Teja Tarun, Shrivastava Sandeep, Choudhary Abhishek, Rathod Vinit, Balusani Prashanth
Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Apr 26;16(4):e59114. doi: 10.7759/cureus.59114. eCollection 2024 Apr.
Total hip arthroplasty (THA) is a widely practiced surgical intervention to alleviate pain and reinstate functionality in individuals afflicted with hip joint pathology. The positioning of the acetabulum assumes paramount significance in determining the efficacy of THA, exerting profound influences on biomechanical dynamics, stability, and the durability of outcomes over time. This comprehensive review meticulously evaluates contemporary methodologies for optimizing acetabular positioning in THA, encompassing advanced technologies such as computer-assisted navigation systems, patient-specific instrumentation, robotic-assisted surgical approaches, image-based planning techniques, and intraoperative fluoroscopy. Crucially, key discoveries underscore the pivotal role of precise acetabular alignment in mitigating complications such as dislocation, component wear, and impingement. Moreover, the implications for clinical practice accentuate the imperative of continuous education and training to ensure effective deployment of sophisticated methodologies. Recommendations for furthering research and enhancing practice development underscore the necessity of scrutinizing long-term prognoses, assessing cost-effectiveness, and embracing technological innovations perpetually refining THA outcomes. Collaborative endeavors among researchers, practitioners, and industry stakeholders emerge as indispensable drivers of advancement in this domain, fostering an environment conducive to elevating the standard of care for individuals undergoing THA.
全髋关节置换术(THA)是一种广泛应用的外科手术干预措施,用于缓解患有髋关节疾病的个体的疼痛并恢复其功能。髋臼的定位在决定THA的疗效方面具有至关重要的意义,对生物力学动态、稳定性以及随着时间推移结果的耐久性有着深远影响。本综述细致地评估了优化THA中髋臼定位的当代方法,包括计算机辅助导航系统、定制化器械、机器人辅助手术方法、基于图像的规划技术以及术中透视等先进技术。至关重要的是,关键发现强调了精确髋臼对线在减轻脱位、部件磨损和撞击等并发症方面的关键作用。此外,对临床实践的影响突出了持续教育和培训的必要性,以确保有效应用复杂的方法。关于推进研究和加强实践发展的建议强调了审视长期预后、评估成本效益以及不断采用技术创新以持续改善THA结果的必要性。研究人员、从业者和行业利益相关者之间的合作努力成为该领域进步不可或缺的驱动力,营造了一个有利于提高接受THA个体护理标准的环境。