Abstract
Introduction:
Total hip arthroplasty (THA) is the standard procedure for end-stage arthritis of the hip. Its technical success relies on preoperative planning of the surgical procedure and virtual setup of the operative performance. Digital hip templating is one methodology of preoperative planning for THA which requires a digital preoperative radiograph and a computer with special software.
Patients and methods:
This is a prospective study involving 23 patients (25 hips) who were candidates for complex THA surgery (unilateral or bilateral). Digital templating is done by radiographic assessment using radiographic magnification correction, leg length discrepancy and correction measurements, acetabular component and femoral component templating as well as neck resection measurement.
Results:
The overall accuracy for templating the stem implant’s exact size is 81%. This percentage increased to 94% when considering sizing within 1 size.
Conclusion:
Digital templating has proven effective, reliable and essential technique for preoperative planning and accurate prediction of THA sizing and alignment.
References
[1] Carter LW, Stovall DO, Young TR. Determination of accuracy of preoperative templating of noncemented femoral prostheses. J Arthroplasty 1995; 10: 507–513.10.1016/S0883-5403(05)80153-6Search in Google Scholar
[2] Clarke IC, Gruen T, Matos M, Amstutz HC. Improved methods for quantitative radiographic evaluation with particular reference to total-hip arthroplasty. Clin Orthop Relat Res 1976: 83–91.10.1097/00003086-197611000-00011Search in Google Scholar
[3] Conn KS, Clarke MT, Hallett JP. A simple guide to determine the magnification of radiographs and to improve the accuracy of preoperative templating. J Bone Joint Surg Br 2002; 84: 269–272.10.1302/0301-620X.84B2.0840269Search in Google Scholar
[4] D’Antonio JA. Preoperative templating and choosing the implant for primary THA in the young patient. Instr Course Lect 1994; 43: 339–346.Search in Google Scholar
[5] Eggli S, Pisan M, Muller ME. The value of preoperative planning for total hip arthroplasty. J Bone Joint Surg Br 1998; 80: 382–390.10.1302/0301-620X.80B3.0800382Search in Google Scholar
[6] Gamble P, de Beer J, Petruccelli D, Winemaker M. The accuracy of digital templating in uncemented total hip arthroplasty. J Arthroplasty 2010; 25: 529–532.10.1016/j.arth.2009.04.011Search in Google Scholar PubMed
[7] Gonzalez Della Valle A, Slullitel G, Piccaluga F, Salvati EA. The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty 2005; 20: 51–58.10.1016/j.arth.2004.04.016Search in Google Scholar PubMed
[8] Gorski JM, Schwartz L. A device to measure X-ray magnification in preoperative planning for cementless arthroplasty. Clin Orthop Relat Res 1986; 302–306.10.1097/00003086-198601000-00043Search in Google Scholar
[9] Hafez MA, Schemitsch E. Templating for primary total hip arthroplasty. In: Waddell JP, editor. Operative techniques/hip Surgery. Elsevier. 2008: Sec II, Ch4, 53–65. http://www.elsevier.com/wps/find/bookdescription.cws_home/714605/description.10.1016/B978-1-4160-3850-4.50008-3Search in Google Scholar
[10] Hossain M, Lewis J, Sinha A. Digital pre-operative templating is more accurate in total hip replacement compared to analogue templating. Eur J Orthop Surg Traumatol 2008; 18: 577–580.10.1007/s00590-008-0356-zSearch in Google Scholar
[11] Iorio R, Siegel J, Specht LM, Tilzey JF, Hartman A, Healy WL. A comparison of acetate vs digital templating for preoperative planning of total hip arthroplasty: is digital templating accurate and safe? J Arthroplasty 2009; 24: 175–179.10.1016/j.arth.2007.11.019Search in Google Scholar PubMed
[12] Issa K, Pivec R, Boyd B, et al. Comparing the accuracy of radiographic preoperative digital templating for a second- versus a first-generation THA stem. Orthopedics 2012; 35: 1028–1034.10.3928/01477447-20121120-03Search in Google Scholar
[13] Jasty M, Henshaw RM, O’Connor DO, Harris WH. High assembly strains and femoral fractures produced during insertion of uncemented femoral components. A cadaver study. J Arthroplasty 1993; 8: 479–487.10.1016/S0883-5403(06)80213-5Search in Google Scholar
[14] Jay VP, McGrory BJ. A convenient method for preoperative templating. Am J Orthop (Belle Mead NJ) 1995; 24: 792.Search in Google Scholar
[15] Kniesel B, Konstantinidis L, Hirschmüller A, Südkamp N, Helwig P. Digital templating in total knee and hip replacement: an analysis of planning accuracy. Int Orthop 2013.10.1007/s00264-013-2157-1Search in Google Scholar PubMed PubMed Central
