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Femur first navigation can reduce impingement severity compared to traditional free hand total hip arthroplasty.
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Palit, Arnab, Williams, M. A., Turley, Glen A., Renkawitz, Tobias and Weber, Markus (2017) Femur first navigation can reduce impingement severity compared to traditional free hand total hip arthroplasty. Scientific Reports, 7 (1). 7238. doi:10.1038/s41598-017-07644-4 ISSN 2045-2322.
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Official URL: http://dx.doi.org/10.1038/s41598-017-07644-4
Abstract
Impingement is a major source of dislocation and aseptic loosening in total hip arthroplasty (THA). We compared impingement free range of motion (ROM) using a novel computer navigated femur first approach to conventional THA. In addition, impingement between genders was also explored. In a retrospective analysis of 121 THA patients, subject-specific post-operative ROM was simulated using post-operative 3D-CT data, and compared with the benchmark ROM, essential for activities of daily living. Three parameters were defined to express both implant-to-implant (ITI) and bone-to-bone (BTB) impingement - coverage percentage, third angle, and impingement severity. Although coverage percentage was similar between the navigated and conventional group for both ITI (p = 0.69) and BTB (p = 0.82) impingement, third angle was significantly reduced in the navigation group for both ITI (p = 0.02) and BTB (p = 0.05) impingement. Impingement severity for both ITI (p = 0.01) and BTB (p = 0.05) was significantly decreased in the navigation group compared to the conventional. Impingement severity in men was considerably higher compared to women for both ITI (p = 0.002) and BTB (p = 0.02). Navigation guided femur first THA is able to improve alignment of ROM axis, and consequently, to reduce impingement in THA. Men seem to be more prone to impingement than women.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RD Surgery | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Engineering > WMG (Formerly the Warwick Manufacturing Group) | ||||||
Library of Congress Subject Headings (LCSH): | Total hip replacement, Total hip replacement -- Sex differences, Femur -- Surgery, Joints -- Range of motion, Computer-assisted surgery | ||||||
Journal or Publication Title: | Scientific Reports | ||||||
Publisher: | Nature Publishing Group | ||||||
ISSN: | 2045-2322 | ||||||
Official Date: | 3 August 2017 | ||||||
Dates: |
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Volume: | 7 | ||||||
Number: | 1 | ||||||
Article Number: | 7238 | ||||||
DOI: | 10.1038/s41598-017-07644-4 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 3 August 2017 | ||||||
Date of first compliant Open Access: | 4 August 2017 | ||||||
Funder: | Germany. Bundesministerium für Bildung und Forschung (BMBF) | ||||||
Grant number: | 01EZ0915 (BMBF) |
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