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Weber, Markus ; von Kunow, Frederik ; Innmann, Moritz ; Meyer, Matthias ; Thieme, Max ; Jerabek, Seth ; Renkawitz, Tobias

Which Safe Zone Is Safe in Total Hip Arthroplasty? The Effect of Bony Impingement

Weber, Markus , von Kunow, Frederik, Innmann, Moritz, Meyer, Matthias , Thieme, Max, Jerabek, Seth und Renkawitz, Tobias (2022) Which Safe Zone Is Safe in Total Hip Arthroplasty? The Effect of Bony Impingement. Journal of Personalized Medicine 12 (5), S. 812.

Veröffentlichungsdatum dieses Volltextes: 14 Jul 2022 07:33
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52595


Zusammenfassung

Safe zones for cup position are currently being investigated in total hip arthroplasty (THA). This study aimed to evaluate the impact of bony impingement on the safe zone and provide recommendations for cup position in THA. CT scans were performed on 123 patients who underwent a cementless THA. Using the implant data and bone morphology from the CT scans, an impingement detection algorithm ...

Safe zones for cup position are currently being investigated in total hip arthroplasty (THA). This study aimed to evaluate the impact of bony impingement on the safe zone and provide recommendations for cup position in THA. CT scans were performed on 123 patients who underwent a cementless THA. Using the implant data and bone morphology from the CT scans, an impingement detection algorithm simulating range of motion (ROM) determined the presence of prosthetic and/or bony impingement. An impingement-free zone of motion was determined for each patient. These zones were then compared across all patients to establish an optimized impingement-free "safe zone". Bony impingement reduced the impingement-free zone of motion in 49.6% (61/123) of patients. A mean reduction of 23.4% in safe zone size was observed in relation to periprosthetic impingement. The superposition of the safe zones showed the highest probability of impingement-free ROM with cup position angles within 40-50 degrees of inclination and 20-30 degrees of anteversion in relation to the applied cup and stem design of this study. Virtual ROM simulations identified bony impingement at the anterosuperior acetabular rim for internal rotation at 90 degrees of flexion and at the posteroinferior rim for adduction as the main reasons for bony impingement.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of Personalized Medicine
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:12
Nummer des Zeitschriftenheftes oder des Kapitels:5
Seitenbereich:S. 812
Datum18 Mai 2022
InstitutionenMedizin > Lehrstuhl für Unfallchirurgie
Medizin > Lehrstuhl für Orthopädie
Identifikationsnummer
WertTyp
10.3390/jpm12050812DOI
Stichwörter / KeywordsNAVIGATION; RANGE; RADIOGRAPHS; ANTEVERSION; DISLOCATION; POSITION; MOTION; CUP; total hip arthroplasty; bony impingement; combined anteversion; safe zone
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-525953
Dokumenten-ID52595

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