The value of computed tomography based navigation in revision total hip arthroplasty.
OBJECTIVE
This study investigates the accuracy of a computed tomography (CT)-based navigation system for accurate acetabular component placement during revision total hip arthroplasty (THA).


METHODS
We performed a retrospective review of 30 hips in 26 patients who underwent cementless revision THA using a CT-based navigation system; the control group consisted of 25 hips in 25 patients who underwent cementless primary THA using the same system. We analysed the deviation of anteversion and inclination angles among the pre-operative plan, intra-operative records from the navigation system and data from postoperative CT scans.


RESULTS
There were no significant differences between groups (P < 0.05) in terms of mean deviation between pre-operative planning and postoperative measurements or between intraoperative records and postoperative measurements.


CONCLUSIONS
CT-based navigation in revision THA is a useful tool that enables the surgeon to implant the acetabular component at the precise angle determined in pre-operative planning.
Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan.
Kazunari
K
Kuroda
Tamon
T
Kabata
Toru
T
Maeda
Yoshitomo
Y
Kajino
Shin
S
Watanabe
Shintaro
S
Iwai
Fujita
F
Kenji
Kazuhiro
K
Hasegawa
Daisuke
D
Inoue
Hiroyuki
H
Tsuchiya
D000077:Acetabulum; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed