Turley, G. A., Ahmed, Shahbaz M. Y., Williams, M. A. (Mark A.) and Griffin, Damian R.. (2012) Validation of the femoral anteversion measurement method used in imageless navigation. Computer Aided Surgery, Vol.17 (No.4). pp. 187-197. ISSN 1092-9088

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Abstract

Total hip arthroplasty restores lost mobility to patients suffering from osteoarthritis and acute trauma. In recent years, navigated surgery has been used to control prosthetic component placement. Furthermore, there has been increasing research on what constitutes correct placement. This has resulted in the definition of a safe-zone for acetabular cup orientation. However, there is less definition with regard to femoral anteversion and how it should be measured. This study assesses the validity of the femoral anteversion measurement method used in imageless navigation, with particular attention to how the neutral rotation of the femur is defined. CT and gait analysis methodologies are used to validate the reference which defines this neutral rotation, i.e., the ankle epicondyle piriformis (AEP) plane. The findings of this study indicate that the posterior condylar axis is a reliable reference for defining the neutral rotation of the femur. In imageless navigation, when these landmarks are not accessible, the AEP plane provides a useful surrogate to the condylar axis, providing a reliable baseline for femoral anteversion measurement.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine R Medicine > RD Surgery T Technology > TA Engineering (General). Civil engineering (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Science > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH):	Total hip replacement -- Methodology, Computer-assisted surgery
Journal or Publication Title:	Computer Aided Surgery
Publisher:	Informa Healthcare
ISSN:	1092-9088
Date:	8 June 2012
Volume:	Vol.17
Number:	No.4
Number of Pages:	11
Page Range:	pp. 187-197
Identification Number:	10.3109/10929088.2012.690230
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	Engineering and Physical Sciences Research Council (EPSRC), Nikon Metrology (Firm), University of Warwick, University of Birmingham
References:	[1] Sakai T, Sugano N, Nishii T, Haraguchi K, Ochi T, Ohzono K. Optimizing femoral anteversion and offset after total hip arthroplasty, using a modular femoral neck system: an experimental study. J Orthop Sci 2000;5(5):489-494. [2] Duwelius PJ, Hartzband MA, Burkhart R, Carnahan C, Blair S, Wu YX, Grunkemeier GL. Clinical results of a modular neck hip system: hitting the bulls-eye more accurately. Am J Orthop 2010;39(S10):2-6. [3] Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stockl B. Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Joint Surg Br 2005;87(6):762-769. [4] Dorr LD, Wan Z. Causes of and treatment protocol for instability of total hip replacement. Clin Orthop Relat R 1998;355:144-151. [5] Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hipreplacement arthroplasties. J Bone Joint Surg Am 1978;60(2):217-220. [6] Masaoka T, Yamamoto K, Shishido T, Katori Y, Mizoue T, Shirasu H, Nunoda D. Study of hip joint dislocation after total hip arthroplasty. Int Orthop 2006;30(1):26-30. [7] McCollum DE, Gray WJ. Dislocation after total hip arthroplasty: causes and prevention. Clin Orthop Relat R 1990;261:159-170. [8] Sakai T, Sugano N, Ohzono K, Nishii T, Haraguchi K, Yoshikawa H. Femoral anteversion, femoral offset, and abductor lever arm after total hip arthroplasty using a modular femoral neck system. J Orthop Sci 2002;7(1):62-67. [9] Seki M, Yuasa N, Ohkuni K. Analysis of optimal range of socket orientations in total hip arthroplasty with use of computer-aided design simulation. J Orthop Res 1998;16(4):513-517. [10] Widmer KH, Zur uh B. Compliant positioning of total hip components for optimal range of motion. J Orthop Res 2004;22(4):815-821. [11] Yoshimine F. The in uence of the oscillation angle and the neck anteversion of the prosthesis on the cup safe-zone that fulfills the criteria for range of motion in total hip replacements. The required oscillation angle for an acceptable cup safe-zone. J Biomech 2005;38(1):125-132. [12] Yoon YS, Hodgson AJ, Tonetti J, Masri BA, Duncan CP. Resolving inconsistencies in defining the target orientation for the acetabular cup angles in total hip arthroplasty. Clin Biomech 2008;23(3):253-259. [13] Murray DW. The definition and measurement of acetabular orientation. J Bone Joint Surg Br 1993;75(2):228-232. [14] Malik A, Maheshwari A, Dorr LD. Impingement with total hip replacement. J Bone Joint Surg Am 2007;89(8):1832-1842. [15] Widmer KH. Containment versus impingement: finding a compromise for cup placement in total hip arthroplasty. Int Orthop 2007;31(S1):29-33. [16] Dorr LD, Malik A, Dastane M, Wan Z. Combined anteversion technique for total hip arthroplasty. Clin Orthop Relat R 2009;467:119-127. [17] Jolles BM, Zangger P, Leyvraz PF. Factors predisposing to dislocation after primary total hip arthroplasty. J Arthroplasty 2002;17(3):282-288. [18] Ranawat CS, Maynard MJ. Modern technique of cemented total hip arthroplasty. Tech Orthop 1991;6(3):17-25. [19] Malchau H, Callanan M, Bragdon C, Zurakowski D, Jarrett B, Rubash H. An analysis of cup positioning in total hip arthroplasty: quality improvement by use of a local joint registry. J Bone Joint Surg Br 2001;93(S2):88-89. [20] Honl M, Schwieger K, Salineros M, Jacobs J, Morlock M, Wimmer M. Orientation of the acetabular component: a comparison of five navigation systems with conventional surgical technique. J Bone Joint Surg Br 2006;88(10):1401-1405. [21] Kalteis T, Handel M, Bathis H, Perlick L, Tingart M, Grifka J. Imageless navigation for insertion of the acetabular component in total hip arthroplasty: Is it as accurate as CT-based navigation? J Bone Joint Surg Br 2006;88(2):163-167. [22] Kelley TC, Swank ML. Role of navigation in total hip arthroplasty. J Bone Joint Surg Am 2009;91(S1):153-158. [23] Parratte S, Argenson JNA. Validation and usefulness of a computer-assisted cup-positioning system in total hip arthroplasty: a prospective, randomized, controlled study. J Bone Joint Surg Am 2007;89(3):494-499. [24] Sugano N, Nishii T, Miki H, Yoshikawa H, Sato Y, Tamura S. Mid-term results of cementless total hip replacement using a ceramic-on-ceramic bearing with and without computer navigation. J Bone Joint Surg Br 2007;89(4):455-460. [25] Murphy SB, Simon SR, Kijewski PK, Wilkinson RH, Griscom NT. Femoral anteversion. J Bone Joint Surg Am 1987;69(8):1169-1176. [26] Maruyama M, Feinberg JR, Capello WN, D'Antonio JA. Morphologic features of the acetabulum and femur: anteversion angle and implant positioning. Clin Orthop Relat R 2001;393:52- 65. [27] Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D, Whittle M, D'Lima DD, Cristofolini L, Witte H, Schmid O, Stokes I. ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion part I: ankle, hip, and spine. J Biomech 2002;35(4):543-548. [28] Yoshioka Y, Cooke TDV. Femoral anteversion: assessment based on function axes. J Orthop Res 1987;5(1):86-91. [29] Mayr E, Thaler M, Williams A, Moctezuma De La Barrera J, Krismer M, Nogler M. The figure-of-four axis as a reference to determine stem rotation in hip arthroplasty. What does it really measure? A cadaver study. Acta Orthop 2007;78(4):458-462. [30] Dandachli W, Richards R, Sauret V, Cobb JP. The transverse pelvic plane: A new and practical referenceframe for hip arthroplasty. Comput Aided Surg 2006;11(6):322-326. [31] Luttgens K, Wells KF. Kinesiology: Scientific basis of human movement. Dubuque: Brown & Benchmark, 7th edition, 1982. [32] Rowley DI, Dent JA. The musculoskeletal system: Core topics in the new curriculum. Arnold, 1997. [33] Camomilla V, Cereatti A, Vannozzi G, Cappozzo A. An optimized protocol for hip joint centre determination using the functional method. J Biomech 2006;39(6):1096-1106. [34] Halvorsen K. Bias compensated least squares estimate of the center of rotation. J Biomech 2003;36(7):999-1008. [35] Murphy KR, Myors B, Wolach AH. Statistical power analysis: A simple and general model for traditional and modern hypothesis tests. Psychology Press, 2nd edition, 2008. [36] Ko BH, Yoon YS. Optimal orientation of implanted components in total hip arthroplasty with polyethylene on metal articulation. Clin Biomech 2008;23(8):996-1003. [37] Turley GA, Ahmed SMY, Williams MA, Grifin DR. Establishing a range of motion boundary for total hip arthroplasty. P I Mech Eng H - J Med 2011;225(8):769-782. [38] Yoshimine F, Ginbayashi K. A mathematical formula to calculate the theoretical range of motion for total hip replacement. J Biomech 2002;35(7):989-993. [39] Kubiak-Langer M, Tannast M, Murphy SB, Siebenrock KA, Langlotz F. Range of motion in anterior femoroacetabular impingement. Clin Orthop Relat R 2007;458:117-124. [40] Tannast M, Kubiak-Langer M, Langlotz F, Puls M, Murphy SB, Siebenrock KA. Noninvasive three-dimensional assessment of femoroacetabular impingement. J Orthop Res 2007;25(1):122-131.
URI:	http://wrap.warwick.ac.uk/id/eprint/46356

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