Computer-assisted navigation in hip resurfacing arthroplasty - a single-surgeon experience.
Hip resurfacing arthroplasty is a technically challenging procedure, and orientation of the femoral component is critical to avoid implant failure. The use of computer-assisted navigation has been shown to decrease the learning curve for beginners in hip resurfacing and to improve the surgeon's ability to produce consistent results. Computer navigation offers real-time feedback, with the opportunity to produce improved repeatability to optimize patient outcomes. The purpose of this study was to evaluate the learning curve of computer-assisted surgery in the hands of an experienced hip resurfacing surgeon. A retrospective review of 100 consecutive navigated hip resurfacing arthroplasties in 94 patients assessed preoperative and postoperative neck-shaft angles, operative times, and complications. Twenty-five non-navigated hip resurfacing arthroplasties, performed by the same surgeon, were evaluated as a matching group. Mean operative times for the computer-assisted hip resurfacing were 101 minutes, as compared to 104 minutes in the non-navigated group. We found that in the hands of an experienced hip resurfacing surgeon, the addition of computer-assisted navigation had no effect on the learning curve, but did provide feedback and repeatability to the surgeon.
Shields
John S
JS
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Seyler
Thorsten M
TM
Maguire
Cara
C
Jinnah
Riyaz H
RH
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D016022:Case-Control Studies; D002983:Clinical Competence; D005260:Female; D005269:Femur / Q000601:surgery*; D006621:Hip Joint / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000295:instrumentation; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult