Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study
The purpose of this study is to compare computer-assisted to manual implantation-techniques in total hip arthroplasty (THA) and to find out if the computer-assisted surgery is able to improve the clinical and functional results and reduce the dislocation rate in short-terms after THA. We performed a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/6/1620 |
| _version_ | 1797566867509870592 |
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| author | Richard Lass Boris Olischar Bernd Kubista Thomas Waldhoer Alexander Giurea Reinhard Windhager |
| author_facet | Richard Lass Boris Olischar Bernd Kubista Thomas Waldhoer Alexander Giurea Reinhard Windhager |
| author_sort | Richard Lass |
| collection | DOAJ |
| description | The purpose of this study is to compare computer-assisted to manual implantation-techniques in total hip arthroplasty (THA) and to find out if the computer-assisted surgery is able to improve the clinical and functional results and reduce the dislocation rate in short-terms after THA. We performed a concise minimum 2-year follow-up of the patient cohort of a prospective randomized study published in 2014 and evaluated if the higher implantation accuracy in the navigated group can be seen as an important determinant of success in total hip arthroplasty. Although a significant difference was found in mean postoperative acetabular component anteversion and in the outliers regarding inclination and anteversion (<i>p</i> < 0.05) between the computer-assisted and the manual-placed group, we could not find significant differences regarding clinical outcome or revision rates at 2-years follow-up. The implantation accuracy in the navigated group can be regarded as an important determinant of success in THA, although no significant differences in clinical outcome could be detected at short-term follow-up. Therefore, further long-term follow-up of our patient group is needed. |
| first_indexed | 2024-03-10T19:33:28Z |
| format | Article |
| id | doaj.art-31ad6408b51b421db3d8cc8f0afae14a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T19:33:28Z |
| publishDate | 2020-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-31ad6408b51b421db3d8cc8f0afae14a2023-11-20T01:55:45ZengMDPI AGJournal of Clinical Medicine2077-03832020-05-0196162010.3390/jcm9061620Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized StudyRichard Lass0Boris Olischar1Bernd Kubista2Thomas Waldhoer3Alexander Giurea4Reinhard Windhager5Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Epidemiology, Center of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaThe purpose of this study is to compare computer-assisted to manual implantation-techniques in total hip arthroplasty (THA) and to find out if the computer-assisted surgery is able to improve the clinical and functional results and reduce the dislocation rate in short-terms after THA. We performed a concise minimum 2-year follow-up of the patient cohort of a prospective randomized study published in 2014 and evaluated if the higher implantation accuracy in the navigated group can be seen as an important determinant of success in total hip arthroplasty. Although a significant difference was found in mean postoperative acetabular component anteversion and in the outliers regarding inclination and anteversion (<i>p</i> < 0.05) between the computer-assisted and the manual-placed group, we could not find significant differences regarding clinical outcome or revision rates at 2-years follow-up. The implantation accuracy in the navigated group can be regarded as an important determinant of success in THA, although no significant differences in clinical outcome could be detected at short-term follow-up. Therefore, further long-term follow-up of our patient group is needed.https://www.mdpi.com/2077-0383/9/6/1620prospective randomized studynavigated total hip arthroplastyaccuracy assessmentcup placementmid-term results |
| spellingShingle | Richard Lass Boris Olischar Bernd Kubista Thomas Waldhoer Alexander Giurea Reinhard Windhager Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study Journal of Clinical Medicine prospective randomized study navigated total hip arthroplasty accuracy assessment cup placement mid-term results |
| title | Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study |
| title_full | Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study |
| title_fullStr | Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study |
| title_full_unstemmed | Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study |
| title_short | Total Hip Arthroplasty Using Imageless Computer-Assisted Navigation—2-Year Follow-Up of a Prospective Randomized Study |
| title_sort | total hip arthroplasty using imageless computer assisted navigation 2 year follow up of a prospective randomized study |
| topic | prospective randomized study navigated total hip arthroplasty accuracy assessment cup placement mid-term results |
| url | https://www.mdpi.com/2077-0383/9/6/1620 |
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