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European Journal of Orthopaedic Surgery & Traumatology

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01-08-2020 | Computed Tomography | Original Article

Postsurgical infection from using a computed tomography-based hip navigation system during total hip arthroplasty

Authors: Daisuke Inoue, Tamon Kabata, Yoshitomo Kajino, Takaaki Ohmori, Takuro Ueno, Tadashi Taga, Tomoharu Takagi, Junya Yoshitani, Ken Ueoka, Yuuki Yamamuro, Hiroyuki Tsuchiya

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 6/2020

Abstract

Purpose

A computed tomography (CT)-based hip navigation system is a useful tool for achieving precise implant alignment angle. However, it has the disadvantage of prolonged procedure duration. A prolonged procedure duration may increase the incidence of postoperative surgical site infection (SSI) or periprosthetic joint infection (PJI) following primary THA. Studies identifying whether CT-based hip navigation system increases the incidence of SSI and PJI compared to the free-hand technique for total hip arthroplasty (THA) are rare. The study aimed to assess whether the CT-based hip navigation system can cause SSI and PJI compared to the free-hand technique.

Methods

We investigated 366 patients with osteoarthritis who completed the minimum 2-year follow-up and underwent primary THAs (n = 435), including 70 hips in 62 patients of the non-navigation group and 365 hips in 304 patients of the navigation group. We compared the incidence rate of SSI and PJI between the non-navigation group and navigation group.

Results

Only three patients in the navigation group (0.8%) developed SSI or PJI, while no patient developed SSI or PJI in the non-navigation group. There was no significant difference in the incidence rate of SSI or PJI between the two groups (P = 1.0), although the mean operation time in the navigation group was about 20 min longer.

Conclusions

CT-based hip navigation system may not be associated with SSI or PJI after primary THA, although it prolongs the operation time.

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Title: Postsurgical infection from using a computed tomography-based hip navigation system during total hip arthroplasty
Authors: Daisuke Inoue
Tamon Kabata
Yoshitomo Kajino
Takaaki Ohmori
Takuro Ueno
Tadashi Taga
Tomoharu Takagi
Junya Yoshitani
Ken Ueoka
Yuuki Yamamuro
Hiroyuki Tsuchiya
Publication date: 01-08-2020
Publisher: Springer Paris
Keywords: Computed Tomography
Computed Tomography
Joint Infection
Hip-TEP
Hip-TEP
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 6/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-020-02676-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Postsurgical infection from using a computed tomography-based hip navigation system during total hip arthroplasty

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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