Comparative analysis of the developed method of preoperative planning in primary hip arthroplasty

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Abstract

Aim – to conduct a comparative assessment of the accuracy of the developed method of preoperative planning for primary hip arthroplasty.

Material and methods. The "Method of preoperative planning in hip arthroplasty" and special device were developed to improve the accuracy of preoperative planning and reduce the number of complications. A clinical study was conducted in the comparison groups. In the main group (50 patients), we used the proposed method in the pre-operative planning; in the control group the patients were prepared for the operation using a standard planning method. The accuracy of evaluation of implant sizes, limb length and offset were registered in the post-operative period. The preoperative planning data were compared with the results obtained.

Results. The accuracy of offset estimation in the main group was higher than in the control group (T-criterion = -2.6; p = 0.01). The average difference between the estimated offset and the one obtained in the main group was 1.4±1.5 mm, in the control group it was 2.2±1.7 mm. The error in head size estimation in the main group was less than in the control group (odds ratio = 3.02). No significant differences were registered in determining the size of components of the endoprosthesis, and there were no differences in the leg length in the study groups.

Conclusion. The developed method allows for improving the accuracy of preoperative planning in hip arthroplasty. The proposed device ensures the correct placement of patients when performing pelvic radiography, and also makes it easy to change it when performing this procedure.

About the authors

Denis I. Varfolomeev

Voronezh State Medical University named after N.N. Burdenko

Author for correspondence.
Email: d.i.burdenko@yandex.ru
ORCID iD: 0000-0002-2133-6510

PhD, orthopedic traumatologist, postgraduate student of the Department of Traumatology and Orthopedics

Russian Federation, 10 Studencheskaya st., Voronezh, 394036

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Supplementary files

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1. JATS XML
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2. Figure 1. Device for turning the patient's feet: 1 – linear actuator, 2 – foot holder, 3 – device base, 4 – power button, 5 – actuator control unit with radio receiver, 6 – power supply cable.

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3. Figure 2. А – Patient's pelvis fixed in the device, В – radiograph of the patient fixed in the device: 1 – fixator of the anterior superior iliac spines, 2 – movable guides, 3 – base of the device.

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4. Figure 3. Device for turning feet with a goniometer: 1 – foot holder, 2 – electronic goniometer, 3 – linear actuator, 4 – device base, 5 – actuator control unit with radio receiver.

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5. Figure 4. Radiographs of the hip joint with different rotation of the lower extremities (the values of the width of the medullary canal and offset are indicated): А – neutral foot position, В – internal foot rotation of 12 degrees.

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Copyright (c) 2024 Varfolomeev D.I.

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