title: [Effect of preoperative digital planning in acetabular reconstruction in development dysplasia of the hip].
abstract: OBJECTIVE
  To evaluate the effect of preoperative digital planning in acetabular reconstruction of total hip arthroplasty (THA) for development dysplasia of the hip (DDH).
  
  
  METHODS
  A prospective study was performed on 42 patients with DDH undergoing primary THA between January 2009 and December 2011. The patients were divided into 2 groups according to whether preoperative digital planning was made or not; before operation, conventional imaging method was used in 23 cases (group A), and TraumaCad software was used for preoperative digital planning in 19 cases (group B). There was no significant difference in gender, age, body mass index, DDH classification, and preoperative Harris score between 2 groups (P > 0.05). The operation time, amount of bleeding, and postoperative complication were observed. After 7 days of operation, X-ray films were done to measure the vertical location, horizontal location, radiographic anteversion angle, radiographic inclination angle, and prosthesis size by TraumaCad software. The qualified rate of cup placement was compared between 2 groups. Coincidence rate of cup size between preoperative predicted by the digital planning and actually implanted in group B also was calculated.
  
  
  RESULTS
  The operation time and the amount of bleeding were (119.25 +/- 47.16) minutes and (410.00 +/- 200.39) mL in group A and were (155.31 +/- 84.03) minutes and (387.50 +/- 251.99) mL in group B respectively, showing no significant difference between 2 groups (P > 0.05). Incision infection and prosthetic anterior dislocation occurred in 1 case of group A respectively, prosthetic posterior dislocation in 1 case of group B. The patients were followed up 1 year and 1 month to 4 years and 1 month (mean, 2 years and 8 months ) in group A, and 1 year and 3 months to 4 years (mean, 2 years and 7 months) in group B. At last follow-up, the Harris scores were 91.09 +/- 5.35 in group A and 91.72 +/- 3.48 in group B, which were significantly increased when compared with preoperative scores (P < 0.05), but no significant difference was found between 2 groups (t=0.41, P=0.69). The qualified rate of cup placement of group B (78.95%, 15/19) was significantly higher than that of group A (43.48%, 10/23) (chi2=5.43, P=0.02); the coincidence rate of the cup size between preoperative predicted by the digital planning and actually implanted was 68.42% (13/19).
  
  
  CONCLUSIONS
  Preoperative digital planning can further optimize the acetabular reconstruction in THA for DDH.
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Zhao
authors.forename: Yan
authors.initials: Y
authors.lastname: Kang
authors.forename: Peihui
authors.initials: P
authors.lastname: Wu
authors.forename: Ziji
authors.initials: Z
authors.lastname: Zhang
authors.forename: Zhiqi
authors.initials: Z
authors.lastname: Zhang
authors.forename: Ming
authors.initials: M
authors.lastname: Fu
authors.forename: Weiming
authors.initials: W
authors.lastname: Liao
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods*; D016025:Bone Transplantation; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011300:Preoperative Care / Q000379:methods*; D017755:Prosthesis Fitting / Q000379:methods; D011857:Radiographic Image Interpretation, Computer-Assisted / Q000295:instrumentation / Q000379:methods*; D015203:Reproducibility of Results; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome