Skip to main content
Erschienen in: International Orthopaedics 4/2021

11.09.2020 | Review

Computer assistance in hip preservation surgery—current status and introduction of our system

verfasst von: Klemen Stražar

Erschienen in: International Orthopaedics | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Preservation surgery of the hip with open or arthroscopic approach has always been challenging as complex 3-D anatomy and limited surgical access make intraoperative evaluation difficult. Recent advances in computer technology offer a wide range of innovative solutions with a goal to improve accuracy and safety of corrective procedures on human joints.

Method

The author critically reviews currently available literature in the field of computer assistance in hip preservation surgery. Basic features of unique planning software and navigation surgical system used in treatment of femoroacetabular impingement and hip dysplasia are introduced.

Results

Currently available software provides preoperative identification of hip deformity on CT-based 3-D model and planning of the surgical correction using kinematic protocols. Real-time intraoperative 3-D orientation is possible, and execution of surgical correction can be performed either with navigation of surgical tools or with printed templates. Computer assistance in hip preservation surgery is in the developing phase. First clinical experiences of its use in treatment of femoroacetabular impingement, hip dysplasia, hip tumors, and avascular necrosis of the femoral head are promising.

Conclusion

Computer assistance has been applied for treatment of several hip disorders. Technical advances are suggested and quality basic studies and clinical trials are encouraged for the novel technology to become more user friendly and widely accepted.
Literatur
4.
Zurück zum Zitat Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36 Ganz R, Klaue K, Vinh TS, Mast JW (1988) A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results. Clin Orthop Relat Res 232:26–36
22.
Zurück zum Zitat Davey JP, Santore RF (1999) Complications of periacetabular osteotomy. Clin Orthop Relat Res 363:33–37CrossRef Davey JP, Santore RF (1999) Complications of periacetabular osteotomy. Clin Orthop Relat Res 363:33–37CrossRef
26.
28.
Zurück zum Zitat Lerch TD, Degonda C, Schmaranzer F, Todorski I, Cullmann-Bastian J, Zheng G, Siebenrock KA, Tannast M (2019) Patient-specific 3-D magnetic resonance imaging-based dynamic simulation of hip impingement and range of motion can replace 3-D computed tomography-based simulation for patients with femoroacetabular impingement: implications for planning open hip preservation surgery and hip arthroscopy. Am J Sports Med 47(12):2966–2977. https://doi.org/10.1177/0363546519869681CrossRefPubMed Lerch TD, Degonda C, Schmaranzer F, Todorski I, Cullmann-Bastian J, Zheng G, Siebenrock KA, Tannast M (2019) Patient-specific 3-D magnetic resonance imaging-based dynamic simulation of hip impingement and range of motion can replace 3-D computed tomography-based simulation for patients with femoroacetabular impingement: implications for planning open hip preservation surgery and hip arthroscopy. Am J Sports Med 47(12):2966–2977. https://​doi.​org/​10.​1177/​0363546519869681​CrossRefPubMed
39.
Zurück zum Zitat Liu L, Zheng G, Bastian JD, Keel MJ, Nolte LP, Siebenrock KA, Ecker TM (2016) Periacetabular osteotomy through the pararectus approach: technical feasibility and control of fragment mobility by a validated surgical navigation system in a cadaver experiment. Int Orthop 40(7):1389–1396. https://doi.org/10.1007/s00264-015-2892-6CrossRefPubMed Liu L, Zheng G, Bastian JD, Keel MJ, Nolte LP, Siebenrock KA, Ecker TM (2016) Periacetabular osteotomy through the pararectus approach: technical feasibility and control of fragment mobility by a validated surgical navigation system in a cadaver experiment. Int Orthop 40(7):1389–1396. https://​doi.​org/​10.​1007/​s00264-015-2892-6CrossRefPubMed
42.
Zurück zum Zitat Lepistö J, Armand M, Armiger RS (2008) Periacetabular osteotomy in adult hip dysplasia - developing a computer aided real-time biomechanical guiding system (BGS). Suom Ortoped Traumatol 31(2):186–190PubMedPubMedCentral Lepistö J, Armand M, Armiger RS (2008) Periacetabular osteotomy in adult hip dysplasia - developing a computer aided real-time biomechanical guiding system (BGS). Suom Ortoped Traumatol 31(2):186–190PubMedPubMedCentral
48.
Zurück zum Zitat Fujiwara T, Sree DV, Stevenson J, Kaneuchi Y, Parry M, Tsuda Y, Le Nail LR, Medellin RM, Grimer R, Jeys L (2020) Acetabular reconstruction with an ice-cream cone prosthesis following resection of pelvic tumors: does computer navigation improve surgical outcome? J Surg Oncol 121(7):1104–1114. https://doi.org/10.1002/jso.25882CrossRefPubMed Fujiwara T, Sree DV, Stevenson J, Kaneuchi Y, Parry M, Tsuda Y, Le Nail LR, Medellin RM, Grimer R, Jeys L (2020) Acetabular reconstruction with an ice-cream cone prosthesis following resection of pelvic tumors: does computer navigation improve surgical outcome? J Surg Oncol 121(7):1104–1114. https://​doi.​org/​10.​1002/​jso.​25882CrossRefPubMed
51.
Zurück zum Zitat Ukaj S, Hernigou P, Auregan JC (2019) Targeting core decompression and cell therapy injection of hip osteonecrosis with computer-assisted navigation. Surg Technol Int 35:410–416PubMed Ukaj S, Hernigou P, Auregan JC (2019) Targeting core decompression and cell therapy injection of hip osteonecrosis with computer-assisted navigation. Surg Technol Int 35:410–416PubMed
Metadaten
Titel
Computer assistance in hip preservation surgery—current status and introduction of our system
verfasst von
Klemen Stražar
Publikationsdatum
11.09.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 4/2021
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04788-3

Weitere Artikel der Ausgabe 4/2021

International Orthopaedics 4/2021 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.