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Imageless navigation for cup insertion in total hip arthroplasty is as accurate as CT-Based navigation

机译:在总髋关节关节造身术中的杯子插入的现象导航与基于CT的导航一样准确

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Introduction: This prospective random study aims to provide an answer to the following questions: Is the accuracy of computer-assisted acetabular cup placement, both in the case of CT-based and imageless navigation, significantly better than that offered by the conventional operation technique? Is the accuracy of acetabular cup placement using imageless navigation comparable with that of CT-based navigation, or are significant differences evident? Does the use of computer-assisted navigation significantly reduce incorrect cup placement out of the Lewinnek safe zone? Methods: 90 patients were assigned randomly by lot to one of the three study groups: 1) Conventional freehand hip arthoplasty (n=30); 2) CT-based navigated acetabular cup placement (n=30); 3) Imageless navigated cup placement (n=30). The target acetabular cup position for all patients was 45?inclination and 15?anteversion. Depending on the primary stability, however, deviations within the safe zone defined by Lewinnek et al. (1978) (inclination 40?-10?and anteversion 15?-10? were tolerated. In all patients total hip arthroplasty was indicated, because of primary osteoarthritis of the hip. Exclusion criteria were: Dysplatic coxarthrosis, post-traumatic deformities of the pelvis or less than 50 years old, since as preoperative and/or post-operative pelvis CT scans were required for study purposes.
机译:介绍:这项潜在的随机研究旨在提供以下问题的答案:是计算机辅助髋臼杯放置的准确性,无论是在CT的基于和不知觉的导航的情况下,都比传统操作技术提供的更好更好?是使用图像导航的髋臼杯放置的准确性与基于CT的导航相当,或者显着差异是显而易见的吗?使用计算机辅助导航是否明显减少了LEWINNEK安全区的错误杯放置?方法:将90例患者随机分配给三个研究组中的一项:1)常规手法髋关节成形术(n = 30); 2)基于CT的导航髋臼杯放置(n = 30); 3)不知想象的导航杯放置(n = 30)。所有患者的目标髋臼杯位置为45?倾斜度和15?触发。然而,根据主要稳定性,由Lewinnek等人定义的安全区内的偏差。 (1978)(倾斜40?-10?和反转15?-10?被耐受。在所有患者中,由于髋髋的原发性骨关节炎,表明了总髋关节置换术。排除标准是:发狂标准,缺陷的Coxarthosis,创伤后的畸形畸形。骨盆或少于50岁,因为术前和/或术后佩尔维斯CT扫描是学习目的所必需的。

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