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Skeletal Radiology
Erschienen in: Skeletal Radiology 9/2013

01.09.2013 | Scientific Article

A multimodal approach in total hip arthroplasty preoperative templating

verfasst von: Massimiliano Marcucci, Pier Francesco Indelli, Leonardo Latella, Paolo Poli, Devin King

Erschienen in: Skeletal Radiology | Ausgabe 9/2013

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Abstract

Objectives

Accurate preoperative planning is mandatory for a successful total hip arthroplasty (THA). Templating helps to achieve multiple technical goals, including offset restoration, leg-length equality, and components positioning. This study aims to measure how successful a new stepwise method for preoperative radiographic templating is in achieving postoperative restoration of anatomy.

Methods

We measured the relationship of several radiographic landmarks on the affected limb in comparison to the unaffected limb to define the appropriate position of the components. One hundred consecutive patients with unilateral disease undergoing THA were retrospectively analyzed. The preoperative templates were compared with the postoperative radiographs.

Results

Accuracy in achieving the desired offset, leg-length discrepancy within 5 mm, was 93 % and 100 % respectively. Acetabular component positioning within 2° was replicated in 92 %.

Conclusion

We conclude that this technique can help the surgeon to accurately reproduce the anatomy of the contralateral unaffected hip.
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Metadaten
Titel
A multimodal approach in total hip arthroplasty preoperative templating
verfasst von
Massimiliano Marcucci
Pier Francesco Indelli
Leonardo Latella
Paolo Poli
Devin King
Publikationsdatum
01.09.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Skeletal Radiology / Ausgabe 9/2013
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-013-1677-5

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