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Archives of Orthopaedic and Trauma Surgery

Published in:

05-05-2024 | Hip-TEP | Hip Arthroplasty

Retrospective study comparing the accuracies of handheld infrared stereo camera and augmented reality-based navigation systems for total hip arthroplasty

Authors: Shinya Tanaka, Yasuhiko Takegami, Yusuke Osawa, Masanori Okamoto, Shiro Imagama

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2024

Abstract

Background

The use of portable navigation systems (PNS) in total hip arthroplasty (THA) has become increasingly prevalent, with second-generation PNS (sPNS) demonstrating superior accuracy in the lateral decubitus position compared to first-generation PNS. However, few studies have compared different types of sPNS. This study retrospectively compares the accuracy and clinical outcomes of two different types of sPNS instruments in patients undergoing THA.

Methods

A total of 158 eligible patients who underwent THA at a single institution between 2019 and 2022 were enrolled in the study, including 89 who used an accelerometer-based PNS with handheld infrared stereo cameras in the Naviswiss group (group N) and 69 who used an augmented reality (AR)-based PNS in the AR-Hip group (group A). Accuracy error, navigation error, clinical outcomes, and preparation time were compared between the two groups.

Results

Accuracy errors for Inclination were comparable between group N (3.5° ± 3.0°) and group A (3.5° ± 3.1°) (p = 0.92). Accuracy errors for anteversion were comparable between group N (4.1° ± 3.1°) and group A (4.5° ± 4.0°) (p = 0.57). The navigation errors for inclination (group N: 2.9° ± 2.7°, group A: 3.0° ± 3.2°) and anteversion (group N: 4.3° ± 3.5°, group A: 4.3° ± 4.1°) were comparable between the groups (p = 0.86 and 0.94, respectively). The preparation time was shorter in group A than in group N (p = 0.036). There were no significant differences in operative time (p = 0.255), intraoperative blood loss (p = 0.387), or complications (p = 0.248) between the two groups.

Conclusion

An Accelerometer-based PNS using handheld infrared stereo cameras and AR-based PNS provide similar accuracy during THA in the lateral decubitus position, with a mean error of 3°–4° for both inclination and anteversion, though the AR-based PNS required a shorter preparation time.

Patil S, Bergula A, Chen PC, Colwell CW Jr, D’Lima DD (2003) Polyethylene wear and acetabular component orientation. J Bone Joint Surg Am 85-A Suppl 4:56–63. https://doi.org/10.2106/00004623-200300004-00007CrossRefPubMed

Nishii T, Sugano N, Miki H, Koyama T, Takao M, Yoshikawa H (2004) Influence of component positions on dislocation: computed tomographic evaluations in a consecutive series of total hip arthroplasty. J Arthroplasty 19(2):162–166. https://doi.org/10.1016/j.arth.2003.09.005CrossRefPubMed

Biedermann R, Tonin A, Krismer M, Rachbauer F, Eibl G, Stöckl B (2005) Reducing the risk of dislocation after total hip arthroplasty: the effect of orientation of the acetabular component. J Bone Joint Surg Br 87(6):762–769. https://doi.org/10.1302/0301-620X.87B6.14745CrossRefPubMed

Maeda Y, Sugano N, Nakamura N, Hamawaki M (2015) The accuracy of a mechanical cup alignment guide in total hip arthroplasty (THA) through direct anterior and posterior approaches measured with CT-based navigation. J Arthroplasty 30(9):1561–1564. https://doi.org/10.1016/j.arth.2015.04.011CrossRefPubMed

Sugano N (2013) Computer-assisted orthopaedic surgery and robotic surgery in total hip arthroplasty. Clin Orthop Surg 5(1):1–9. https://doi.org/10.4055/cios.2013.5.1.1CrossRefPubMedPubMedCentral

