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Published in: International Orthopaedics 8/2012

01-08-2012 | Original Paper

Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study

Authors: Jerome Hausselle, Pierre Etienne Moreau, Loic Wessely, Emmanuel de Thomasson, Ayman Assi, Sebastien Parratte, Jerome Essig, Wafa Skalli

Published in: International Orthopaedics | Issue 8/2012

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Abstract

Purpose

Acetabular component malalignment in total hip arthroplasty can lead to potential complications such as dislocation, component impingement and excessive wear. Computer-assisted orthopaedic surgery systems generally use the anterior pelvic plane (APP). Our aim was to investigate the reliability of anatomical landmarks accessible during surgery and to define new potential planes of reference.

Methods

Three types of palpations were performed: virtual, on dry bones and on two cadaveric specimens. Four landmarks were selected, the reproducibility of their positioning ranging from 0.9 to 2.3 mm. We then defined five planes and tested them during palpations on two cadaveric specimens.

Results

Two planes produced a mean orientation error of 5.0° [standard deviation (SD 3.3°)] and 5.6° (SD 2.7°).

Conclusions

Even if further studies are needed to test the reliability of such planes on a larger scale in vivo during surgery, these results demonstrated the feasibility of defining a new plane of reference as an alternative to the APP.
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Metadata
Title
Intra- and extra-articular planes of reference for use in total hip arthroplasty: a preliminary study
Authors
Jerome Hausselle
Pierre Etienne Moreau
Loic Wessely
Emmanuel de Thomasson
Ayman Assi
Sebastien Parratte
Jerome Essig
Wafa Skalli
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 8/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1516-7

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