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基于手持式加速度计导航系统的全髋关节置换联合前倾技术

Combined Anteversion Technique for Total Hip Arthroplasty With Handheld Accelerometer-Based Navigation System.

作者信息

Alarcon Perico Diego, Warne Christopher N, Lee Sheng-Hsun, Roberts Heather J, Sierra Rafael J

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

出版信息

Arthroplast Today. 2023 Sep 18;23:101193. doi: 10.1016/j.artd.2023.101193. eCollection 2023 Oct.

DOI:10.1016/j.artd.2023.101193
PMID:37745971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10514434/
Abstract

UNLABELLED

Aiming for a combined cup and stem anteversion within a target range is one way to assess appropriate prosthetic component orientation and restoration of functional range of motion. We describe a surgical technique that allows the surgeon to assess the combined anteversion using a handheld accelerometer-based navigation system for total hip arthroplasty through a posterior approach. The femur is prepared first, at which time the femoral version is estimated by the surgeon. The acetabular component is then positioned using the navigation system to estimate anteversion, with the goal of providing a combined version of 37° ± 7°. The described technique allows surgeons to achieve the desired intraoperative combined anteversion.

LEVEL OF EVIDENCE

IV (technical note).

摘要

未标注

将髋臼杯和股骨柄的联合前倾角设定在目标范围内是评估假体组件正确定向以及恢复功能活动范围的一种方法。我们描述了一种手术技术,该技术允许外科医生通过后路全髋关节置换术,使用基于手持加速度计的导航系统来评估联合前倾角。首先准备股骨,此时由外科医生估计股骨前倾角。然后使用导航系统定位髋臼组件以估计前倾角,目标是提供37°±7°的联合前倾角。所描述的技术使外科医生能够在术中实现所需的联合前倾角。

证据级别

IV(技术说明)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/2bc774240a4b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/dc5a8f70b467/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/983ec3e39ca9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/bd4fce03d34d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/382f79657efe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/2bc774240a4b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/dc5a8f70b467/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/983ec3e39ca9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/bd4fce03d34d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/382f79657efe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02a8/10514434/2bc774240a4b/gr5.jpg

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J Bone Joint Surg Am. 2021 Oct 20;103(20):1900-1905. doi: 10.2106/JBJS.20.00950.
2
Accuracy of a portable accelerometer-based navigation system for cup placement and intraoperative leg length measurement in total hip arthroplasty: a cross-sectional study.基于便携式加速度计的导航系统在全髋关节置换术中用于杯放置和术中下肢长度测量的准确性:一项横断面研究。
BMC Musculoskelet Disord. 2021 Mar 23;22(1):299. doi: 10.1186/s12891-021-04167-y.
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Portable Accelerometer-Based Navigation System for Cup Placement of Total Hip Arthroplasty: A Prospective, Randomized, Controlled Study.基于便携式加速度计的全髋关节置换术髋臼杯定位导航系统:一项前瞻性、随机、对照研究。
J Arthroplasty. 2020 Jan;35(1):172-177. doi: 10.1016/j.arth.2019.08.044. Epub 2019 Aug 27.
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