[16] Kosashvili Y, Shasha N, Olschewski E, et al. Digital versus conventional templating techniques in preoperative planning for total hip arthroplasty. Can J Surg 2009; 52: 6–11.Search in Google Scholar
[17] Levine B, Fabi D, Deirmengian C. Digital templating in primary total hip and knee arthroplasty. Orthopedics 2010; 33: 797.10.3928/01477447-20100924-04Search in Google Scholar PubMed
[18] Linclau L, Dokter G, Peene P. Radiological aspects in preoperative planning and postoperative assessment of cementless total hip arthroplasty. Acta Orthop Belg 1993; 59: 163–167.Search in Google Scholar
[19] Oddy MJ, Jones MJ, Pendegrass CJ, Pilling JR, Wimhurst JA. Assessment of reproducibility and accuracy in templating hybrid total hip arthroplasty using digital radiographs. J Bone Joint Surg Br 2006; 88: 581–585.10.1302/0301-620X.88B5.17184Search in Google Scholar PubMed
[20] Pullen WM, Whiddon DR. Accuracy and reliability of digital templating in primary total hip arthroplasty. J Surg Orthop Adv 2013; 22: 148–151.10.3113/JSOA.2013.0148Search in Google Scholar
[21] The B, Diercks RL, van Ooijen PM, van Horn JR. Comparison of analog and digital preoperative planning in total hip and knee arthroplasties. A prospective study of 173 hips and 65 total knees. Acta Orthop 2005; 76: 78–84.10.1080/00016470510030364Search in Google Scholar PubMed
[22] The B, Verdonschot N, van Horn JR, van Ooijen PM, Diercks RL. Digital versus analogue preoperative planning of total hip arthroplasties: a randomized clinical trial of 210 total hip arthroplasties. J Arthroplasty 2007; 22: 866–870.10.1016/j.arth.2006.07.013Search in Google Scholar PubMed
[23] White SP, Shardlow DL. Effect of introduction of digital radiographic techniques on pre-operative templating in orthopaedic practice. Ann R Coll Surg Engl 2005; 87: 53–54.10.1308/1478708051540Search in Google Scholar PubMed PubMed Central
©2016 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Research articles
- Development of antibiotic-loaded silk fibroin/hyaluronic acid polyelectrolyte film coated CoCrMo alloy
- Adhesion and proliferation of cells and bacteria on microchip with different surfaces microstructures
- Hydrophobic forces as a key factor in crystalline biofilm formation on ureteral stents
- Topography and nanostructural evaluation of chemically and thermally modified titanium substrates
- Thermodynamic effects after Diode and Er:YAG laser irradiation of grade IV and V titanium implants placed in bone – an ex vivo study. Preliminary report
- Influence of a bonding agent on the bond strength between a dental Co-Cr alloy and nine different veneering porcelains
- Digital templating for THA: a simple computer-assisted application for complex hip arthritis cases
- Finite element study of the acetabulum in cemented hip arthroplasty investigating retention or removal of the subchondral bone plate
- Failure analysis of ParaPost drills that fractured in service: a retrieval analysis study
- Development and verification of a mathematical model to quantify the joint spaces of the elbow
- Development of a smart IUD launcher for prevention of uterine perforation
- Modeling and performance evaluation of a robotic treatment couch for tumor tracking
- Video-based detection of device interaction in the operating room
Articles in the same Issue
- Frontmatter
- Research articles
- Development of antibiotic-loaded silk fibroin/hyaluronic acid polyelectrolyte film coated CoCrMo alloy
- Adhesion and proliferation of cells and bacteria on microchip with different surfaces microstructures
- Hydrophobic forces as a key factor in crystalline biofilm formation on ureteral stents
- Topography and nanostructural evaluation of chemically and thermally modified titanium substrates
- Thermodynamic effects after Diode and Er:YAG laser irradiation of grade IV and V titanium implants placed in bone – an ex vivo study. Preliminary report
- Influence of a bonding agent on the bond strength between a dental Co-Cr alloy and nine different veneering porcelains
- Digital templating for THA: a simple computer-assisted application for complex hip arthritis cases
- Finite element study of the acetabulum in cemented hip arthroplasty investigating retention or removal of the subchondral bone plate
- Failure analysis of ParaPost drills that fractured in service: a retrieval analysis study
- Development and verification of a mathematical model to quantify the joint spaces of the elbow
- Development of a smart IUD launcher for prevention of uterine perforation
- Modeling and performance evaluation of a robotic treatment couch for tumor tracking
- Video-based detection of device interaction in the operating room