Kamenaga T, Hayashi S, Hashimoto S, Matsumoto T, Takayama K, Fujishiro T, Hiranaka T, Niikura T, Kuroda R (2019) Accuracy of cup orientation and learning curve of the accelerometer-based portable navigation system for total hip arthroplasty in the supine position. J Orthop Surg (Hong Kong) 27(2):2309499019848871. https://doi.org/10.1177/2309499019848871CrossRefPubMed

Hayashi S, Hashimoto S, Takayama K, Matsumoto T, Kamenaga T, Fujishiro T, Hiranaka T, Niikura T, Kuroda R (2020) Evaluation of the accuracy of acetabular cup orientation using the accelerometer-based portable navigation system. J Orthop Sci 25(4):612–617. https://doi.org/10.1016/j.jos.2019.09.012CrossRefPubMed

Tetsunaga T, Yamada K, Tetsunaga T, Sanki T, Kawamura Y, Ozaki T (2020) An accelerometer-based navigation system provides acetabular cup orientation accuracy comparable to that of computed tomography-based navigation during total hip arthroplasty in the supine position. J Orthop Surg Res 15(1):147. https://doi.org/10.1186/s13018-020-01673-yCrossRefPubMedPubMedCentral

Hasegawa M, Naito Y, Tone S, Wakabayashi H, Sudo A (2021) Accuracy of acetabular cup insertion in an anterolateral supine approach using an accelerometer-based portable navigation system. J Artif Organs 24(1):82–89. https://doi.org/10.1007/s10047-020-01206-8CrossRefPubMed

10.

Okamoto M, Kawasaki M, Okura T, Ochiai S, Yokoi H (2021) Comparison of accuracy of cup position using portable navigation versus alignment guide in total hip arthroplasty in supine position. Hip Int 31(4):492–499. https://doi.org/10.1177/1120700020908788CrossRefPubMed

11.

Anjiki K, Kamenaga T, Hayashi S, Hashimoto S, Kuroda Y, Nakano N, Fujishiro T, Hiranaka T, Niikura T, Kuroda R, Matsumoto T (2022) Effectiveness of an accelerometer-based portable navigation for intraoperative adjustment of leg length discrepancy in total hip arthroplasty in the supine position. J Orthop Sci 27(1):169–175. https://doi.org/10.1016/j.jos.2020.11.003CrossRefPubMed

12.

Tanino H, Nishida Y, Mitsutake R, Ito H (2020) Portable accelerometer-based navigation system for cup placement of total hip arthroplasty: a prospective, randomized, Controlled Study. J Arthroplasty 35(1):172–177. https://doi.org/10.1016/j.arth.2019.08.044CrossRefPubMed

13.

Asai H, Takegami Y, Seki T, Ishiguro N (2021) Pelvic tilt reduces the accuracy of acetabular component placement when using a portable navigation system: an in vitro study. Arthroplast Today 1(7):177–181. https://doi.org/10.1016/j.artd.2020.12.012CrossRef

14.

Tanino H, Nishida Y, Mitsutake R, Ito H (2021) Accuracy of a portable accelerometer-based navigation system for cup placement and intraoperative leg length measurement in total hip arthroplasty: a cross-sectional study. BMC Musculoskelet Disord 22(1):299. https://doi.org/10.1186/s12891-021-04167-yCrossRefPubMedPubMedCentral

15.

Tsukamoto M, Kawasaki M, Suzuki H, Fujitani T, Sakai A (2021) Proposal of accurate cup placement procedure during total hip arthroplasty based on pelvic tilt discrepancies in the lateral position. Sci Rep 11(1):13870. https://doi.org/10.1038/s41598-021-93418-yCrossRefPubMedPubMedCentral

16.

Kiyohara M, Hamai S, Shiomoto K, Harada S, Harada T, Motomura G, Ikemura S, Fujii M, Kawahara S, Nakashima Y (2022) Does accelerometer-based portable navigation provide more accurate and precise cup orientation without prosthetic impingement than conventional total hip arthroplasty? A randomized controlled study. Int J Comput Assist Radiol Surg 17(6):1007–1015. https://doi.org/10.1007/s11548-022-02592-5CrossRefPubMed

17.

