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Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty

BACKGROUND: Preoperative planning is an integral part of total hip arthroplasty and has a significant impact on surgical technique and clinical outcome. The variety of types and sizes of endoprosthesis components makes the procedure more demanding and generates a need for accurate preoperative plann...

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Autores principales: Dutka, Julian, Kiepura, Slawomir, Bukowczan, Mateusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8246200/
https://www.ncbi.nlm.nih.gov/pubmed/34268362
http://dx.doi.org/10.21037/atm-20-7489
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author Dutka, Julian
Kiepura, Slawomir
Bukowczan, Mateusz
author_facet Dutka, Julian
Kiepura, Slawomir
Bukowczan, Mateusz
author_sort Dutka, Julian
collection PubMed
description BACKGROUND: Preoperative planning is an integral part of total hip arthroplasty and has a significant impact on surgical technique and clinical outcome. The variety of types and sizes of endoprosthesis components makes the procedure more demanding and generates a need for accurate preoperative planning. The objective of this study was to analyze an analog method of preoperative planning of primary total hip arthroplasty based on templates overlaying on preoperative radiograms and compare its accuracy for predicting the size, both the stem and cup, with computer planning methods. METHODS: A retrospective cohort study based on 360 X-ray images of hip joints in 348 patients qualified for total hip arthroplasty between 2018 and 2019. The study group consisted of 136 men and 212 women, with an average age of 65 years (56 to 85 years). Material included both cementless and cemented endoprostheses. RESULTS: In the analyzed material, the accuracy of cup planning using the analog method was 85% (P<0.001) and 77% (P<0.001) in the planning of stem size. However, using the computer method, planning accuracy was 82% (P<0.001) for the cup and 72% (P<0.001) for the stem. CONCLUSIONS: Both methods of preoperative planning remain effective. The analog method of preoperative planning is simple, precise, and repeatable in choosing the type and size of endoprosthesis components with an accuracy of 85% and 77% for the cup and stem respectively. The accuracy of planning depends on the type of endoprosthesis and in the case of the cemented endoprosthesis, it is lower than in cementless.
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spelling pubmed-82462002021-07-14 Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty Dutka, Julian Kiepura, Slawomir Bukowczan, Mateusz Ann Transl Med Original Article BACKGROUND: Preoperative planning is an integral part of total hip arthroplasty and has a significant impact on surgical technique and clinical outcome. The variety of types and sizes of endoprosthesis components makes the procedure more demanding and generates a need for accurate preoperative planning. The objective of this study was to analyze an analog method of preoperative planning of primary total hip arthroplasty based on templates overlaying on preoperative radiograms and compare its accuracy for predicting the size, both the stem and cup, with computer planning methods. METHODS: A retrospective cohort study based on 360 X-ray images of hip joints in 348 patients qualified for total hip arthroplasty between 2018 and 2019. The study group consisted of 136 men and 212 women, with an average age of 65 years (56 to 85 years). Material included both cementless and cemented endoprostheses. RESULTS: In the analyzed material, the accuracy of cup planning using the analog method was 85% (P<0.001) and 77% (P<0.001) in the planning of stem size. However, using the computer method, planning accuracy was 82% (P<0.001) for the cup and 72% (P<0.001) for the stem. CONCLUSIONS: Both methods of preoperative planning remain effective. The analog method of preoperative planning is simple, precise, and repeatable in choosing the type and size of endoprosthesis components with an accuracy of 85% and 77% for the cup and stem respectively. The accuracy of planning depends on the type of endoprosthesis and in the case of the cemented endoprosthesis, it is lower than in cementless. AME Publishing Company 2021-05 /pmc/articles/PMC8246200/ /pubmed/34268362 http://dx.doi.org/10.21037/atm-20-7489 Text en 2021 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Dutka, Julian
Kiepura, Slawomir
Bukowczan, Mateusz
Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title_full Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title_fullStr Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title_full_unstemmed Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title_short Is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
title_sort is analog preoperative planning still applicable?—comparison of accuracy of analog and computer preoperative planning methods in total hip arthroplasty
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8246200/
https://www.ncbi.nlm.nih.gov/pubmed/34268362
http://dx.doi.org/10.21037/atm-20-7489
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