Fluoroscopic navigation system for hip surface replacement.
Metal-on-metal hip resurfacing arthroplasties represent an alternative to total hip arthroplasties for young and active patients, enabling the preservation of intact femoral bone and therefore improving the prognosis for future hip joint replacements. Follow-up studies have shown that the main reasons for early implant failure are mal-orientation of the implant stem in relation to the femoral neck axis, and notching of the femoral neck during femoral head preparation, as well as by exposed cancellous bone after implantation. A computer-assisted planning and navigation system for the implantation of femoral hip resurfacing implants has been developed which supports the surgeon during intraoperative fluoroscopy-based planning and navigation of implant positioning. This paper presents the results of a cadaver study performed to evaluate the system's functionality and accuracy.
Belei
Peter
P
Helmholtz-Institute for Biomedical Engineering, RWTH Aachen University, Aachen, Germany. belei@hia.rwth-aachen.de
Skwara
Adrian
A
De La Fuente
Matías
M
Schkommodau
Erik
E
Fuchs
Susanne
S
Wirtz
Dieter-C
DC
Kämper
Christian
C
Radermacher
Klaus
K
D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D002138:Calibration; D005240:Feasibility Studies; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery*; D005471:Fluoroscopy / Q000295:instrumentation*; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000295:instrumentation*; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D012984:Software; D025321:Surgery, Computer-Assisted / Q000295:instrumentation*; D014584:User-Computer Interface