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Subject-specific surgical planning for hip replacement : a novel 2D graphical representation of 3D hip motion and prosthetic impingement information

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Palit, Arnab, King, Richard, Gu, Yolanda, Pierrepont, James, Simpson, David and Williams, Mark A. (2019) Subject-specific surgical planning for hip replacement : a novel 2D graphical representation of 3D hip motion and prosthetic impingement information. Annals of Biomedical Engineering, 47 . pp. 1642-1656. doi:10.1007/s10439-019-02260-x ISSN 0090-6964.

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Official URL: http://dx.doi.org/10.1007/s10439-019-02260-x

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Abstract

Prosthetic impingement (PI) following total hip arthroplasty (THA), which arises due to the undesirable relative motion of the implants, results in adverse outcomes. Predicting PI through 3D graphical representation is difficult to comprehend when all activities are combined for different implant positions. Therefore, the aim of the paper was to translate this 3D information into a 2D graphical representation for improved understanding of the patient’s hip motion. The method used planned implanted geometry, positioned onto native bone anatomy, and activity definitions as inputs to construct the 2D polar plot from 3D hip motion in four steps. Three case studies were performed to highlight its potential use in (a) combining different activities in a single plot, (b) visualising the effect of different cup positions and (c) pelvic tilt on PI. A clinical study with 20 ‘Non-Dislocators’ and 20 ‘Dislocators’ patients after 2 years of THA was performed to validate the method. The results supported the study hypothesis, in that the incidence of PI was always higher in the ‘Dislocators’ compared to the ‘Non-Dislocators’ group. The proposed 2D graphical representation could assist in subject-specific THA planning by visualising the effect of different activities, implant positions, pelvic tilt and related aspects on PI.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group)
Journal or Publication Title: Annals of Biomedical Engineering
Publisher: Springer
ISSN: 0090-6964
Official Date: 15 July 2019
Dates:
DateEvent
15 July 2019Published
10 April 2019Available
29 March 2019Accepted
Volume: 47
Page Range: pp. 1642-1656
DOI: 10.1007/s10439-019-02260-x
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 11 April 2019
Date of first compliant Open Access: 11 April 2019

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