Cup alignment error model for total hip arthroplasty.

Abstract:

:Almost all computer-assisted orthopaedic surgery systems that rely on the anterior pelvic plane definition, such as in computed tomography and magnetic resonance image-based, fluoroscopy-based, and nonimage total hip replacement approaches, are derived from identifying two pairs of pelvic bony landmarks: anterior superior iliac spines and the pubic tubercles. Although these systems strive to achieve cup alignment accuracy of approximately 1 degree, even a minor failure to correctly identify these anatomic landmarks can lead to higher inaccuracies in the final cup alignment. This study shows how to examine the effects of these inaccuracies on the final acetabular cup implant orientation during total hip replacement by generating a kinematic model, which then is simulated. Simulation results indicate that, for example, a total error of 4 mm in measuring the anterior superior iliac spine and the pubic tubercles would result in a final cup orientation of 47 degrees and 27 degrees in abduction and version respectively, resulting in a 2 degrees abduction error and 7 degrees error in version when targeting 45 degrees abduction and 20 degrees version results. These calculations can be repeated for any error values.

journal_name

Clin Orthop Relat Res

authors

Wolf A,Digioia AM 3rd,Mor AB,Jaramaz B

doi

10.1097/01.blo.0000164027.06880.3a

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

132-7

issue

437

eissn

0009-921X

issn

1528-1132

pii

00003086-200508000-00024

pub_type

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