A novel acetabular alignment guide for THR using selective anatomic landmarks on the pelvis.
This paper presents a novel approach for acetabular alignment during the implant of a prosthetic hip joint in a natural pelvis. The alignment instrument uses selective anatomic bony landmarks on the pelvis, which are accessible in surgery, to guide the placement of the acetabular component in the appropriate orientation. A closed form solution, involving both a forward and reverse analysis, is presented to relate the parameters of the device with the abduction and anteversion angles. Using mathematical models, this device should allow the surgeon to place the acetabular component with an orientation between 10.9 degrees and 19.1 degrees anteversion and 35.7 degrees and 44.3 degrees abduction with 95% confidence in a male/left specimen for the commonly accepted target of 15 degrees anteversion and 40 degrees abduction. This device is currently being used successfully by one of the authors in THR surgery.
DeChenne
Charles L
CL
School of Mechanical and Materials Engineering, Washington State University, Sloan 201, Spokane Street, Pullman, WA 99163, USA. cdechenn@gocougs.wsu.edu
Jayaram
Uma
U
Lovell
Tim
T
Dong
Nick
N
Cusick
Mike
M
D000077:Acetabulum / Q000473:pathology* / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006621:Hip Joint / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010388:Pelvis / Q000473:pathology*; D017755:Prosthesis Fitting / Q000295:instrumentation* / Q000379:methods; D013813:Therapy, Computer-Assisted / Q000295:instrumentation / Q000379:methods