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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 10/2008

01-10-2008 | Orthopaedic Surgery

Digital templating in total hip arthroplasty with the Mayo stem

Authors: Christian Wedemeyer, Henning Quitmann, Jie Xu, Hansjoerg Heep, Marius von Knoch, Guido Saxler

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2008

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Abstract

Patients

In 40 patients undergoing total hip arthroplasty with the Mayo femoral stem we studied how preoperative digital templating corresponded to the actual intraoperative choice of implant size, position, offset and restoration of leg length.

Results

The preoperatively planned sizes of the components showed a high rate of coincidence with the sizes used intraoperatively [Intraclass Correlation Coefficient (ICC) 0.661–0.810]. However, the agreements in offset and CCD correction were poor (ICC 0.476, 0.253). This could be statistically attributed to the change in the distance from the medial margin of the stem to the medial margin of the medial femoral cortex and the height of osteotomy. The agreement in leg length correction was moderate (ICC 0.583), which was attributed to the change in the hip rotation center and the height of osteotomy.

Conclusion

Careful preoperative planning was useful for accurate size choice of the Mayo prosthesis. Factors such as the height of osteotomy and the distance from the medial margin of the stem to the medial margin of the medial femoral cortex in relation to the position of the Mayo stem should be taken into account in order to restore ideal offset and leg length.
Literature
1.
Kelsey D, Goodman SB (1997) Design of the femoral component for cementless hip replacement: the surgeon’s perspective. Am J Orthop 26:407–412PubMedCrossRef
2.
Huggler AH, Jacob HAC, Bereiter H, et al (1993) Long-term results with the uncemented thrust plate prosthesis. Acta Orthop Belg Suppl 1:215
3.
Morrey BF (1989) Short-stemmed uncemented femoral component for primary hip arthroplasty. Clin Orthop 249:169–175PubMed
4.
Bono JV (2004) Digital templating in total hip arthroplasty. J Bone Joint Surg (Am) 86-A(Suppl 2):118–122
5.
White SP, Shardlow DL (2005) Effect of introduction of digital radiographic techniques on pre-operative templating in orthopaedic practice. Ann R Coll Surg Engl 87:53–54PubMedCrossRef
6.
Gonzalez Della Valle A, Slullitel G, Piccaluga F, et al (2005) The precision and usefulness of preoperative planning for cemented and hybrid primary total hip arthroplasty. J Arthroplasty 20:51–58PubMedCrossRef
7.
Conn KS, Clarke MT, Hallett JP (2002) A simple guide to determine the magnification of radiographs and to improve the accuracy of pre-operative templating. J Bone Joint Surg [Br] 84-B:269–272CrossRef
8.
Bertin KC, Röttinger H (2004) Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach. Clin Orthop Relat Res 429:248–255PubMedCrossRef
9.
Bauer R, Kerschbaumer F, Poisel S, Oberthaler W (1979) The transgluteal approach to the hip joint. Arch Orthop Trauma Surg 95(1–2):47–49PubMedCrossRef
10.
Munting E, Smitz P, Van Sante N, et al (1997) Effect of a stemless femoral implant for total hip arthroplasty on the bone mineral density of the proximal femur: a prospective longitudinal study. J Arthroplasty 12:373–379PubMedCrossRef
11.
Della VAG, Padqett DE, Salvati EA (2005) Preoperative planning for primary total hip arthroplasty. J Am Acad Orthop Surg 13(7):455–462
12.
Morrey BF, Adams RA, Kessler M (2000) A conservative femoral replacement for total hip arthroplasty. J Bone Joint Surg [Br] 82-B:952–958CrossRef
Metadata
Title
Digital templating in total hip arthroplasty with the Mayo stem
Authors
Christian Wedemeyer
Henning Quitmann
Jie Xu
Hansjoerg Heep
Marius von Knoch
Guido Saxler
Publication date
01-10-2008
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 10/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-007-0494-5

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