Kurosaka K, Ogawa H, Hirasawa N, Saito M, Nakayama T, Tsukada S (2023) Does augmented reality-based portable navigation improve the accuracy of cup placement in THA compared with accelerometer-based portable navigation? A randomized controlled trial. Clin Orthop Relat Res 481(8):1515–1523. https://doi.org/10.1097/CORR.0000000000002602CrossRefPubMed

18.

Tsukada S, Ogawa H, Hirasawa N, Nishino M, Aoyama H, Kurosaka K (2022) Augmented reality- vs accelerometer-based portable navigation system to improve the accuracy of acetabular cup placement during total hip arthroplasty in the lateral decubitus position. J Arthroplasty 37(3):488–494. https://doi.org/10.1016/j.arth.2021.11.004CrossRefPubMed

19.

Tanino H, Mitsutake R, Takagi K, Ito H (2023) Does a commercially available augmented reality-based portable hip navigation system improve cup positioning during THA compared with the conventional technique? A randomized controlled study. Clin Orthop Relat Res. https://doi.org/10.1097/CORR.0000000000002819CrossRefPubMed

20.

Murray DW (1993) The definition and measurement of acetabular orientation. J Bone Joint Surg Br 75(2):228–232. https://doi.org/10.1302/0301-620X.75B2.8444942CrossRefPubMed

21.

Ektas N, Scholes C, Ruiz AM, Ireland J (2020) Validity of intraoperative imageless navigation (Naviswiss) for component positioning accuracy in primary total hip arthroplasty: protocol for a prospective observational cohort study in a single-surgeon practice. BMJ Open 10(10):e037126. https://doi.org/10.1136/bmjopen-2020-037126CrossRefPubMedPubMedCentral

22.

Hasegawa M, Naito Y, Tone S, Sudo A (2022) Accuracy of a novel accelerometer-based navigation (Naviswiss) for total hip arthroplasty in the supine position. BMC Musculoskelet Disord 23(1):537. https://doi.org/10.1186/s12891-022-05495-3CrossRefPubMedPubMedCentral

23.

Ohyama Y, Sugama R, Kim Y, Ohta Y, Minoda Y, Nakamura H (2023) A new accelerometer-based portable navigation system provides high accuracy of acetabular cup placement in total hip arthroplasty in both the lateral decubitus and supine positions. Arch Orthop Trauma Surg 143(7):4473–4480. https://doi.org/10.1007/s00402-022-04675-zCrossRefPubMed

24.

Ong CB, Chiu YF, Premkumar A, Gonzalez Della Valle A (2023) Use of a novel imageless navigation system reduced fluoroscopy exposure and improved acetabular positioning in anterior approach total hip arthroplasty: a case-control study. Arch Orthop Trauma Surg 143(5):2739–2745. https://doi.org/10.1007/s00402-022-04520-3CrossRefPubMed

25.

Ogawa H, Hasegawa S, Tsukada S, Matsubara M (2018) A pilot study of augmented reality technology applied to the acetabular cup placement during total hip arthroplasty. J Arthroplasty 33(6):1833–1837. https://doi.org/10.1016/j.arth.2018.01.067CrossRefPubMed

26.

Ogawa H, Kurosaka K, Sato A, Hirasawa N, Matsubara M, Tsukada S (2020) Does an augmented reality-based portable navigation system improve the accuracy of acetabular component orientation during THA? A randomized controlled trial. Clin Orthop Relat Res 478(5):935–943. https://doi.org/10.1097/CORR.0000000000001083CrossRefPubMed

27.

Fujita M, Hayashi S, Kuroda Y, Nakano N, Maeda T, Matsushita T, Matsumoto T, Kuroda R (2023) Accuracy comparison of cup positioning during total hip arthroplasty using Hip Align and AR-Hip in the supine position. Arch Orthop Trauma Surg. https://doi.org/10.1007/s00402-023-04975-yCrossRefPubMed

28.

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR (1978) Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am 60(2):217–220CrossRefPubMed

29.

