于中心孔具有不同的偏移量和角度,用作在髋关节表面置换术中重新调整中心导丝定位的工具。