Zhu J, Wan Z, Dorr LD (2010) Quantification of pelvic tilt in total hip arthroplasty. Clin Orthop Relat Res 468(2):571–575. https://doi.org/10.1007/s11999-009-1064-7CrossRefPubMed

30.

Grammatopoulos G, Pandit HG, da Assunção R, Taylor A, McLardy-Smith P, De Smet KA, Murray DW, Gill HS (2014) Pelvic position and movement during hip replacement. Bone Joint J 96-B(7):876–83. https://doi.org/10.1302/0301-620X.96B7.32107CrossRefPubMed

31.

Kanazawa M, Nakashima Y, Ohishi M, Hamai S, Motomura G, Yamamoto T, Fukushi J, Ushijima T, Hara D, Iwamoto Y (2016) Pelvic tilt and movement during total hip arthroplasty in the lateral decubitus position. Mod Rheumatol 26(3):435–440. https://doi.org/10.3109/14397595.2015.1092914CrossRefPubMed

32.

Iwakiri K, Kobayashi A, Ohta Y, Takaoka K (2017) Efficacy of the anatomical-pelvic-plane positioner in total hip arthroplasty in the lateral decubitus position. J Arthroplasty 32(5):1520–1524. https://doi.org/10.1016/j.arth.2016.11.048CrossRefPubMed

33.

Carcangiu A, D’Arrigo C, Topa D, Alonzo R, Speranza A, De Sanctis S, Ferretti A (2011) Reliability of cup position in navigated THA in the lateral decubitus position using the “flip technique.” Hip Int 21(6):700–705. https://doi.org/10.5301/HIP.2011.8860CrossRefPubMed

34.

Danoff JR, Bobman JT, Cunn G, Murtaugh T, Gorroochurn P, Geller JA, Macaulay W (2016) Redefining the acetabular component safe zone for posterior approach total hip arthroplasty. J Arthroplasty 31(2):506–511. https://doi.org/10.1016/j.arth.2015.09.010CrossRefPubMed

35.

Harada S, Hamai S, Motomura G, Ikemura S, Fujii M, Kawahara S, Sato T, Hara D, Nakashima Y (2022) Evaluation of optimal implant alignment in total hip arthroplasty based on postoperative range of motion simulation. Clin Biomech (Bristol, Avon) 92:105555. https://doi.org/10.1016/j.clinbiomech.2021.105555CrossRefPubMed

36.

Nishihara S, Sugano N, Nishii T, Ohzono K, Yoshikawa H (2003) Measurements of pelvic flexion angle using three-dimensional computed tomography. Clin Orthop Relat Res 411:140–151. https://doi.org/10.1097/01.blo.0000069891.31220.fdCrossRef

37.

Dorr LD, Callaghan JJ (2019) Death of the Lewinnek “Safe Zone.” J Arthroplasty 34(1):1–2. https://doi.org/10.1016/j.arth.2018.10.035CrossRefPubMed

38.

Ike H, Dorr LD, Trasolini N, Stefl M, McKnight B, Heckmann N (2018) Spine-pelvis-hip relationship in the functioning of a total hip replacement. J Bone Joint Surg Am 100(18):1606–1615. https://doi.org/10.2106/JBJS.17.00403CrossRefPubMed

Title: Retrospective study comparing the accuracies of handheld infrared stereo camera and augmented reality-based navigation systems for total hip arthroplasty
Authors: Shinya Tanaka
Yasuhiko Takegami
Yusuke Osawa
Masanori Okamoto
Shiro Imagama
Publication date: 05-05-2024
Publisher: Springer Berlin Heidelberg
Keywords: Hip-TEP
Hip-TEP
Osteoarthritis of the Hip
Osteoarthritis of the Hip
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2024
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-024-05330-5

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Retrospective study comparing the accuracies of handheld infrared stereo camera and augmented reality-based navigation systems for total hip arthroplasty

Abstract

Background

Methods

Results

Conclusion

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Abstract

Background

Methods

Results

Conclusion

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